• Am J Emerg Med · Apr 2021

    Observational Study

    Association between laboratory parameters and CT severity in patients infected with Covid-19: A retrospective, observational study.

    • Atakan Yilmaz, Ramazan Sabirli, Murat Seyit, Mert Ozen, Alten Oskay, Vefa Cakmak, Tarik Goren, and Ibrahim Turkcuer.
    • Pamukkale University, Medical Faculty, Department of Emergency Medicine, 20070, Denizli, Turkey. Electronic address: dr_atakanyilmaz@yahoo.com.
    • Am J Emerg Med. 2021 Apr 1; 42: 110114110-114.

    IntroductionPatients diagnosed with COVID-19 have presented to emergency departments (EDs) worldwide with a wide range of symptoms. In this study we reported the clinical, laboratory and radiological features of the cases diagnosed with COVID-19.MethodsThis is a single-center, retrospective, descriptive, and observational study. The patients who have admitted to ED between March 11 and May 31, 2020 and diagnosed COVID-19 infection.Results130 (73 male and 57 female) patients with COVID-19 polymerase chain reaction (PCR) positive test were included in the study. The average age of the study group was calculated as 52.63 ± 17.95 year. While 15.4% of the patients were asymptomatic, the most common symptom was identified as cough (46.2%), followed by dyspnea (23.1%), fever (17.7%). The computed tomography (CT) severity scores proved significantly higher in the patients with hypertension and coronary artery disease (CAD) than in those without these diseases (p = 0.010 and p = 0.042, respectively). The moderate positive correlation between serum ferritin level and CT severity score is another finding worth noting (rho = 0.530 and p = 0.0001). In a similar vein, the high level of D-dimer in the CT-positive group and its positive moderate correlation with CT severity (rho = 0.375 and p = 0.0001).ConclusionIn our study, serum ferritin and D-dimer levels were observed to be high in the CT-positive group and have moderate positive correlation with CT severity. We thus argue that D-dimer and ferritin levels measured at the time of admission to the ED can be taken into consideration to predict radiological severity.Copyright © 2021 Elsevier Inc. All rights reserved.

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