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10.1016/j.cca.2020.06.008

http://scihub22266oqcxt.onion/10.1016/j.cca.2020.06.008
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32533986!7832771!32533986
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suck abstract from ncbi


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pmid32533986      Clin+Chim+Acta 2020 ; 509 (ä): 235-243
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  • Value of leukocytosis and elevated C-reactive protein in predicting severe coronavirus 2019 (COVID-19): A systematic review and meta-analysis #MMPMID32533986
  • Yamada T; Wakabayashi M; Yamaji T; Chopra N; Mikami T; Miyashita H; Miyashita S
  • Clin Chim Acta 2020[Oct]; 509 (ä): 235-243 PMID32533986show ga
  • BACKGROUND: Since December 2019, coronavirus 2019 (COVID-19) has spread worldwide. Identifying poor prognostic factors is helpful for risk stratification. In this meta-analysis, we investigated the association between severe COVID-19 and a change in white blood cell (WBC) count, an elevation of C-reactive protein (CRP), and fever. Moreover, we aimed to evaluate the diagnostic accuracy of leukocytosis and an elevation of CRP. METHODS: We performed a systematic search of PubMed, EMBASE, Scopus, and the Cochrane Library through April 20th, 2020. The odds ratios (ORs) and 95% confidence intervals (CIs) were calculated. A sensitivity analysis was conducted according to the study size (>200 or <200) and median age (>55 or <55). Meta-regression analyses were conducted to examine possible sources of heterogeneity. We calculated the diagnostic accuracy of leukocytosis and CRP. RESULTS: Eighteen studies with 3278 patients were selected. Fever, leukocytosis, and elevated CRP were associated with poor outcomes (OR (95% CI) 1.63 (1.06-2.51), 4.51 (2.53-8.04), and 11.97 (4.97-28.8), respectively). Leukopenia was associated with a better prognosis (OR 0.56, 95% CI 0.40-0.78). Sensitivity analyses showed similar tendencies. Meta-regression analysis for leukocytosis indicated that age, dyspnea, and hypertension contributed to heterogeneity. The pooled area under the leukocytosis and CRP curves were 0.70 (0.64-0.76) and 0.89 (0.80-0.99), respectively. CONCLUSION: In patients with COVID-19, fever, leukocytosis, and an elevated CRP were associated with severe outcomes. Leukocytosis and CRP on arrival may predict poor outcomes.
  • |*Betacoronavirus[MESH]
  • |Biomarkers/blood[MESH]
  • |C-Reactive Protein/*metabolism[MESH]
  • |COVID-19[MESH]
  • |Coronavirus Infections/*blood/*diagnosis/epidemiology[MESH]
  • |Humans[MESH]
  • |Leukocytosis/*blood/*diagnosis/epidemiology[MESH]
  • |Leukopenia/blood/diagnosis/epidemiology[MESH]
  • |Pandemics[MESH]
  • |Pneumonia, Viral/*blood/*diagnosis/epidemiology[MESH]
  • |Prognosis[MESH]
  • |Retrospective Studies[MESH]


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