Original research article: Study of hematological and biochemical Markers in COVID-19 patients admitted in a tertiary care centre of Middle Gujarat, India

ABSTRACT

Background: COVID-19 pandemic originated in the city of Wuhan in Hubie province of China and within three months of its origin the disease extended to nearly 221 countries in the world. Objective(s) The objective is Study of hematological and various biochemical Markers in COVID-19 patients admitted in a tertiary care centre . Methodology: In this single-center study, records of 170 patients hospitalized with COVID-19 were studied for hematological profile and biochemical markers. Records of patients with laboratory-confirmed COVID-19 disease hospitalized between April 2020, to August 2020, were included in the analysis. Result(s) A total of 170 patients were enrolled of Age Group 20-80 year of which 80% (136/170) were asymptomatic and 20% (34/170) symptomatic. 17% patients had co-existing illnesses. Clinical spectrum among COVID-19 patients varied from being asymptomatic to having symptoms like fever, dry cough, breathlessness with few progressing to respiratory failure and multi-organ failure. In our study, 96.0% (163/170) recovered while 4.0% (7/170) died. Mean age, total leucocyte count (TLC), neutrophil to lymphocyte ratio (NLR), platelet to lymphocyte ratio (PLR), and lactate dehydrogenase (LDH),Procalcitonin, CRP, D dimer of severely ill patients were significantly higher than those of patients with non-severe illness. Conclusion(s) The clinicians may consider the hematological and biochemical parameters in the patients with COVID-19 in future decision-making. Elevated NLR, TLC, LDH, C-Reactive Protein, Procalcitonin, D dimer and lymphopenia were seen in the symptomatic patients especially manifesting severe disease. Early intervention and periodic monitoring of these parameters in patients, especially with severe disease may help in improving disease outcome. Copyright © 2022 Ubiquity Press. All rights reserved.