The place of age and hematological parameters in hospitalization of pediatric COVID-19 patients

Year 2025, Volume: 6 Issue: 3, 231 - 240, 10.10.2025

Hamdi Metin , Nevin Köremezli Keskin , Adilen Şen

https://doi.org/10.46871/eams.1566988

Abstract

Objective: To examined the relationship between hematologic parameters and prognosis in patients diagnosed with COVID-19 in the pediatric emergency department.
Methods: This study was designed as a retrospective cross-sectional study. A total of 605 patients admitted to the emergency department were analyzed. WBC, lymphocyte, monocyte, neutrophil and platelet counts, hemoglobin, creatinine, albumin and CRP levels were recorded. Neutrophil-lymphocyte ratio (NLR), SII (platelet count × neutrophil count/lymphocyte count), lymphocyte-CRP ratio (LCR), platelet-NLR (P/NLR) and platelet-CRP ratio (P/CRP) were obtained. Cases were classified according to hospitalization status and age groups.
Results: A total of 656 pediatric patients were admitted to a tertiary hospital emergency department with COVID-19 rt-PCR positivity.51 patients were excluded. 225 (37.2%) of the patients were hospitalized patients.80.00% of patients under 1 year were hospitalized, whereas 26.9% of the 15-17 age group were hospitalized. WBC levels were significantly higher in hospitalized patients only in the 7-14 age group (p=0.007); lymphocyte and CRP levels were not observed to be significant in terms of hospitalization in any age group.
Conclusion: In pediatric patients infected with Covid-19, hospitalization of younger patients was prioritized over all hematologic parameters due to the uncertainty of the process and prognosis at the beginning.

Keywords

COVID-19 , hematologic parameters , hospitalization , children

Çocuk COVID-19 hastalarının hastaneye yatışında yaş ve hematolojik parametrelerin yeri

Abstract

Amaç: Çocuk acil servisinde COVID-19 tanısı alan hastalarda hematolojik parametreler ile prognoz arasındaki ilişkiyi incelemek.
Yöntemler: Bu retrospektif kesitsel çalışmada, acil servise başvuran toplam 605 hastanın WBC, lenfosit, monosit, nötrofil ve trombosit sayıları, hemoglobin, kreatinin, albümin ve CRP düzeyleri kaydedildi. Nötrofil-lenfosit oranı (NLR), SII (trombosit sayısı × nötrofil sayısı/lenfosit sayısı), lenfosit-CRP oranı (LCR), trombosit-NLR (P/NLR) ve trombosit-CRP oranı (P/CRP) elde edildi.Vakalar yatış durumları ve yaş gruplarına göre sınıflandırıldı.
Bulgular: Acil servisine COVID-19 rt-PCR pozitifliği ile toplam 656 pediatrik hasta başvurdu. 51 hasta çalışma dışı bırakıldı. Hastaların 225'i (%37,2) hastanede yatan hastalardı. 1 yaşın altındaki hastaların %80,00'i hastaneye yatırılırken, 15-17 yaş grubunun %26,9'u hastaneye yatırıldı. WBC düzeyleri sadece 7-14 yaş grubunda hastaneye yatan hastalarda daha yüksek bulunmuş (p=0.007); lenfosit ve CRP düzeyleri hiçbir yaş grubunda hastaneye yatış açısından anlamlı bulunmamıştır.
Sonuç: Covid-19 ile enfekte çocuk hastalarda, başlangıçta sürecin ve prognozun belirsizliği nedeniyle küçük hastaların hastaneye yatırılması tüm hematolojik parametrelerden daha öncelikli olmuştur.

Keywords

COVID-19 , hastane yatışı , çocuk , hematolojik parametreler

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