On admission hemoglobin and albumin; two novel factors associated with
thrombosis in COVID-19 pneumonia
Abstract
Introduction: The unrelenting storm of coronavirus disease (COVID-19)
since late 2019 has turned into a crucial health matter of the globe.
There is increasing evidence in terms of a hypercoagulable state by this
infection. Therefore, the current study aims to clarify the association
between thromboembolic events in COVID-19 and the patient, the
infection, and in-hospital related characteristics. Methods: The current
case-control study has been conducted on 243 COVID-19 pneumonia patients
(83 cases with thrombotic events and 160 controls without thrombosis) in
2020. The thrombotic events included deep venous thrombosis (DVT) (n=9),
pulmonary thromboembolism (PTE) (n=48), acute myocardial infarction
(AMI) (n=17), cerebrovascular accidents (CVA) (n=4) and arterial
thrombosis (n=5). On admission, hemodynamic parameters, on admission
laboratory assessments, mobility during hospitalization, type of
oxygenation, intensive care unit (ICU) admission requirement, duration
of ICU and hospital stay were recorded in the checklist. Results:
According to logistic regression assessment, on admission O2 saturation
(OR: 0.97, 95%CI: 0.94-0.99), hemoglobin level (OR: 0.87, 95%CI:
0.77-0.97) and albumin level (OR: 0.53, 95%CI: 0.3-0.86) were
independently correlated with thrombosis due to COVID-19. Other factors,
including demographic, infection severity, laboratory and in-hospital
characteristics, were not significantly associated with thrombotic
events. Conclusion: Based on this study’s findings, hemoglobin and
albumin levels were the independent factors associated with the
thrombotic events in COVID-19 patients.