Reassessment of disease severity routine laboratory tests in the COVID-19 infection
Introduction. Publications demonstrate some limitations of National Early Warning Score 2 (NEWS-2) accuracy in assessment on coronavirus infection severity.The purpose of this study was to determine the value of the patient’s age and routine laboratory parameters in the assessment of patient’s gener...
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| Format: | Article |
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Gastro LLC
2022-03-01
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| Series: | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
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| Online Access: | https://www.gastro-j.ru/jour/article/view/593 |
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| author | A. A. Simushev E. Yu. Medvedeva Yu. O. Shulpekova V. M. Nechaev M. R. Skhirtladze I. R. Popova V. T. Ivashkin |
| author_facet | A. A. Simushev E. Yu. Medvedeva Yu. O. Shulpekova V. M. Nechaev M. R. Skhirtladze I. R. Popova V. T. Ivashkin |
| author_sort | A. A. Simushev |
| collection | DOAJ |
| description | Introduction. Publications demonstrate some limitations of National Early Warning Score 2 (NEWS-2) accuracy in assessment on coronavirus infection severity.The purpose of this study was to determine the value of the patient’s age and routine laboratory parameters in the assessment of patient’s general condition in coronavirus pneumonia and their relation to NEWS-2 scale parameters.Materials and methods. 50 case reports of patients with COVID-19 infection observed in the Sechenov University in January–March 2021 were analyzed. 34 % of patients were males aged 31 to 89 years (average age 55 years) and 66 % — females aged 40 to 91 (mean age 63). The diagnosis of pneumonia was confirmed by computed tomography. NEWS-2 scale total score was assessed.Results. According to the physician’s subjective assessment the condition was significantly more often assessed as moderate and severe. There was only a weak correlation between the blood oxygen saturation and the total NEWS-2 score (r = 0.165, α = 0.1). We found a mild correlation (r = 0.341, α = 0.1) between the patient’s age and NEWS2 score. Among the most significantly interrelated parameters were age, neutrophil count, serum creatinine, CRP, fibrinogen level. Seven interrelated parameters (age, body temperature, blood oxygen saturation, the neutrophils count, creatinine, CRP, fibrinogen), for which a reliable relation with other tests has been shown, were assigned with its special index according to their contribution to the assessment of the overall condition severity. An aggregated score (criterion X) was proposed for assessment of disease severity according to equation. The proportions of mild, moderate, and severe cases according to criterion X were 12 %, 64 % and 24 %.Conclusion. The preliminary results obtained in the study emphasize the importance of routine laboratory tests in assessment of coronavirus infection severity. An evident discrepancy between NEWS-2 score and X criterion may be very important for practice. |
| format | Article |
| id | doaj-art-ef832e1019554ec08ad550dec8194416 |
| institution | Kabale University |
| issn | 1382-4376 2658-6673 |
| language | Russian |
| publishDate | 2022-03-01 |
| publisher | Gastro LLC |
| record_format | Article |
| series | Российский журнал гастроэнтерологии, гепатологии, колопроктологии |
| spelling | doaj-art-ef832e1019554ec08ad550dec81944162025-02-10T16:14:37ZrusGastro LLCРоссийский журнал гастроэнтерологии, гепатологии, колопроктологии1382-43762658-66732022-03-01316162210.22416/1382-4376-2021-31-6-16-22453Reassessment of disease severity routine laboratory tests in the COVID-19 infectionA. A. Simushev0E. Yu. Medvedeva1Yu. O. Shulpekova2V. M. Nechaev3M. R. Skhirtladze4I. R. Popova5V. T. Ivashkin6National Research University “Moscow Power Engineering Institute”Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Sechenov First Moscow State Medical University (Sechenov University)Introduction. Publications demonstrate some limitations of National Early Warning Score 2 (NEWS-2) accuracy in assessment on coronavirus infection severity.The purpose of this study was to determine the value of the patient’s age and routine laboratory parameters in the assessment of patient’s general condition in coronavirus pneumonia and their relation to NEWS-2 scale parameters.Materials and methods. 50 case reports of patients with COVID-19 infection observed in the Sechenov University in January–March 2021 were analyzed. 34 % of patients were males aged 31 to 89 years (average age 55 years) and 66 % — females aged 40 to 91 (mean age 63). The diagnosis of pneumonia was confirmed by computed tomography. NEWS-2 scale total score was assessed.Results. According to the physician’s subjective assessment the condition was significantly more often assessed as moderate and severe. There was only a weak correlation between the blood oxygen saturation and the total NEWS-2 score (r = 0.165, α = 0.1). We found a mild correlation (r = 0.341, α = 0.1) between the patient’s age and NEWS2 score. Among the most significantly interrelated parameters were age, neutrophil count, serum creatinine, CRP, fibrinogen level. Seven interrelated parameters (age, body temperature, blood oxygen saturation, the neutrophils count, creatinine, CRP, fibrinogen), for which a reliable relation with other tests has been shown, were assigned with its special index according to their contribution to the assessment of the overall condition severity. An aggregated score (criterion X) was proposed for assessment of disease severity according to equation. The proportions of mild, moderate, and severe cases according to criterion X were 12 %, 64 % and 24 %.Conclusion. The preliminary results obtained in the study emphasize the importance of routine laboratory tests in assessment of coronavirus infection severity. An evident discrepancy between NEWS-2 score and X criterion may be very important for practice.https://www.gastro-j.ru/jour/article/view/593covid-19 infectionnews-2 scaleroutine laboratory tests |
| spellingShingle | A. A. Simushev E. Yu. Medvedeva Yu. O. Shulpekova V. M. Nechaev M. R. Skhirtladze I. R. Popova V. T. Ivashkin Reassessment of disease severity routine laboratory tests in the COVID-19 infection Российский журнал гастроэнтерологии, гепатологии, колопроктологии covid-19 infection news-2 scale routine laboratory tests |
| title | Reassessment of disease severity routine laboratory tests in the COVID-19 infection |
| title_full | Reassessment of disease severity routine laboratory tests in the COVID-19 infection |
| title_fullStr | Reassessment of disease severity routine laboratory tests in the COVID-19 infection |
| title_full_unstemmed | Reassessment of disease severity routine laboratory tests in the COVID-19 infection |
| title_short | Reassessment of disease severity routine laboratory tests in the COVID-19 infection |
| title_sort | reassessment of disease severity routine laboratory tests in the covid 19 infection |
| topic | covid-19 infection news-2 scale routine laboratory tests |
| url | https://www.gastro-j.ru/jour/article/view/593 |
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