A systematic review of clinical and laboratory parameters associated with increased severity among COVID-19 patients

Asmita A Mehta1, Nithya Haridas1, Preeti Belgundi2

  • 1Department of Respiratory Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeethem, Ponekara, Kochi-682041, Kerala, India.

Insights

This systematic review identifies clinical and laboratory indicators of severe COVID-19. Key findings include older age, male sex, and dyspnea as risk factors, alongside specific lab abnormalities like lymphopenia and elevated D-dimer.

Area of Science:

  • Infectious Diseases
  • Epidemiology
  • Clinical Medicine

Background:

  • The COVID-19 pandemic has presented significant global health challenges.
  • Understanding factors associated with disease severity is crucial for patient management.

Purpose of the Study:

  • To systematically review and summarize clinical and laboratory parameters indicative of increased severity in COVID-19 patients.

Main Methods:

  • A comprehensive literature search was conducted to identify high-quality research articles.
  • Data on epidemiology, demographics, clinical presentation, and outcomes were evaluated.

Main Results:

  • Severe COVID-19 was associated with a higher mean age (59.3 years) and male sex.
  • Clinical indicators of severity included dyspnea. Laboratory markers included lymphopenia, thrombocytopenia, leucocytosis, elevated procalcitonin, D-dimer, AST, and LDH.

Conclusions:

  • COVID-19 exhibits varied clinical and laboratory presentations.
  • Lymphopenia, elevated LDH, D-dimer, and procalcitonin are key laboratory indicators of severe disease.
Abstract

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