Occurrence of Coagulation disorders in hospitalized COVID-19 patients
and its relationship with disease outcome: A Cross-sectional study
Abstract
Background: Evidence suggests that patients afflicted with COVID-19 are
subject to significant risks of thromboembolic complications. We aimed
to evaluate the occurrence of coagulation disorders in patients
suffering from COVID-19 and determine its relationship with the disease
outcome. Methods: This cross-sectional study was conducted on 106
COVID-19 patients who were hospitalized in Imam Khomeini Hospital,
Ardabil, Iran. After the preliminary completion of the information
forms, 3 cc of intravenous blood sample was taken from each of the
patients to check the patients’ INR, PT, CBC, and D-dimer. The patients
were monitored. Finally, the results obtained from these clinical
assessments and tests were all recorded in checklists and statistically
analyzed using SPSS Software, Version 19. Results: Of the total 106
COVID-19 patients who entered the study, 69 cases were discharged from
the hospital alive while the other 37 cases died. The mean age of the
patients was 58.99±15.94 years and 56.6% of them were male. There were
significant differences between the survived and the deceased patients
in terms of D-dimer, LDH, PT, and INR levels (p<0.05). Based
on the results of logistic regression analysis, only D-dimer was found
to have a significant effect on predicting mortality. More specifically,
with the increase of each 1 unit in D-dimer level, the mortality risk
increased by 0.99%. Conclusion: D-dimer has a higher sensitivity in
comparison with other markers of coagulation and is of relatively
greater value in terms of intensity. Compared to the high prevalence of
thrombotic events, bleeding is not that common; therefore, standard
anticoagulant therapy is highly recommended.