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Pneumonia III: Complications and Assessment01:30

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Related Experiment Video

Updated: Oct 21, 2025

Evaluation of a Point-of-Care Testing Analyzer for Measuring Peripheral Blood Leukocytes
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Haematological Parameters And Outcome In Hospitalized Patients With Covid-19: A Developing Country Experience.

Raheel Iftikhar1, Sultan Mehmood Kamran2, Zill-E-Humayun Mirza2

  • 1Armed Forces Bone Marrow Transplant Centre, National Institute of Blood and Marrow Transplant, Rawalpindi, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|September 6, 2021
PubMed
Summary

Hematological abnormalities like low lymphocyte and platelet counts, and high white blood cell counts, predict COVID-19 severity and mortality. Monitoring these parameters aids in predicting patient outcomes.

Keywords:
Coronavirus; HaematologyCytokine Release Syndrome; Death

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Area of Science:

  • Hematology
  • Infectious Diseases
  • Critical Care Medicine

Background:

  • Coronavirus disease 2019 (COVID-19) is a multisystem disorder.
  • Hematological abnormalities are frequently observed in COVID-19 patients, impacting disease course and outcomes.

Purpose of the Study:

  • To investigate the association between hematological parameters and COVID-19 severity.
  • To identify hematological markers that predict mortality in hospitalized COVID-19 patients.

Main Methods:

  • Retrospective study of 549 hospitalized COVID-19 patients.
  • Analysis of hematological, coagulation, and inflammatory markers.
  • Multivariate logistic regression to identify predictors of mortality.

Main Results:

  • Severe and critical COVID-19 cases showed lower absolute lymphocyte count (ALC) and platelets, and higher white blood cell (WBC) count, neutrophil lymphocyte ratio (NLR), C-reactive protein (CRP), interleukin-6 (IL-6), and lactate dehydrogenase (LDH).
  • Predictors of mortality included elevated WBC count, NLR, and ferritin, along with decreased platelet count and elevated CRP.
  • Overall survival was 83.2%.

Conclusions:

  • Monitoring hematological, coagulation, and inflammatory markers offers a reliable, convenient, and cost-effective method for predicting COVID-19 disease severity, complications, and prognosis.
  • These parameters are crucial for risk stratification and guiding clinical management of COVID-19 patients.