The role of сomplete blood count for predicting the course of coronavirus infection in patients with COVID-19: a systematic review
DOI:
https://doi.org/10.29038/NCBio.23.2-10Keywords:
Keywords: COVID-19, laboratory diagnostics, сomplete blood count, indices of inflammatory processes (NLR, dNLR, PLR, MLR, NLPR, AISI, SIRI, SII), prognosis.Abstract
Abstract. The course of coronavirus infection in patients with COVID-19 can cause systemic inflammation of the organism, and dysregulation of the immune system and the hemostasis system. Given the possibility of severe and recurrent cases of SARS-CoV-2 infection, it is imperative for clinicians to find reliable, cost-effective, and at the same time accessible blood-specific parameters that can serve as stratification markers for patients with confirmed COVID-19. The purpose of our review article is to highlight the modern research results on the characteristics of general clinical hematological parameters (complete blood count) in patients with COVID-19 and their use for predicting the course of the coronavirus infection. We used bibliosemantic, analytical, and logical methods when writing a systematic review, as well as a generalization method. We searched and selected scientific publications by keywords in bibliographic databases, analyzed and summarized the results. The indicators of the general blood analysis (an absolute count of neutrophils, lymphocytes, platelets, and monocytes) allow calculating several newly introduced indices of inflammation, such as NLR, dNLR, PLR, MLR, NLPR, AISI, SIRI, SII. The use of such indices at the stage of hospitalization in patients with confirmed COVID-19 can be used to predict the course of the disease and the probability of a critical condition or lethal outcome.
References
Peng, J., Qi, D., Yuan, G., Deng, X., Mei, Y., Feng, L., Wang, D. Diagnostic value of peripheral hematologic markers for coronavirus disease 2019 (COVID-19): a multicenter, cross-sectional study. J Clin Lab Anal. 2020, 34, pp e23475
Fois, A.G., Paliogiannis, P., Scano, V., Cau, S., Babudieri, S., Perra, R., Ruzzittu, G., Zinellu, E., Pirina, P., Carru, C., Arru, L.B., Fancellu, A., Mondoni, M., Mangoni, A.A., Zinellu, A. The systemic inflammation index on admission predicts in-hospital mortality in COVID-19 patients. Molecules. 2020, 25, pp 5725.7.
Guan, W., Ni, Z., Hu, Y., Liang, W., Ou, C., He, J., Liu, L., Shan, H., Lei, C., Hui, DSC., Du, B., Li, L., Zeng, G., Yuen, K-Y., Chen, R., Tang, C., Wang, T., Chen, P., Xiang, J., Li, S-y., Wang, J-l., Liang, Z-j., Peng, Y-x., Wei, L., Liu, Y., Hu, Y-h., Peng, P., Wang, J-m., Chen, Z., Li, G., Zheng, Z-j., Qiu, S-q., Luo, J., Ye, C-j., Zhu, S-y., Zhong, N-s. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020, 382, pp 1708–1720
Yushchuk, A., Pykaliuk, V., Korzhyk, O. Hematocytological, biochemical, and hemostasis parameters' role in predicting the possibility of the various forms of the COVID-19 course in hospitalized Ukrainian patients: A cross-sectional study. Health Sci Rep. 2023, 6 (7), pp e1403.
Az, A., Sogut, O., Akdemir, T., Ergenc, H., Dogan, Y., Cakirca, M. Impacts of demographic and clinical characteristics on disease severity and mortality in patients with confirmed COVID-19. Int J Gen Med Volume. 2021, 14, pp 2989–3000
Ortiz-Prado, E., Simbaña-Rivera, K., Barreno, LG., Diaz, AM., Barreto, A., Moyano, C., Arcos, V., Vásconez-González, E., Paz, C., Simbaña-Guaycha, F., Molestina-Luzuriaga, M., Fernández-Naranjo, R., Feijoo, J., Henriquez-Trujillo, AR., Adana, L., López-Cortés, A., Fletcher, I., Lowe, R. Epidemiological, socio-demographic and clinical features of the early phase of the COVID-19 epidemic in Ecuador. PLoS Negl Trop Dis. 2021, 15, pp e0008958
Liu, H., Chen, S., Liu, M., Nie, H., Lu, H. Comorbid chronic diseases are strongly correlated with disease severity among COVID-19 patients: a systematic review and meta-analysis. Aging Dis. 2020, 11, pp 668–678
Haryati, H., Wicaksono, B., Syahadatina, M. Complete blood count derived inflammation indexes predict outcome in COVID-19 patients: a study in Indonesia. J Infect Dev Ctries. 2023, 17, pp 319–326
Borges, L., Pithon-Curi, TC., Curi, R., Hatanaka, E. COVID-19 and neutrophils: the relationship between hyperinflammation and neutrophil extracellular traps. Mediators Inflamm. 2020, pp 1–7.13
Cavalcante-Silva, LHA., Carvalho, DCM., Lima, É de A., Galvão, JGFM. et al. Neutrophils and COVID-19: the road so far. Int Immunopharmacol. 2021, 90, pp 107233
Zhao, Y., Nie, H-X., Hu, K., Wu, X-J., Zhang, Y-T., Wang, M-M., Wang, T., Zheng, Z-S., Li, X-C., Zeng, S-L. Abnormal immunity of non-survivors with COVID-19: predictors for mortality. Infect Dis Poverty. 2020, 9, pp 108
Yang, X., Yang, Q., Wang, Y., Wu, Y., Xu, J., Yu, Y., Shang, Y. Thrombocytopenia and its association with mortality in patients with COVID‐19. J Thromb Haemost. 2020, 18, pp 1469–1472
Lippi, G., Plebani, M., Henry, BM. Thrombocytopenia is associated with severe coronavirus disease 2019 (COVID-19) infections: a meta-analysis. Clin Chim Acta. 2020, 506, pp 145–148
Yang, L., Liu, S., Liu, J., Zhang, Z., Wan, X., Huang, B., Chen, Y., Zhang, Y. COVID-19: immunopathogenesis and immunotherapeutics. Signal Transduct Target Ther. 2020, 5, 1–8
Li, X., Liu, C., Mao, Z., Xiao, M., Wang, L., Qi, S., Zhou, F. Predictive values of neutrophil-to-lymphocyte ratio on disease severity and mortality in COVID-19 patients: a systematic review and meta-analysis. Crit Care. 2020, 24, pp 647
Aly, MM., Meshref, TS., Abdelhameid, MA., Ahmed, SA., Shaltout, AS., Abdel-Moniem, AE., Hamad, DA. Can hematological ratios predict outcome of covid-19 patients? A multicentric study. J Blood Med. 2021, 12, pp 505–515
Gameiro, J., Fonseca, JA., Jorge, S., Gouveia, J., Lopes, JA. Neutrophil, lymphocyte and platelet ratio as a predictor of mortality in septic-acute kidney injury patients. Nefrología. 2020, 40, pp 461–468
Yang, L., Gao, C., Li, F., Yang, L., Chen, J., Guo, S., He, Y., Guo, Q. Monocyte-to-lymphocyte ratio is associated with 28-day mortality in patients with acute respiratory distress syndrome: a retrospective study. J Intensive Care. 2021, 9, pp 49
Koo, C-H., Eun Jung, D., Park, YS., Bae, J., Cho, YJ., Kim, WH., Bahk, J-H. Neutrophil, lymphocyte, and platelet counts and acute kidney injury after cardiovascular surgery. J Cardiothorac Vasc Anesth. 2018, 32, pp 212–222.23
Agapito Fonseca, J., Gameiro, J., Monteiro Dias, J., Milho, J., Rosa, R., Jorge, S., Lopes, JA. Sp204 neutrophil, lymphocyte and platelet ratio as a predictor of postoperative acute kidney injury in major abdominal surgery. Nephrol Dial Transplant. 2018, 33, pp i412–i413
Ghobadi, H., Mohammadshahi, J., Javaheri, N., Fouladi, N., Mirzazadeh, Y., Aslani, MR. Role of leukocytes and systemic inflammation indexes (NLR, PLR, MLP, dNLR, NLPR, AISI, SIR-I, and SII) on admission predicts in-hospital mortality in non-elderly and elderly COVID patients. Front Med. 2022, 9, pp 916453
Bajaj, V., Gadi, N., Spihlman, AP., Wu, SC. Aging, immunity, and COVID-19: how age influences the host immune response to coronavirus infections? Front Physiol. 2021, 11, pp 1–23
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Yushchuk Anna, Korzhyk Olha, Pykaliuk Vasyl
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.