Hematological Characteristics of COVID-19 Patients Admitted to Fayoum University Hospital

A. Gomaa, Essam A. Hassan, Fatma Mohammed, E. Eman, Mahmoud, Sara M. Abd Elsatar
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Abstract

On March 11, 2020, the WHO declared the outbreak of SARS-CoV-2 a global pandemic, reporting community-scale transmissions occurring in every continent outside Antarctica. Infected patients with COVID-19 exhibit a wide spectrum of symptoms and severity; ranging from totally asymptomatic carriers to severe symptoms such as ARDS, septic shock with MOF. ARDS is the most critical clinical manifestation of COVID-19, induced mainly through immune response (i.e., cytokine storm). ACE2 is the main receptor for SARS-COV2, definitively play an important role in the pathogenesis and severity of covid-19 by its wide distribution throughout the body organs and its role in modulating the immune system. Aim of the work was to collect and analyze the hematological characteristics of patients with COVID-19 admitted at FUH. Type of the study: Retrospective cohort study. We performed a retrospective study of the hematological characteristics in confirmed cases with COVID-19 by RT-PCR hospitalized at FUH between April and July 2020. Baseline demographic data of the studied patients. The main gender was male with 69.3% percentage with mean age 37.4 ±15.6 (between 4 and 6 decade), about 61.4% of them came from rural areas. Our results revealed that, the predictor importance of CRP; it is directly related to the patient's age, positively affects the duration of hospital stay, fever and to some extent on the O2 saturation /hypoxia. Based on the current study results, we can conclude that: CRP, has perfect accuracy in predicting cases with positive RTPCR for COVID-19 and their severity. ISSN: 2536-9474 (Print) Original article / FYMJ ISSN: 2536-9482 (Online) Fayoum University Medical Journal Gomaa et al., 2022,10(1), 18-26 Page 2
法尤姆大学医院新冠肺炎患者血液学特征分析
2020年3月11日,世界卫生组织宣布SARS-CoV-2爆发为全球大流行,报告称在南极洲以外的每个大陆都发生了社区规模的传播。感染COVID-19的患者表现出广泛的症状和严重程度;从完全无症状携带者到严重症状,如急性呼吸窘迫综合征,感染性休克伴MOF。ARDS是COVID-19最关键的临床表现,主要通过免疫反应(即细胞因子风暴)引起。ACE2是SARS-COV2的主要受体,由于其广泛分布于全身器官并调节免疫系统,因此在covid-19的发病和严重程度中发挥重要作用。本研究的目的是收集和分析在FUH住院的COVID-19患者的血液学特征。研究类型:回顾性队列研究。我们对2020年4月至7月在FUH住院的COVID-19确诊病例的血液学特征进行了回顾性研究。研究患者的基线人口统计数据。主要性别为男性,占69.3%,平均年龄37.4±15.6岁(4 ~ 60岁),约61.4%来自农村。我们的研究结果显示,CRP的预测重要性;与患者年龄直接相关,与住院时间、发热程度呈正相关,并在一定程度上影响氧饱和度/缺氧。根据目前的研究结果,我们可以得出结论:CRP在预测RTPCR阳性的COVID-19病例及其严重程度方面具有很好的准确性。ISSN: 2536-9474 (Print)原文/ FYMJ ISSN: 2536-9482 (Online)法尤姆大学医学杂志Gomaa等,2022,10(1),18-26 Page 2
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