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Comparison of Laboratory Findings And Mortalıty Rates of Varıant ALPHA and SARS-COV-2 Infected Patients

Yıl 2021, Cilt: 7 Sayı: 3, 79 - 88, 30.12.2021

Öz

In our study, the common laboratuvary findings affecting SARS-CoV-2 patient outcomes were designed on the levels detected in Variant Alpha patients. 115 Variant Alpha inpatients, 115 SARS-CoV-2 inpatients and 111 healthy individuals were included in this study. Variant Alpha White Blood Cell (WBC), Platelet, Neutrophil, Lymphocyte, Monocyte count, Neutrophil Lymphocyte Ratio(NLR), Monocyte Lymphocyte Ratio (MLR), Hemoglobin, Procalcitonin, C-reactive protein (CRP), Ferritin, Prothrombin Time (PT), activated Partial Thromboplastin Time (aPTT), International Normalized Ratio(INR), D-dimer levels and SARS-CoV-2 patients levels were compared. This comparison also includes comparison with the levels of healthy individuals. WBC, Neutrophil, MLR, NLR, PCT (p=0.037), Ferritin, CRP, aPTT, D-dimer levels of the Variant Alpha group were higher than the levels of SARS-CoV-2 group, and Lymphocyte (p=0.001), PT, INR levels of the Variant Alpha group were lower than the levels of SARS-CoV-2 group (p<0.001). There was no difference between the mortality rates observed in the Variant Alpha group and the SARS-CoV-2 group (p>0.05). In terms of laboratory findings, Variant Alpha patients experience more severe disease than SARS-CoV-2 patients. The reason that there was no difference in mortality rate between the groups may be the higher PT and INR values of the SARS-CoV-2 group.

Kaynakça

  • Public Health England. Investigation of novel SARS-CoV-2 variant: variant of concern 202012/01, technical briefing 3. London, United Kingdom: Public Health England; 2020. World Health Organization, Tracking SARS-CoV-2 variants. (Access Date: 03 October 2021). Access Address: https://www.who.int/en/activities/tracking-SARS-CoV-2-variants/
  • Frampton D, Rampling T, Cross A, Bailey H, Heaney J, Byott M, et al. Genomic characteristics and clinical effect of the emergent SARS-CoV-2 B.1.1.7 lineage in London, UK: a whole-genome sequencing and hospital-based cohort study. The Lancet Infectious Diseases 2021;21(9):1246-1256.
  • Galloway SE, Paul P, MacCannell DR, Johansson MA, Brooks JT, MacNeil A, et al. Emergence of SARS-CoV-2 B.1.1.7 Lineage —United States, December 29, 2020–January 12, 2021. MMWR Morb Mortal Wkly Rep. 2021;70(3): 95-99.
  • Vidali S, Morosetti D, Cossu E, Luisi MLE, Pancani S, Semeraro V, et al. D-dimer as an indicator of prognosis in SARS-CoV-2 infection: a systematic review. ERJ Open Research. 2020;6(2):00260-2020.
  • Singh K, Mittal S, Gollapudi S, Butzmann A, Kumar J, Ohgami RS. A meta-analysis of SARS-CoV-2 patients identifies the combinatorial significance of D-dimer, C-reactive protein, lymphocyte, and neutrophil values as a predictor of disease severity. ISLH. 2021;43(2):324-328.
  • Washington NL, Gangavarapu K, Zeller M, Bolze A, Cirulli ET, Barrett KMS, et al. Genomic epidemiology identifies emergence and rapid transmission of SARS-CoV-2 B.1.1.7 in the United States. medRxiv. 2021.02.06;21251159.
  • Skevaki C, Fragkou PC, Cheng C, Xie M, Renz H. Laboratory characteristics of patients infected with the novel SARS-CoV-2 virus. Journal of Infection. 2020;81(2):205–212.
  • Huang G, Kovalic AJ, Graber CJ. Prognostic Value of Leukocytosis and Lymphopenia for Coronaviru Liu Y, Du X, Chen J, Jin Y, Peng L, Wang HHX, et al. Neutrophil-to-lymphocyte ratio as an independent risk factor for mortality in hospitalized patients with COVID-19. Journal of Infection. 2020;81(1):e6–e12.s Disease Severity. Emerg Infect Dis. 2020;26(8):1839-1841.
  • Liu Y, Du X, Chen J, Jin Y, Peng L, Wang HHX, et al. Neutrophil-to-lymphocyte ratio as an independent risk factor for mortality in hospitalized patients with COVID-19. Journal of Infection. 2020;81(1):e6–e12.
  • Dávila-Collado R, Jarquín-Durán O, Solís-Vallejo A, Nguyen MA, Espinoza JL. Elevated Monocyte to Lymphocyte Ratio and Increased Mortality among Patients with Chronic Kidney Disease Hospitalized for COVID-19. J. Pers. Med. 2021;11(3):224.
  • Lin Z, Long F, Yang Y, Chen X, Xu L, Yang M. Serum ferritin as an independent risk factor for severity in COVID-19 patients. Journal of Infection. 2020;81(4):647-679.
  • Hu R, Han C, Pei S, Yin M, Chen X. Procalcitonin levels in COVID-19 patients. International Journal of Antimicrobial Agents. 2020;56(2):106051.
  • Tan C, Huang Y, Shi F, Tan K, Ma Q, MD, Chen Y, et al. C-reactive protein correlates with computed tomographic findings and predicts severe COVID-19 early. Journal of Medical Virology. 2020;32281668.
  • Al-Samkari H, Leaf RS, Dzik WH, Carlson J, Fogerty A, Waheed A, et al. COVID-19 and coagulation: bleeding and thrombotic manifestations of SARS-CoV-2 infection. Blood. 2020;136(4):489–500.
  • Bao C, Tao X, Cui W, Yi B, Pan T, Young KH, et al. SARS-CoV-2 induced thrombocytopenia as an important biomarker significantly correlated with abnormal coagulation function, increased intravascular blood clot risk and mortality in COVID-19 patients. Exp Hematol Oncol. 2020;9:16.

Varyant ALFA VE SARS-COV-2 Enfekte Hastaların Laboratuvar Bulgularının ve Mortalite Oranlarının Karşılaştırılması

Yıl 2021, Cilt: 7 Sayı: 3, 79 - 88, 30.12.2021

Öz

Çalışmamız, SARS-CoV-2 hasta sonuçlarını etkileyen yaygın laboratuvar bulgularının, Varyant Alfa hastalarında tespit edilen düzeyleri üzerine tasarlanmıştır. Bu çalışmaya 115 Varyant Alfa yatan hasta, 115 SARS-CoV-2 yatan hasta ve 111 sağlıklı birey dahil edildi. Varyant Alfa hastaların Beyaz Kan Hücresi (WBC), Trombosit, Nötrofil, Lenfosit, Monosit sayısı, Monosit Lenfosit Oranı (MLR), Nötrofil Lenfosit Oranı (NLR), Hemoglobin, Prokalsitonin, C-reaktif protein (CRP), Ferritin, Protrombin Zamanı (PT), Aktive Parsiyel Tromboplastin Zamanı (aPTT), D-dimer, International Normalized Ratio (INR) seviyeleri SARS-CoV-2 hasta seviyeleri karşılaştırıldı. Bu karşılaştırma aynı zamanda sağlıklı bireylerin seviyeleri ile karşılaştırmayı da içerir. Varyant Alfa grubunun WBC, Nötrofil, MLR, NLR, PCT (p=0.037), Ferritin, CRP, aPTT, D-dimer seviyeleri SARS-CoV-2 grubunun seviyelerinden önemli ölçüde yüksekti (p=0.001). Ayrıca, Varyant Alfa grubunun Lenfosit, PT, INR seviyeleri SARS-CoV-2 grubunun seviyelerinden anlamlı derecede düşüktü (p<0.001). Varyant Alfa grubunda ve SARS-CoV-2 grubunda gözlemlenen ölüm oranları arasında anlamlı bir fark yoktu. Laboratuvar bulguları açısından Varyant Alfa hastaları SARS-CoV-2 hastalarına göre daha şiddetli hastalık yaşamaktadır. Gruplar arasında ölüm oranı farkı olmamasının nedeni, SARS-CoV-2 grubunun PT ve INR değerlerinin yüksek olması olabilir.

Kaynakça

  • Public Health England. Investigation of novel SARS-CoV-2 variant: variant of concern 202012/01, technical briefing 3. London, United Kingdom: Public Health England; 2020. World Health Organization, Tracking SARS-CoV-2 variants. (Access Date: 03 October 2021). Access Address: https://www.who.int/en/activities/tracking-SARS-CoV-2-variants/
  • Frampton D, Rampling T, Cross A, Bailey H, Heaney J, Byott M, et al. Genomic characteristics and clinical effect of the emergent SARS-CoV-2 B.1.1.7 lineage in London, UK: a whole-genome sequencing and hospital-based cohort study. The Lancet Infectious Diseases 2021;21(9):1246-1256.
  • Galloway SE, Paul P, MacCannell DR, Johansson MA, Brooks JT, MacNeil A, et al. Emergence of SARS-CoV-2 B.1.1.7 Lineage —United States, December 29, 2020–January 12, 2021. MMWR Morb Mortal Wkly Rep. 2021;70(3): 95-99.
  • Vidali S, Morosetti D, Cossu E, Luisi MLE, Pancani S, Semeraro V, et al. D-dimer as an indicator of prognosis in SARS-CoV-2 infection: a systematic review. ERJ Open Research. 2020;6(2):00260-2020.
  • Singh K, Mittal S, Gollapudi S, Butzmann A, Kumar J, Ohgami RS. A meta-analysis of SARS-CoV-2 patients identifies the combinatorial significance of D-dimer, C-reactive protein, lymphocyte, and neutrophil values as a predictor of disease severity. ISLH. 2021;43(2):324-328.
  • Washington NL, Gangavarapu K, Zeller M, Bolze A, Cirulli ET, Barrett KMS, et al. Genomic epidemiology identifies emergence and rapid transmission of SARS-CoV-2 B.1.1.7 in the United States. medRxiv. 2021.02.06;21251159.
  • Skevaki C, Fragkou PC, Cheng C, Xie M, Renz H. Laboratory characteristics of patients infected with the novel SARS-CoV-2 virus. Journal of Infection. 2020;81(2):205–212.
  • Huang G, Kovalic AJ, Graber CJ. Prognostic Value of Leukocytosis and Lymphopenia for Coronaviru Liu Y, Du X, Chen J, Jin Y, Peng L, Wang HHX, et al. Neutrophil-to-lymphocyte ratio as an independent risk factor for mortality in hospitalized patients with COVID-19. Journal of Infection. 2020;81(1):e6–e12.s Disease Severity. Emerg Infect Dis. 2020;26(8):1839-1841.
  • Liu Y, Du X, Chen J, Jin Y, Peng L, Wang HHX, et al. Neutrophil-to-lymphocyte ratio as an independent risk factor for mortality in hospitalized patients with COVID-19. Journal of Infection. 2020;81(1):e6–e12.
  • Dávila-Collado R, Jarquín-Durán O, Solís-Vallejo A, Nguyen MA, Espinoza JL. Elevated Monocyte to Lymphocyte Ratio and Increased Mortality among Patients with Chronic Kidney Disease Hospitalized for COVID-19. J. Pers. Med. 2021;11(3):224.
  • Lin Z, Long F, Yang Y, Chen X, Xu L, Yang M. Serum ferritin as an independent risk factor for severity in COVID-19 patients. Journal of Infection. 2020;81(4):647-679.
  • Hu R, Han C, Pei S, Yin M, Chen X. Procalcitonin levels in COVID-19 patients. International Journal of Antimicrobial Agents. 2020;56(2):106051.
  • Tan C, Huang Y, Shi F, Tan K, Ma Q, MD, Chen Y, et al. C-reactive protein correlates with computed tomographic findings and predicts severe COVID-19 early. Journal of Medical Virology. 2020;32281668.
  • Al-Samkari H, Leaf RS, Dzik WH, Carlson J, Fogerty A, Waheed A, et al. COVID-19 and coagulation: bleeding and thrombotic manifestations of SARS-CoV-2 infection. Blood. 2020;136(4):489–500.
  • Bao C, Tao X, Cui W, Yi B, Pan T, Young KH, et al. SARS-CoV-2 induced thrombocytopenia as an important biomarker significantly correlated with abnormal coagulation function, increased intravascular blood clot risk and mortality in COVID-19 patients. Exp Hematol Oncol. 2020;9:16.
Toplam 15 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Araştırma Makalesi
Yazarlar

Adem Keskin 0000-0003-1921-2583

Recai Aci 0000-0002-3332-6619

Mehmet Hakan Taşkın 0000-0002-1374-7766

Mukadder Erdem 0000-0001-7796-3671

Melek Bilgin 0000-0003-0025-8717

Murat Arı 0000-0002-1504-7050

Yayımlanma Tarihi 30 Aralık 2021
Yayımlandığı Sayı Yıl 2021 Cilt: 7 Sayı: 3

Kaynak Göster

APA Keskin, A., Aci, R., Taşkın, M. H., Erdem, M., vd. (2021). Comparison of Laboratory Findings And Mortalıty Rates of Varıant ALPHA and SARS-COV-2 Infected Patients. International Anatolia Academic Online Journal Health Sciences, 7(3), 79-88.

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