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10.1111/ijlh.13312

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32812365!7461522!32812365
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suck abstract from ncbi


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pmid32812365      Int+J+Lab+Hematol 2021 ; 43 (1): 116-122
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  • Interest of the cellular population data analysis as an aid in the early diagnosis of SARS-CoV-2 infection #MMPMID32812365
  • Vasse M; Ballester MC; Ayaka D; Sukhachev D; Delcominette F; Habarou F; Jolly E; Sukhacheva E; Pascreau T; Farfour E
  • Int J Lab Hematol 2021[Feb]; 43 (1): 116-122 PMID32812365show ga
  • INTRODUCTION: Coronavirus disease 2019 (COVID-19) is characterized by a high contagiousness requiring isolation measures. At this time, diagnosis is based on the positivity of specific RT-PCR and/or chest computed tomography scan, which are time-consuming and may delay diagnosis. Complete blood count (CBC) can potentially contribute to the diagnosis of COVID-19. We studied whether the analysis of cellular population data (CPD), provided as part of CBC-Diff analysis by the DxH 800 analyzers (Beckman Coulter), can help to identify SARS-CoV-2 infection. METHODS: Cellular population data of the different leukocyte subpopulations were analyzed in 137 controls, 322 patients with proven COVID-19 (COVID+), and 285 patients for whom investigations were negative for SARS-CoV-2 infection (COVID-). When CPD of COVID+ were different from controls and COVID- patients, we used receiver operating characteristic analysis to test the discriminating capacity of the individual parameters. Using a random forest classifier, we developed the algorithm based on the combination of 4 monocyte CPD to discriminate COVID+ from COVID- patients. This algorithm was tested prospectively in a series of 222 patients referred to the emergency unit. RESULTS: Among the 222 patients, 86 were diagnosed as COVID-19 and 60.5% were correctly identified using the discriminating protocol. Among the 136 COVID- patients, 10.3% were misclassified (specificity 89.7%, sensitivity 60.5%). False negatives were observed mainly in patients with a low inflammatory state whereas false positives were mainly seen in patients with sepsis. CONCLUSION: Consideration of CPD could constitute a first step and potentially aid in the early diagnosis of COVID-19.
  • |*COVID-19 Testing[MESH]
  • |*Early Diagnosis[MESH]
  • |*Leukocyte Count[MESH]
  • |*Pandemics[MESH]
  • |*SARS-CoV-2[MESH]
  • |Adolescent[MESH]
  • |Adult[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19 Nucleic Acid Testing[MESH]
  • |COVID-19/blood/*diagnosis/diagnostic imaging/epidemiology[MESH]
  • |Decision Trees[MESH]
  • |False Negative Reactions[MESH]
  • |False Positive Reactions[MESH]
  • |Female[MESH]
  • |Humans[MESH]
  • |Leukocytes/classification[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Predictive Value of Tests[MESH]
  • |Prospective Studies[MESH]
  • |ROC Curve[MESH]
  • |Reverse Transcriptase Polymerase Chain Reaction[MESH]
  • |Supervised Machine Learning[MESH]
  • |Tomography, X-Ray Computed[MESH]


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