Clinical and laboratory features of COVID-19: Predictors of severe prognosis

•Decrease in %LUC (Large unstained cells%) value predicts severe SARS-CoV-2 infection.•Laboratory parameters associated with the severe illness in COVID-19 patients.•The optimal cut-off values of relevant parameters to define risk of critical illness.•The relevant coagulation abnormalities to predic...

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Veröffentlicht in:International immunopharmacology 2020-11, Vol.88, p.106950-106950, Article 106950
Hauptverfasser: Bastug, Aliye, Bodur, Hurrem, Erdogan, Serpil, Gokcinar, Derya, Kazancioglu, Sumeyye, Kosovali, Behiye Deniz, Ozbay, Bahadır Orkun, Gok, Gamze, Turan, Isil Ozkocak, Yilmaz, Gulsen, Gonen, Canan Cam, Yilmaz, Fatma Meric
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Sprache:eng
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Zusammenfassung:•Decrease in %LUC (Large unstained cells%) value predicts severe SARS-CoV-2 infection.•Laboratory parameters associated with the severe illness in COVID-19 patients.•The optimal cut-off values of relevant parameters to define risk of critical illness.•The relevant coagulation abnormalities to predict severe patients with COVID-19. Coronavirus disease 2019 (COVID-19) emerged first in December 2019 in Wuhan, China and quickly spread throughout the world. Clinical and laboratory data are of importance to increase the success in the management of COVID-19 patients. Data were obtained retrospectively from medical records of 191 hospitalized patients diagnosed with COVID-19 from a tertiary single-center hospital between March and April 2020. Prognostic effects of variables on admission among patients who received intensive care unit (ICU) support and those who didn’t require ICU care were compared. Patients required ICU care (n = 46) were older (median, 71 vs. 43 years), with more underlying comorbidities (76.1% vs. 33.1%). ICU patients had lower lymphocytes, percentage of large unstained cell (%LUC), hemoglobin, total protein, and albumin, but higher leucocytes, neutrophils, neutrophil–lymphocyte ratio (NLR), monocyte-lymphocyte ratio (MLR), platelet-lymphocytes ratio (PLR), urea, creatinine, aspartate amino transferase (AST), lactate dehydrogenase (LDH), and D-dimer when compared with non-critically ill patients (p 
ISSN:1567-5769
1878-1705
DOI:10.1016/j.intimp.2020.106950