Title
Early laboratory hematological parameters associated with COVID-19 mortality in an Amazonian population of Peru
Date Issued
01 October 2022
Access level
open access
Resource Type
research article
Author(s)
Iglesias-Osores S.
Rafael-Heredia A.
Rojas-Tello E.R.
Ortiz-Uribe W.A.
Leveau-Bartra W.R.
Leveau-Bartra O.A.
Córdova-Rojas L.M.
Colmenares-Mayanga W.
Failoc-Rojas V.E.
Universidad Nacional Pedro Ruiz Gallo
Universidad Nacional de Ucayali
Hospital II ESSALUD Pucallpa
Universidad Nacional de Ucayali
Universidad Nacional de Ucayali
Universidad Nacional de Ucayali
Universidad Nacional de Jaén
Universidad Nacional de Jaén
Universidad San Ignacio de Loyola
Abstract
Background: COVID-19 has a significant impact on the hematopoietic system and hemostasis. Leukocytosis, lymphopenia, and thrombocytopenia are associated with increased severity and even death in COVID-19 cases. Objective: The aim is to examine the laboratory results of COVID-19 patients from a hospital in the Peruvian Amazon and their clinical prognosis. Material and Methods: An analytical cross-sectional study was carried out whose purpose was to identify the laboratory tests of patients with COVID-19 and mortality in a hospital in Ucayali, Peru during the period from March 13 to May 9, 2020, selecting a total of 127 with Covid-19. Mean and the standard deviation was described for age, leukocytes, neutrophils, platelets, RDW-SD; median and interquartile range for the variables lymphocyte, RN / L, fibrinogen, CRP, D-dimer, DHL, hematocrit, monocytes, eosinophils. Results: No differences were observed in this population regarding death and sex (OR: 1.31; 95% CI 0.92 to 1.87), however, it was observed that, for each one-year increase, the probability of death increased by 4% (PR: 1.04, 95% CI 1.03 to 1.05). The IRR (Incidence Risk Ratio) analysis for the numerical variables showed results strongly associated with hematological values such as Leukocytes (scaled by 2500 units) (IRR: 1.08, 95% CI 1.03 to 1.13), neutrophils (scaled by 2500 units) (IRR: 1.08; 95% CI 1.03 to 1.13), on the contrary, it is observed that the increase of 1000 units in lymphocytes, the probability of dying decreased by 48% (IRR: 0.52; 95% CI 0.38 to 071). Conclusions: Parameters such as leukocytes,neutrophils and D-dimer were statistically much higher in patients who died.
Start page
530
End page
534
Volume
15
Issue
4
Subjects
Scopus EID
2-s2.0-85165300711
Source
Revista del Cuerpo Medico Hospital Nacional Almanzor Aguinaga Asenjo
ISSN of the container
22274731
Sources of information:
Scopus
Directorio de Producción Científica