Comparison of Clinical, Hematological and Biochemical Characteristics of Patients Suffering from Delta and Non-Delta Variant of COVID-19

Esculapio Pub Date : 2023-08-19 DOI:10.51273/esc23.251921
Omair Farooq, Waqas Sami, Alia Waheed, Asim Mumtaz, Zainab Yousaf, Eazaz Ali Khan, Atiqa Arshad
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Abstract

Objective: To compare the clinical, hematological and biochemical characteristics of patients suffering from delta and non-delta variants of COVID-19. Method: This cross-sectional study was conducted at Farooq Hospital Westwood Lahore during 1st March 2022 to 31st August 2022. After obtaining informed written consent, nasopharyngeal swabs and 5 ml of blood samples in both EDTA and clotted vacutainers of eighty two infected patients with COVID-19, who were admitted in COVID-19 unit, were collected. The viral nucleic acid was isolated from nasopharyngeal swabs by using a Qiagen nucleic acid extraction kit. RT-PCR was performed to detect the delta variant in COVID-19 infected patients by using SARS-CoV-2 Variant B.1.617 identification kit. Further hematological and biochemical parameters were performed. Results: We did a comparative analysis of clinical and laboratory characteristic of delta and non-delta COVID19 patients admitted in Farooq Hospital Westwood, confirmed by RT-PCR and found that patients presented with delta variant had more severe disease with significantly more cough, fever, shortness of breath and lower SpO2 at the presentation. The hematological and biochemical markers showed more lymphopenia, greater CRP,Interleukin 6,LDHand ferritin.Hospitalstay of delta variants ofCOVID-19 patients had longer duration as compared to the non-delta COVID-19 patients. Conclusion: Delta COVID-19 had more severe disease with more dyspnea, hypoxia, hematological and biochemical parameters abnormalities compared to the non-delta COVID-19 patients. Patients suffering from delta variant of COVID-19 had greater length of hospital stay as compared to the non-delta variant of COVID-19 with more oxygen requirement and more mortality rate.
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新型冠状病毒δ型与非δ型患者临床、血液学及生化特征比较
目的:比较新型冠状病毒三角洲型和非三角洲型患者的临床、血液学和生化特征。方法:横断面研究于2022年3月1日至2022年8月31日在拉合尔法鲁克医院进行。在获得知情书面同意后,收集82例入住COVID-19病房的COVID-19感染患者的鼻咽拭子和EDTA和凝血真空瓶中的5 ml血样。采用Qiagen核酸提取试剂盒从鼻咽拭子中分离病毒核酸。采用SARS-CoV-2 variant B.1.617鉴定试剂盒进行RT-PCR检测COVID-19感染患者的delta变异。进一步进行血液学和生化参数检测。结果:我们对Farooq医院Westwood收治的delta型和非delta型covid - 19患者的临床和实验室特征进行了对比分析,通过RT-PCR证实,delta型变异患者病情更严重,咳嗽、发烧、呼吸急促、出现时SpO2较低。血液学和生化指标显示淋巴细胞减少、CRP、白细胞介素6、LDHand铁蛋白升高。与非delta型患者相比,delta型患者的住院时间更长。结论:与非Delta型患者相比,Delta型患者病情加重,呼吸困难、缺氧、血液学及生化指标异常较多。与非delta型COVID-19患者相比,delta型患者住院时间更长,需氧量更高,死亡率更高。
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