未成熟粒细胞计数预测新冠肺炎严重程度和不良预后的有效性

IF 0.3 Q4 EMERGENCY MEDICINE Eurasian Journal of Emergency Medicine Pub Date : 2022-12-09 DOI:10.4274/eajem.galenos.2021.79836
Y. Çevik, F. Karaarslan, Ş. K. Çorbacıoğlu, Gülsüm Feyza Türkeş, E. Emektar
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引用次数: 0

摘要

目的:本研究的目的是检查未成熟粒细胞(IG)计数与疾病严重程度之间的关系,并评估IG在预测聚合酶链式反应确诊的2019冠状病毒病(新冠肺炎)病例不良结局方面的有效性。材料和方法:本研究在急诊科进行前瞻性和观察性研究。根据临床严重程度指标,如轻度、中度和重度,将患者分为三组。IG水平是从急诊科入院时采集的全血样本中测量的。重症监护室入院、通气支持和入院后前28天内的死亡被评估为综合结果。结果:研究组包括203名成年人,其中91人(44.8%)为女性。根据疾病的严重程度,40名患者(19.7%)被归类为轻度,67名患者(33.0%)被归类于中度,96名患者(47.3%)被归类至重度。当比较两组之间的IG水平时,轻度和重度疾病组之间(p=0.047)和中度和重度疾病群之间(p=0.036)存在统计学显著差异。IG计数与综合结果之间没有统计学显著关系(p>0.05)。结论:IG水平,在没有任何额外成本的情况下可以比其他实验室测试更快地测量的检测可用于确定新冠肺炎患者的临床严重程度。然而,我们得出的结论是,这个参数不能有效地确定入院期间的不良结果。
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The Effectiveness of Immature Granulocyte Count for Predicting COVID-19 Severity and Poor Outcomes
Aim: The aim of this study was to examine the relationship between immature granulocyte (IG) counts and the severity of the disease and to evaluate the effectiveness of IG in predicting the poor outcomes in polymerase chain reaction-confirmed Coronavirus disease-2019 (COVID-19) cases. Materials and Methods: The study was conducted prospectively and observationally at the emergency department. Patients were divided into three groups according to the clinical severity indicators such as mild, moderate and severe. The IG level was measured from the whole blood samples taken at the admission to the emergency department. Intensive care unit admission, ventilation support, and death within the first 28 days after the admission were evaluated as composite outcomes. Results: The study group consisted of 203 adults, of whom 91 (44.8%) were women. According to the severity of the illness, 40 patients (19.7%) were classified as mild, 67 patients (33.0%) as moderate, and 96 patients (47.3%) as severe. When comparing IG levels between the groups, there was a statistically significant difference between the mild and severe groups (p=0.047) and between the moderate and severe disease groups (p=0.036). There was no statistically significant relationship between IG counts and the composite outcome (p > 0.05) Conclusion: The IG level, which could be measured faster than other laboratory tests without any additional cost, could be used for the determination of the clinical severity of patients with COVID-19. However, we conclude that this parameter is not effective in determining poor outcomes during the admission.
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