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Associations of the neutrophil/lymphocyte ratio, monocyte/ lymphocyte ratio, and platelet/lymphocyte ratio with COVID-19 disease severity in patients with neurological symptoms: A cross-sectional monocentric study     
Yazarlar
Doç. Dr. Burç Esra ŞAHİN Doç. Dr. Burç Esra ŞAHİN
Kırşehir Ahi Evran Üniversitesi, Türkiye
Asuman Çelikbilek
Kırşehir Ahi Evran Üniversitesi, Türkiye
Yusuf Koçak
Türkiye
Dr. Öğr. Üyesi Aydan KÖYSÜREN Dr. Öğr. Üyesi Aydan KÖYSÜREN
Ahi Evran Üniversitesi, Türkiye
Dr. Öğr. Üyesi Lokman HİZMALİ Dr. Öğr. Üyesi Lokman HİZMALİ
Türkiye
Özet
Objectives: Data are limited regarding the relationship of neutrophil/lymphocyte ratio (NLR), monocyte/lymphocyte ratio (MLR), and platelet/ lymphocyte ratio (PLR) with neurological symptoms (NS) in COVID-19 patients. This study is the first to assess the utility of the NLR, MLR, and PLR for predicting COVID-19 severity in infected patients with NS. Materials and Methods: Consecutive 192 PCR-positive COVID-19 patients with NS were included in this cross-sectional and prospective study. The patients were classified into the non-severe and severe groups. We analyzed routinely complete blood count in these groups in terms of COVID-19 disease severity. Results: Advanced age, a higher body mass index, and comorbidities were significantly more common in the severe group (P < 0.001). Among the NS, anosmia (P = 0.001) and memory loss (P = 0.041) were significantly more common in the non-severe group. In the severe group, the lymphocytes and monocyte counts and the hemoglobin level were significantly lower, while the neutrophil count, NLR, and PLR were significantly higher (all P < 0.001). In the multivariate model, advanced age and a higher neutrophil count were independently associated with severe disease (both P < 0.001) but the NLR and PLR were not (both P > 0.05). Conclusion: We found positive associations of COVID-19 severity with the NLR and PLR in infected patients with NS. Further research is required to shed more on the role of involvement in disease and outcomes.
Anahtar Kelimeler
COVID-19 | Monocyte to lymphocyte ratio | Neurological symptoms | Neutrophil to lymphocyte ratio | Platelet to lymphocyte ratio
Makale Türü Özgün Makale
Makale Alt Türü SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale
Dergi Adı JOURNAL OF NEUROSCIENCES IN RURAL PRACTICE
Dergi ISSN 0976-3147
Dergi Tarandığı Indeksler SCI
Makale Dili İngilizce
Basım Tarihi 04-2023
Cilt No 14
Sayı 2
Sayfalar 224 / 229
Doi Numarası 10.25259/JNRP_6_2022
Makale Linki http://dx.doi.org/10.25259/jnrp_6_2022