Biochemical profile associated with Corona Virus-19(COVID-19) mortality:
Findings from a tertiary care center of Gandaki province of Nepal
Abstract
Background: The clinical presentation of COVID-19 varies
widely, ranging from asymptomatic cases to multisystemic failures,
driving the scientific community to explore biochemical markers that
could aid in early diagnosis, management, and the prevention of possible
complications. Objective: This study is focused on identifying
any significant trends or patterns in the demographic and biochemical
characteristics of the deceased individuals, providing valuable insights
into the factors that contribute to COVID-19-related deaths.
Methodology: A cross-sectional research study was conducted at
a tertiary care facility, involving 121 COVID-19 deaths that were
recorded at the hospital between June 12, 2020, and May 22, 2021. The
data were collected using a structured proforma to record demographic
parameters such as age, sex, and number of days from symptom onset to
death, as well as biochemical markers and analyzed using SPSS version
26.0. Result: Among the 121 deceased individuals, 76 (62.8%)
were male, with a mean age of 60.14±14.87 years. The average duration
from symptom onset to death was 10.76±6.73 days. The majority of the
sample had high levels of D-dimer 73(82.02%), CRP 81(95.29%) and
ferritin levels 83(95.40%). Additionally, a high neutrophil count was
found in 69(65.71%), while 47(44.76%) exhibited a low lymphocyte
count. Conclusion: Elevated levels of D-dimer, CRP, and other
plasma markers have been found to poor outcomes in COVID-19 patients,
indicating the importance of monitoring these parameters in clinical
practice Early detection and intervention through a combination of
demographic, biochemical, clinical, and radiological indicators can help
prevent the worst outcomes and improve patient outcomes.