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Evaluation of clinical laboratory parameters in COVID-19 positive cases admitted in Islamabad from May to July 2021.


Article Information

Title: Evaluation of clinical laboratory parameters in COVID-19 positive cases admitted in Islamabad from May to July 2021.

Authors: Murtaza Hasnain, Muhammad Usman, Sheikh Ishaque Aamir, Hamza Irshad, Muhammad Akram

Journal: The Professional Medical Journal (TPMJ)

HEC Recognition History
Category From To
Y 2024-10-01 2025-12-31
Y 2023-07-01 2024-09-30
Y 2022-07-01 2023-06-30
Y 2021-07-01 2022-06-30

Publisher: Independent Medical College, Faisalabad- Pakistan

Country: Pakistan

Year: 2022

Volume: 29

Issue: 12

Language: English

DOI: 10.29309/TPMJ/2022.29.12.7146

Keywords: COVID-19Disease severityBiochemical and Hematological ParametersLaboratory Tests

Categories

Abstract

Objective: To assess the variation of laboratory parameters in COVID-19 positive patients with different genders and age groups and clarify the consequences of COVID-19 infection on different patients. Study Design: Prospective study. Setting: IHITC (Isolation Hospital & Infectious Treatment Center), Islamabad. Period: 20th May, 2021 to 25th July, 2021. Material & Methods: With 222 participants was conducted in 119 were COVID positive serve as Case and 103 were COVID negative considered as control. Blood samples were drawn from all participants of study to measure biochemical and hematological laboratory parameters with demographic characteristics. Mean ± standard deviation (SD) of different lab parameters analyzed by using IBM SPSS Statistics 20. Results: Total 222 participants were analyzed having 115 (50.7%) male and 107 (49.3%) female having mean age 60±13.8. No significant variation has been seen in ALP, total bilirubin, creatinine and uric acid having mean values with in normal range. In 119 positive patients, ALT (p=0.001) (t=2.031), urea (p=0.001) (t=7.590), Ferritin (p=0.001) (t=7.13), CRP (p=0.001) (t=9.90) and D-dimer (p=0.001) (t=5.962) were elevated and good predictor of poor prognosis of disease. Pathological impacts of COVID-19 were also represented by hematological parameters including WBC count (p=0.001) (t=7.126), Neutrophil to Lymphocyte Ratio (p=0.001) (t=9.042) and Lymphocyte count (p=0.001) (t=-12.707). Conclusion: According to this research, males and old age population is more susceptible to SARS-2. Our study suggests that laboratory biomarkers including ALT, Urea, Ferritin, CRP, D-dimer and WBC count are significantly associated with poor prognosis in Covid-19 patients.


Research Objective

To assess the variation of laboratory parameters in COVID-19 positive patients with different genders and age groups and to clarify the consequences of COVID-19 infection on different patients.


Methodology

Prospective study conducted at IHITC, Islamabad from May 20, 2021, to July 25, 2021. 222 participants (119 COVID positive cases and 103 COVID negative controls) had blood samples drawn for biochemical and hematological parameter analysis. Data was analyzed using IBM SPSS Statistics 20 with t-test for comparisons.

Methodology Flowchart
                        graph TD
    A["Participant Recruitment"] --> B["Blood Sample Collection"];
    B --> C["Biochemical & Hematological Analysis"];
    C --> D["Data Analysis SPSS, t-test"];
    D --> E["Interpretation of Results"];
    E --> F["Conclusion & Recommendations"];                    

Discussion

The study suggests that males and older individuals are more susceptible to COVID-19. Elevated levels of ALT, Urea, Ferritin, CRP, D-dimer, and altered WBC counts are associated with poor prognosis and disease severity. These parameters can serve as biomarkers for disease management and monitoring. The findings are supported by international studies highlighting the role of these biomarkers in inflammation, organ damage, and coagulopathy associated with COVID-19.


Key Findings

- ALT, Urea, Ferritin, CRP, and D-dimer were significantly elevated in COVID-19 positive patients compared to controls (p<0.001).
- Hematological parameters including WBC count and Neutrophil to Lymphocyte Ratio were elevated, while Lymphocyte count was decreased in COVID-19 positive patients (p<0.001).
- Males and the elderly population were found to be more susceptible to SARS-CoV-2.
- Ferritin, D-dimer, and neutrophil mean values showed significant differences between males and females.


Conclusion

Males and the elderly population are more susceptible to COVID-19. Abnormal levels of laboratory parameters such as ALT, Urea, Ferritin, CRP, D-dimer, and differential leukocyte count are significantly associated with poor prognosis, disease staging, and therapeutic monitoring in COVID-19 patients.


Fact Check

- The study period was from May 20, 2021, to July 25, 2021. (Confirmed in text)
- A total of 222 participants were analyzed, with 119 COVID positive and 103 COVID negative. (Confirmed in text)
- ALT, Urea, Ferritin, CRP, and D-dimer were found to be elevated in COVID-19 positive patients with p<0.001. (Confirmed in text)


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