COVID-19 Outpatients and Surviving Inpatients Exhibit Comparable Blood Test Results That Are Distinct From Non-Surviving Inpatients    
Yazarlar (7)
Ayşe Ülgen
Türkiye
Şirin Çetin
Tokat Gaziosmanpaşa Üniversitesi, Türkiye
Pervin Ozlem Balcı
Sevdiye Şıvgın
Türkiye
Meryem Çetin
Türkiye
Wentian Lı
Makale Türü Açık Erişim Özgün Makale
Makale Alt Türü Ulusal alan endekslerinde (TR Dizin, ULAKBİM) yayınlanan tam makale
Dergi Adı Journal of health sciences and medicine (Online)
Dergi ISSN 2636-8579
Dergi Tarandığı Indeksler TR DİZİN
Makale Dili İngilizce
Basım Tarihi 05-2021
Cilt No 4
Sayı 3
Sayfalar 306 / 313
DOI Numarası 10.32322/jhsm.900462
Makale Linki https://dergipark.org.tr/tr/pub/jhsm/issue/62390/900462
Özet
Aim: The decision of admitting COVID-19 patients as inpatients is mostly determined by chest X-ray based diagnosis of pneumonia severity. However, prognosis of inpatients may diverge into two groups, one group of inpatients did not survive while another group did. Material and Method: More than 100 COVID-19 outpatients are collected from Tokat, Turkey in three categories: outpatients, surviving inpatients, and deceased inpatients. Their blood test profiles are analyzed and compared by dimension reduction techniques and classic statistical tests. Results: We observe that surviving inpatients share a common blood test profile with the outpatients, whereas non-surviving inpatients are distinctively different. The non-surviving inpatients are on average older. Among patients older than certain age, non-surviving inpatients have higher neutrophil level, lower lymphocyte level (thus higher neutrophil/lymphocyte ratio), lower calcium level, higher C-reactive-protein, sodium, whole blood cell level, andlower hemoglobin level, than the surviving patients (whether these are inpatients or outpatients). Conclusion: Surviving status is more important than in-and out-patient status in a patient’s cluster membership based on blood test profile. This result suggests a plan to use both X-ray diagnosis and blood test results as a criterion to admit COVID-19 inpatients.
Anahtar Kelimeler
COVID-19 | outpatients | surviving | non-surviving | blood test results