Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study

Objectives: To determine the correlation between lymphocyte count and A-DROP score in COVID-19 patients and their role in predicting poor outcomes. Methods: This retrospective observational single-center study was conducted in a tertiary care hospital in Vidisha district, India. COVID-19 patients we...

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Main Authors: Chandrakant Waikar, Vinayak Gour, Lal Pranay, Sevras Hingwe
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of Acute Disease
Subjects:
Online Access:http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=3;spage=115;epage=119;aulast=Waikar
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author Chandrakant Waikar
Vinayak Gour
Lal Pranay
Sevras Hingwe
author_facet Chandrakant Waikar
Vinayak Gour
Lal Pranay
Sevras Hingwe
author_sort Chandrakant Waikar
collection DOAJ
description Objectives: To determine the correlation between lymphocyte count and A-DROP score in COVID-19 patients and their role in predicting poor outcomes. Methods: This retrospective observational single-center study was conducted in a tertiary care hospital in Vidisha district, India. COVID-19 patients were included in this study, who were admitted to ICU and the COVID Care Centre from August 2020 to October 2020. Demographic profile, clinical characteristics, medical history, A-DROP score, complete blood counts including lymphocyte counts (on admission), the severity of the disease course, and duration of hospitalization were collected. The correlation between lymphopenia and A-DROP score was determined, and their role in predicting poor outcomes was investigated. Results: This study included 220 patients, among which 134 were male, and 86 were female [mean age (48.98±16.98) years, 95% CI: 46.72-51.23]. Lymphocyte count in COVID-19 patients negatively correlated with the A-DROP score (r=−0.67, P<0.001). The area under the ROC curve was 0.892 (95% CI: 0.80-0.98, P<0.001) for the lymphocyte count, and the area under the ROC curve was 0.93 (95% CI: 0.84-1.00, P<0.001) for lymphocyte count-A-DROP. Conclusion: Lymphocyte count along with the A-DROP score on admission could be used to predict the severity of COVID-19 pneumonia and unfavorable outcome.
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spelling doaj.art-df3afdf7279d4bde9c8568c83ee5983e2022-12-22T03:43:01ZengWolters Kluwer Medknow PublicationsJournal of Acute Disease2221-61892589-55162022-01-0111311511910.4103/2221-6189.347779Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational studyChandrakant WaikarVinayak GourLal PranaySevras HingweObjectives: To determine the correlation between lymphocyte count and A-DROP score in COVID-19 patients and their role in predicting poor outcomes. Methods: This retrospective observational single-center study was conducted in a tertiary care hospital in Vidisha district, India. COVID-19 patients were included in this study, who were admitted to ICU and the COVID Care Centre from August 2020 to October 2020. Demographic profile, clinical characteristics, medical history, A-DROP score, complete blood counts including lymphocyte counts (on admission), the severity of the disease course, and duration of hospitalization were collected. The correlation between lymphopenia and A-DROP score was determined, and their role in predicting poor outcomes was investigated. Results: This study included 220 patients, among which 134 were male, and 86 were female [mean age (48.98±16.98) years, 95% CI: 46.72-51.23]. Lymphocyte count in COVID-19 patients negatively correlated with the A-DROP score (r=−0.67, P<0.001). The area under the ROC curve was 0.892 (95% CI: 0.80-0.98, P<0.001) for the lymphocyte count, and the area under the ROC curve was 0.93 (95% CI: 0.84-1.00, P<0.001) for lymphocyte count-A-DROP. Conclusion: Lymphocyte count along with the A-DROP score on admission could be used to predict the severity of COVID-19 pneumonia and unfavorable outcome.http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=3;spage=115;epage=119;aulast=Waikarcovid-19; pandemic; lymphopenia; pneumonia
spellingShingle Chandrakant Waikar
Vinayak Gour
Lal Pranay
Sevras Hingwe
Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study
Journal of Acute Disease
covid-19; pandemic; lymphopenia; pneumonia
title Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study
title_full Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study
title_fullStr Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study
title_full_unstemmed Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study
title_short Lymphocyte count and A-DROP score in COVID-19 patients: A retrospective observational study
title_sort lymphocyte count and a drop score in covid 19 patients a retrospective observational study
topic covid-19; pandemic; lymphopenia; pneumonia
url http://www.jadweb.org/article.asp?issn=2221-6189;year=2022;volume=11;issue=3;spage=115;epage=119;aulast=Waikar
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AT vinayakgour lymphocytecountandadropscoreincovid19patientsaretrospectiveobservationalstudy
AT lalpranay lymphocytecountandadropscoreincovid19patientsaretrospectiveobservationalstudy
AT sevrashingwe lymphocytecountandadropscoreincovid19patientsaretrospectiveobservationalstudy