IP Archives of Cytology and Histopathology Research 2022;7(2):94–99
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IP Archives of Cytology and Histopathology Research
Journal homepage: https://www.achr.co.in/
Original Research Article
Study of various laboratory parameters in COVID-19 patients at a tertiary care
center
Lalit Kumar
1
, Nupur Kaushik
1
, Rajdeep Singh
1
, Harendra Kumar
1,
*, Ashish Gautum
2
1
Dept. of Pathology, S.N. Medical College, Agra, Uttar Pradesh, India
2
Dept. of Medicine, S.N. Medical College, Agra, Uttar Pradesh, India
ARTICLE INFO
Article history:
Received 01-02-2022
Accepted 07-04-2022
Available online 29-06-2022
Keywords:
SARSCoV2 infection
Procalcitonin
Ferritin
Ddimer
Lactate dehydrogenase
ABSTRACT
Introduction: In China, Wuhan City became the epicentre of unexplained cases of pneumonia in December
2019 and was temporarily labelled as, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).
World Health Organization renamed it to coronavirus disease 2019 (COVID-19) in February 2020. In
COVID-19 patients hematological profile showed increased total leukocyte count (TLC) and neutrophilic
count, while decrease in other hematological parameters. The mild increase in TLC was found in severe
disease patients; however significant increase was associated with clinical worsening and poor outcome.
Significant elevation of various biochemical and inflammatory markers was noticed among COVID-19
patients
Materials and Methods: We conducted a retrospective study on RT-PCR confirmed 239 COVID-19
patients who were hospitalized in various COVID-19 facilities from Sept 2020 to Dec 2020. The laboratory
data is used in de-identified form and doesn’t reveal identity of any subjects.
Results: A total of 239 cases were examined, out of which 176(73.7%) were male and 63(26.3%) were
female (M:F ratio= 2.79:1). We found that 104 cases had Hb level ≥ 12gm/dl. We found that maximum
patients (175) had TLC level >11000/cumm, 187 patients had ANC level > 7000/cumm. We found that 160
cases had serum urea of >43mg/dl, 134 case with serum creatinine of >1.4gm/dl.134 cases had ALT level
of >40IU/L and 143 cases had AST levels of >42IU/L In this study out of 239 cases 126 cases were found
to have increased level of all inflammatory markers levels.
Conclusion: We found a significant association of various inflammatory markers with haematological and
biochemical parameters in COVID-19 patients.
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1. Introduction
In China, Wuhan city became the epicentre of unexplained
cases of pneumonia in December 2019 and was temporarily
labelled as, severe acute respiratory syndrome coronavirus
2 (SARS-CoV-2) by Chinese scientists after identification
of a novel coronavirus in January 2020.
1,2
The illness
spread rapidly around the country and the world reaching
a pandemic level. On 30 January 2020, the WHO declared
* Corresponding author.
E-mail address: dr_haren@yahoo.co.in (H. Kumar).
the outbreak of COVID-19 to be a “public health emergency
of international concern”.
3
In COVID 19 patients hematological profile showed
increased WBC count and neutrophil count, while decrease
in lymphocyte, platelet, eosinophil count, and hemoglobin
level.
4
The research data of last few months revealed the
slightly increase in levels of ALT, AST, ALP and bilirubin
along with significant increase in levels of renal biomarkers
such as serum urea; creatinine and markers of glomerular
filtration rate in critically ill patients.
2,5–9
https://doi.org/10.18231/j.achr.2022.020
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