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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
Burc Esra Sahin
Prof. Dr. Asuman ÇELİKBİLEK
Kırşehir Ahi Evran Üniversitesi
Yusuf Kocak
Aydan Koysuren
Dr. Öğr. Üyesi Lokman HİZMALİ
Kırşehir Ahi Evran Üniversitesi
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 ESCI dergilerinde yayımlanan tam makale
Dergi Adı J Neurosci Rural Pract
Dergi ISSN 0976-3147
Dergi Tarandığı Indeksler ESCI
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