The effect of thrombosis-related laboratory values on mortality in COVID-19 infection.

医学 血栓形成 内科学 降钙素原 D-二聚体 胃肠病学 静脉血栓形成 平均血小板体积 肌酐 铁蛋白 血小板 败血症
作者
Zeynep Ergenc,H Ergenc,Ahmet Öztürk,Tezcan Kaya,Ahmet Nalbant,C Karacaer,Serkan Günay,M Usanmaz,I Hakkı Tör,E Alkılınç,S Araç,G Kaya,S Yaylacı,Y Kalpakçı,D Çekiç,A Toçoğlu,Ayfer Altaş,A B Genç
出处
期刊:PubMed [National Institutes of Health]
卷期号:27 (6): 2699-2705 被引量:1
标识
DOI:10.26355/eurrev_202303_31808
摘要

COVID-19 may cause thrombosis in both venous and arterial systems. Familiarity with the signs and symptoms of thrombosis and its treatment is essential in treating COVID-19 infection and its complications. D-Dimer and mean platelet volume (MPV) are measurements related to the development of thrombosis. This study investigates whether MPV and D-Dimer values could be used to determine the risk of thrombosis and mortality in the COVID-19 early stages.424 patients who were COVID-19 positive, according to the World Health Organization (WHO) guidelines, were randomly and retrospectively included in the study. Demographic and clinical characteristics such as age, gender, and length of hospitalization were obtained from the digital records of participants. Participants were divided into living and deceased groups. The patients' biochemical, hormonal, and hematological parameters were analyzed retrospectively.White blood cells (WBC), neutrophils, and monocytes were significantly different in the two groups (p-value <0.001), and their values were lower in the living group than in the deceased group. MPV median values did not differ according to prognosis (p-value = 0.994). While the median value was 9.9 in the survivors, it was 10 in the deceased. Creatinine, procalcitonin, ferritin, and the number of hospitalization days in living patients were significantly lower than in patients who died (p-value <0.001). Median values of D-dimer (mg/L) differ according to prognosis (p-value <0.001). While the median value was 0.63 in the survivors, it was found as 438 in the deceased.Our results did not show any significant relationship between the mortality of COVID-19 patients and their MPV levels. However, a significant association between D-Dimer and mortality in COVID-19 patients was observed.
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