A retrospective study of hematological and biochemical parameters in coronavirus disease 2019 (COVID-19) patients in Vietnam

Abstract

The coronavirus disease 2019 (COVID-19) pandemic caused by the SARS-CoV-2 virus has had a serious impact on global public health. Currently, there are not many studies evaluating the impact of COVID-19 on changes in biochemical and hematological parameters of COVID-19 patients in Vietnam. This study aimed to investigate clinical characteris tics and changes in hematological and biochemical parameters in COVID-19 patients. This retrospective and cross-sectional study collected the medical records of 654 COVID-19 patients treated at Dong Nai General Hospital from August to December 2021. Medical information from COVID-19 patients was collected through handwritten medical records and HIS-FP software. The age of the study population was 56.69±15.97. Diabetes was the most common comorbidity and had a significant relationship with COVID-19 severity and mortality. For hematological tests, total white blood cell (WBC) and Percentage of neutrophils (%NEU) in non-survivors (12.87±6.45) signifi- cantly increased compared with survivors (9.08±4.48) (p<0.001). Neutrophils (NEU), neutrophil/lymphocyte ratio (NLR), and platelet/lymphocyte ratio (PLR) increased in both non-survivors and survivors; lymphocytes (LYM) and percentage of lymphocyte (%LYM) decreased in both groups. For biological parameters, aspartate transaminase (AST) in non-survivors [55.9 (38.5–89.1)] significantly increased compared with survivors [36.55 (23.02–67.12)] (p<0.001). Lactate dehy drogenase (LDH) activity, C-reactive protein (CRP), and D-dimer levels increased in both non-survivors and survivors. NEU, LYM, NLR, PLR, LDH, CRP, and D-dimer were related to the severity of COVID-19 disease.