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Published on: February 14, 2017
Hemostatic laboratory derangements in COVID-19 with a focus on platelet count
Ariunzaya Amgalan1, Maha Othman2,3
1School of Medicine, Georgetown University , Washington, DC, USA.
Insights
Investigating coronavirus disease 2019 (COVID-19) coagulopathies, this report focuses on platelet count alterations. Thrombocytopenia may serve as a potential biomarker for COVID-19 severity and mortality.
Area of Science:
- Hematology
- Virology
- Immunology
Background:
- COVID-19, caused by SARS-CoV-2, has led to a global pandemic with significant mortality.
- Coagulopathies, including DIC, VTE, and thrombo-inflammation, are frequently observed in COVID-19 patients.
- Existing research presents conflicting data on hematological derangements and their correlation with COVID-19 progression and outcomes.
Purpose of the Study:
- To examine published evidence on hematological and hemostatic derangements in COVID-19.
- To discuss the relationship between SARS-CoV-2 infection, inflammation, and platelet count alterations.
- To evaluate thrombocytopenia as a potential predictive biomarker for COVID-19 severity and mortality.
Main Methods:
- Review of existing literature on COVID-19 associated coagulopathies and hematological changes.
- Focused analysis of studies investigating platelet count alterations in COVID-19.
- Exploration of the link between thrombocytopenia, inflammation, and disease outcomes.
Main Results:
- COVID-19 is associated with a range of coagulopathies and hematological abnormalities.
- Evidence suggests a correlation between thrombocytopenia and increased COVID-19 severity or mortality.
- SARS-CoV-2 infection triggers inflammatory responses that impact hemostasis and platelet counts.
Conclusions:
- Thrombocytopenia is a notable hematological finding in COVID-19.
- Further research is warranted to validate thrombocytopenia as a reliable biomarker for predicting COVID-19 progression and outcomes.
- Understanding these hematological derangements is crucial for managing COVID-19 patients.
Abstract:
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is responsible for the coronavirus disease in 2019 (COVID-19) which rapidly evolved from an outbreak in Wuhan, China into a pandemic that has resulted in over millions of infections and over hundreds of thousands of mortalities worldwide. Various coagulopathies have been reported in association with COVID-19, including disseminated intravascular coagulation (DIC), sepsis-induced coagulopathy (SIC), local microthrombi, venous thromboembolism (VTE), arterial thrombotic complications, and thrombo-inflammation. There is a plethora of publications and conflicting data on hematological and hemostatic derangements in COVID-19 with some data suggesting the link to disease progress, severity and/or mortality. There is also growing evidence of potentially useful clinical biomarkers to predict COVID-19 progression and disease outcomes. Of those, a link between thrombocytopenia and COVID-19 severity or mortality was suggested. In this opinion report, we examine the published evidence of hematological and hemostatic laboratory derangements in COVID-19 and the interrelated SARS-CoV-2 induced inflammation, with a focussed discussion on platelet count alterations. We explore whether thrombocytopenia could be a potential disease biomarker and we provide recommendations for future studies in this regard.
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