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10.1111/ijcp.13698

http://scihub22266oqcxt.onion/10.1111/ijcp.13698
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32892477!ä!32892477

suck abstract from ncbi


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pmid32892477      Int+J+Clin+Pract 2021 ; 75 (4): e13698
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  • Neutrophil/lymphocyte ratio-A marker of COVID-19 pneumonia severity #MMPMID32892477
  • Imran MM; Ahmad U; Usman U; Ali M; Shaukat A; Gul N
  • Int J Clin Pract 2021[Apr]; 75 (4): e13698 PMID32892477show ga
  • AIM: To determine the efficacy of neutrophil/lymphocyte ratio (NLR) as a marker of the severity of COVID-19 pneumonia in the South-Asian population. METHODS: This was a prospective, cross-sectional, analytic study conducted at HDU/ICU of District Headquarter Hospital, Faisalabad, Pakistan, from May through July 2020. Sixty-three eligible patients, admitted to the HDU/ICU, were prospectively enrolled in the study. Their NLR, C-reactive protein, serum albumin and serum fibrinogen were measured. Patients' demographic characteristics, comorbidities, clinical manifestations of COVID-19 infection, medication use and history of lung malignancy were retrieved from their medical history. Patients were categorised into either a general group (with mild COVID-19) or a heavy group (with moderate to severe COVID-19). RESULTS: There were significant differences between the two groups in diabetes prevalence, NLR, C-reactive protein and serum albumin. NLR and C-reactive protein were positively correlated (P < .001, P = .04, respectively) whereas serum albumin was negatively correlated (P = .009) with severe COVID-19. NLR was found to be an independent risk factor for severe COVID-19 pneumonia in the heavy group (OR = 1.264, 95% CI: 1.046~1.526, P = .015). The calculated AUC using ROC for NLR was 0.831, with an optimal limit of 4.795, sensitivity of 0.83 and specificity of 0.75, which is highly suggestive of NLR being a marker for the early detection of deteriorating severe COVID-19 infection. CONCLUSION: NLR can be used as an early warning signal for deteriorating severe COVID-19 infection and can provide an objective basis for early identification and management of severe COVID-19 pneumonia.
  • |*COVID-19/immunology/mortality[MESH]
  • |*Lymphocytes[MESH]
  • |*Neutrophils[MESH]
  • |Cross-Sectional Studies[MESH]
  • |Humans[MESH]
  • |Pakistan[MESH]
  • |Pneumonia, Viral/mortality[MESH]
  • |Prognosis[MESH]
  • |Prospective Studies[MESH]
  • |Retrospective Studies[MESH]
  • |SARS-CoV-2[MESH]


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