High neutrophil to lymphocyte ratio as a prognostic marker in COVID-19 patients

Gustavo D Pimentel1, Maria C M Dela Vega2, Alessandro Laviano3

  • 1Laboratory of Research in Clinical Nutrition and Sports (Labince), Faculty of Nutrition, Federal University of Goiás, Goiânia, Brazil.

Clinical Nutrition ESPEN
|November 13, 2020
PubMed

Insights

Systemic inflammation predicts COVID-19 outcomes. The neutrophil to lymphocyte ratio is an important marker for patients infected during the COVID-19 pandemic.

Area of Science:

  • Immunology
  • Infectious Diseases
  • Clinical Medicine

Background:

  • Systemic inflammation is increasingly recognized as a significant factor influencing disease severity and prognosis.
  • The COVID-19 pandemic has underscored the need for reliable biomarkers to predict patient outcomes.
  • Inflammatory markers play a crucial role in understanding the host's response to viral infections.

Purpose of the Study:

  • To emphasize the clinical significance of the neutrophil to lymphocyte ratio (NLR) as a predictor of outcomes in COVID-19.
  • To highlight the utility of NLR in managing patients during the COVID-19 pandemic.
  • To discuss the role of NLR in assessing systemic inflammation in COVID-19.

Main Methods:

  • This viewpoint synthesizes existing research and clinical observations.
  • It focuses on the interpretation of laboratory parameters, specifically the NLR.
  • The analysis is based on data from patients infected with SARS-CoV-2.

Main Results:

  • Elevated NLR is associated with more severe COVID-19 disease.
  • The NLR serves as a readily available and cost-effective indicator of systemic inflammation.
  • Changes in NLR can reflect disease progression and patient response to treatment.

Conclusions:

  • The neutrophil to lymphocyte ratio is a valuable prognostic biomarker for COVID-19.
  • Monitoring NLR can aid clinicians in risk stratification and treatment decisions for COVID-19 patients.
  • Further research into inflammatory markers like NLR is essential for improving COVID-19 management.

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