Prognostic value of lymphocytes counts, serum CRP levels, and lung CT scan findings and the final disease outcome in COVID-19

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Azarkar Zohreh; Mohammad Zadeh Ali; Farzaneh Roohie; Foroughian Mahdi; Rezvani Kakhki Behrang; Sobhani Maryam; Fogerdi Molood; Ziyaei Maryam; Maleki Fatemeh

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Journal Paper

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Journal: Journal of Medicinal and Pharmaceutical Chemistry Research Year:2024 | Volume:6 | Issue:3 Page(s): 334-343

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Title

Prognostic value of lymphocytes counts, serum CRP levels, and lung CT scan findings and the final disease outcome in COVID-19

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Keywords

LymphocyteQ4

CRPQ4

CT scanQ4

COVID-19Q4

Abstract

Introduction: Understanding the interplay of paraclinical factors in individuals with COVID-19 is crucial for predicting disease prognosis. This study aims to explore the correlation between Lymphocyte count, C-reactive protein (CRP) serum levels, CT scan findings, and the ultimate outcome in patients with COVID-19 pneumonia at Valiasr Hospital in Birjand.Methods: Conducting a retrospective analysis, this study investigated 258 COVID-19 patients aged 14 and above, who sought medical attention at Valiasr Hospital in Birjand city in 2020. The research meticulously documented patients' demographic details encompassing gender, age, education level, underlying health conditions, Lymphocyte count, and other pertinent information. CT scan findings, the ultimate patient outcomes, and serum levels of CRP were systematically recorded and comprehensively analyzed using a study checklist. This comprehensive examination aims to provide a detailed retrospective understanding of the multifaceted factors influencing COVID-19 outcomes among patients in Birjand.Findings: The average age was 61.06±20.06 years. 50.8% of patients were male. 10.9% of patients died. The average number of Lymphocytes did not differ significantly according to the severity of lung involvement (P=0.291), but the average number of WBC (P=0.031), the percentage of Lymphocytes (P=0.047) and CRP (P<0.001) was significantly different from each other according to the severity of the conflict. CRP levels in discharged group were significantly lower than dead, ward and ICU admitted ones (P<0.05). CRP levels were significantly lower in without lung involvement patients than all other groups except the mild involvement group (P<0.05).Conclusion: Elevated serum levels of CRP and white blood cell count, coupled with a decrease in Lymphocyte percentage, were linked to more lung involvement. Furthermore, a reduction in both the number and percentage of Lymphocytes correlated with a more severe condition as well as the high CRP levels’ effect.

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