Association between Clinical Characteristics and Laboratory Findings with Outcome of Hospitalized COVID-19 Patients:

Sahar Sobhani1, Reihaneh Aryan2, Elham Kalantari3

  • 1Department of Nursing and Midwifery, Faculty of Nursing, Gonabad University of Medical Sciences, Gonabad, Iran.

Insights

Clinical and laboratory findings in COVID-19 patients predict outcomes. Factors like male sex, age, and elevated inflammatory markers (WBC, CRP) are linked to mortality and ICU admission, aiding in risk stratification.

Area of Science:

  • Infectious Diseases
  • Clinical Medicine
  • Epidemiology

Background:

  • Coronavirus disease 2019 (COVID-19) emerged in late 2019 and rapidly became a global pandemic.
  • Understanding clinical and laboratory predictors of COVID-19 outcomes is crucial for patient management and early diagnosis.
  • Retrospective analysis of hospitalized patients can provide valuable insights into disease progression and mortality factors.

Purpose of the Study:

  • To evaluate clinical characteristics and laboratory findings in hospitalized COVID-19 patients.
  • To identify factors associated with mortality, hospitalization duration, and intensive care unit (ICU) admission.
  • To explore the potential of these features in risk stratification and developing predictive tools for severe COVID-19 prognosis.

Main Methods:

  • Retrospective analysis of medical records from 397 hospitalized COVID-19 patients.
  • Data collected between February and May 2020 at Imam Reza Hospital, northeast Iran.
  • Comparison of clinical and laboratory features between survivors and non-survivors, and correlation analysis with hospitalization and ICU admission.

Main Results:

  • Male sex, older age, longer hospitalization, and ICU admission were significantly associated with higher mortality.
  • Headache correlated with survival and shorter hospital stays, while chest pain was linked to longer stays.
  • Decreased consciousness and dyspnea were more frequent in non-survivors. Elevated white blood cell (WBC), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) levels were significantly higher in non-survivors and predicted ICU admission.

Conclusions:

  • Clinical features like chest pain, decreased consciousness, and dyspnea, along with laboratory markers (WBC, CRP), are potent predictors of severe COVID-19 prognosis.
  • These findings can assist clinicians in risk stratifying patients and developing predictive models for better management.
  • Early identification of high-risk patients through clinical and laboratory assessment is vital for improving COVID-19 outcomes.

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