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10.1002/jcla.23475

http://scihub22266oqcxt.onion/10.1002/jcla.23475
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32681559!7404368!32681559
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suck abstract from ncbi


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pmid32681559      J+Clin+Lab+Anal 2020 ; 34 (10): e23475
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  • Diagnostic value of peripheral hematologic markers for coronavirus disease 2019 (COVID-19): A multicenter, cross-sectional study #MMPMID32681559
  • Peng J; Qi D; Yuan G; Deng X; Mei Y; Feng L; Wang D
  • J Clin Lab Anal 2020[Oct]; 34 (10): e23475 PMID32681559show ga
  • BACKGROUND: To determine the diagnostic value of hematologic markers for coronavirus disease 2019 (COVID-19) and explore their relationship with disease severity. METHODS: Subjects included 190 COVID-19 patients, 190 healthy subjects, and 105 influenza pneumonia (IP) patients. COVID-19 patients were divided into the ARDS and non-ARDS groups. Routine blood examination, biochemistry indicator, days in hospital, body temperature, pneumonia severity index (PSI), CURB-65, and MuLBSTA were recorded. Correlations between variables were assessed using Spearman's correlation analysis. Receiver operating characteristic (ROC) curves were used to study the accuracy of the various diagnostic tests. RESULTS: Compared with healthy subjects, COVID-19 patients had lower white blood cell (WBC), lymphocyte, platelet, and hemoglobin levels; higher percentages of neutrophils and monocytes; lower percentages of lymphocytes and higher neutrophil-to-lymphocyte ratio (NLR), monocyte-to-lymphocyte ratio (MLR), and platelet-to-lymphocyte ratio (PLR) values (P < .05). COVID-19 patients had higher WBC and neutrophil levels and lower percentages of lymphocytes compared to IP (P < .05). ROC curve analysis revealed that MLR had a high diagnostic value in differentiating COVID-19 patients from healthy subjects, but not from IP patients. NLR showed significant positive correlations with PSI, CURB-65, and MuLBSTA. Lymphocyte count was lower in the ARDS group and yielded a higher diagnostic value than the other variables. CONCLUSIONS: Monocyte-to-lymphocyte ratio showed an acceptable efficiency to separate COVID-19 patients from healthy subjects, but failed to rule out IP patients. NLR may be a reliable marker to evaluate the disease severity of COVID-19. Lymphocyte count may be useful to establish the early diagnosis of ARDS in the COVID-19 patients.
  • |*Clinical Laboratory Techniques/methods/standards[MESH]
  • |*Coronavirus Infections/blood/diagnosis/epidemiology[MESH]
  • |*Leukocyte Count[MESH]
  • |*Pandemics[MESH]
  • |*Pneumonia, Viral/blood/diagnosis/epidemiology[MESH]
  • |Adult[MESH]
  • |Betacoronavirus[MESH]
  • |Biomarkers[MESH]
  • |COVID-19[MESH]
  • |COVID-19 Testing[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Lymphocytes/cytology[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Monocytes/cytology[MESH]
  • |Neutrophils/cytology[MESH]
  • |Predictive Value of Tests[MESH]


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