Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional Study

Introduction: Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) causing Coronavirus Disease (COVID-19) has challenged the world. A complete blood workup as well as continuous tracking of haematological parameters play a vital role in revealing the risks of disease progression and eve...

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Main Authors: Shashi Upreti, Snigdha Petwal, Anupama Arya, Aditi Upreti, Narayan Mihir, Sana Umar
Format: Article
Language:English
Published: JCDR Research and Publications Pvt. Ltd. 2022-01-01
Series:National Journal of Laboratory Medicine
Subjects:
Online Access:https://www.njlm.net/articles/PDF/2568/50591_CE[Ra1]_F[SH]_PF1(AG_SHU)_PFA(SHU)_PB(AG_SHU)_PN(SHU).pdf
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author Shashi Upreti
Snigdha Petwal
Anupama Arya
Aditi Upreti
Narayan Mihir
Sana Umar
author_facet Shashi Upreti
Snigdha Petwal
Anupama Arya
Aditi Upreti
Narayan Mihir
Sana Umar
author_sort Shashi Upreti
collection DOAJ
description Introduction: Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) causing Coronavirus Disease (COVID-19) has challenged the world. A complete blood workup as well as continuous tracking of haematological parameters play a vital role in revealing the risks of disease progression and eventually help in better treatment and outcome. Aim: To access the haematological parameters {Complete Blood Count (CBC), Neutrophil Lymphocyte Ratio (NLR) and Serum Ferritin (S. ferritin) levels} in COVID-19 patients to correlate its association with the severity of the disease. Materials and Methods: The present study was a cross-sectional study in which 200 patients who were confirmed as COVID-19 positive by real time Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) in the month of July-August 2020 were included. Blood was collected from patients of COVID-19 using the routine methods and was evaluated for CBC and S. ferritin levels. Neutrophil Lymphocyte Ratio (NLR) was also calculated. Results: The NLR was positively correlated with severity of COVID-19. Patients with higher NLR levels were admitted to Intensive Care Unit (ICU) because of severity in their condition. In the present study, 42 of 47 (89.4%) ICU patients had S. ferritin levels >1000 ng/mL whereas only 8 (5.2%) of non ICU patients had S. ferritin levels >1000 ng/mL. Conclusion: The NLR and S. ferritin positively correlated with the severity of COVID-19 disease.
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spelling doaj.art-ef08e67f1ed3473fac341d82a70d8a4b2022-12-21T21:17:43ZengJCDR Research and Publications Pvt. Ltd.National Journal of Laboratory Medicine2277-85512455-68822022-01-011101121410.7860/NJLM/2022/50591.2568Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional StudyShashi UpretiSnigdha PetwalAnupama AryaAditi UpretiNarayan MihirSana UmarIntroduction: Severe Acute Respiratory Syndrome Corona Virus-2 (SARS-CoV-2) causing Coronavirus Disease (COVID-19) has challenged the world. A complete blood workup as well as continuous tracking of haematological parameters play a vital role in revealing the risks of disease progression and eventually help in better treatment and outcome. Aim: To access the haematological parameters {Complete Blood Count (CBC), Neutrophil Lymphocyte Ratio (NLR) and Serum Ferritin (S. ferritin) levels} in COVID-19 patients to correlate its association with the severity of the disease. Materials and Methods: The present study was a cross-sectional study in which 200 patients who were confirmed as COVID-19 positive by real time Reverse Transcriptase-Polymerase Chain Reaction (RT-PCR) in the month of July-August 2020 were included. Blood was collected from patients of COVID-19 using the routine methods and was evaluated for CBC and S. ferritin levels. Neutrophil Lymphocyte Ratio (NLR) was also calculated. Results: The NLR was positively correlated with severity of COVID-19. Patients with higher NLR levels were admitted to Intensive Care Unit (ICU) because of severity in their condition. In the present study, 42 of 47 (89.4%) ICU patients had S. ferritin levels >1000 ng/mL whereas only 8 (5.2%) of non ICU patients had S. ferritin levels >1000 ng/mL. Conclusion: The NLR and S. ferritin positively correlated with the severity of COVID-19 disease. https://www.njlm.net/articles/PDF/2568/50591_CE[Ra1]_F[SH]_PF1(AG_SHU)_PFA(SHU)_PB(AG_SHU)_PN(SHU).pdfcomplete blood countcoronavirus disease-2019serum inflammatory markerssevere acute respiratory syndrome 2
spellingShingle Shashi Upreti
Snigdha Petwal
Anupama Arya
Aditi Upreti
Narayan Mihir
Sana Umar
Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional Study
National Journal of Laboratory Medicine
complete blood count
coronavirus disease-2019
serum inflammatory markers
severe acute respiratory syndrome 2
title Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional Study
title_full Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional Study
title_fullStr Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional Study
title_full_unstemmed Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional Study
title_short Neutrophil Lymphocyte Ratio and Serum Ferritin Levels in COVID-19: A Cross-sectional Study
title_sort neutrophil lymphocyte ratio and serum ferritin levels in covid 19 a cross sectional study
topic complete blood count
coronavirus disease-2019
serum inflammatory markers
severe acute respiratory syndrome 2
url https://www.njlm.net/articles/PDF/2568/50591_CE[Ra1]_F[SH]_PF1(AG_SHU)_PFA(SHU)_PB(AG_SHU)_PN(SHU).pdf
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