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. 2020 Apr 25;95:304-307.
doi: 10.1016/j.ijid.2020.04.061. Online ahead of print.

Mild Versus Severe COVID-19: Laboratory Markers

Free PMC article

Mild Versus Severe COVID-19: Laboratory Markers

Thirumalaisamy P Velavan et al. Int J Infect Dis. .
Free PMC article


The number of COVID-19 patients is dramatically increasing worldwide. Treatment in intensive care units (ICU) has become a major challenge; therefore, early recognition of severe forms is absolutely essential for timely triaging of patients. While the clinical status, in particular peripheral oxygen saturation (SpO2) levels, and concurrent comorbidities of COVID-19 patients largely determine the need for their admittance to ICUs, several laboratory parameters may facilitate the assessment of disease severity. Clinicians should consider low lymphocyte count as well as the serum levels of CRP, D-dimers, ferritin, cardiac troponin and IL-6, which may be used in risk stratification to predict severe and fatal COVID-19 in hospitalised patients. It is more likely that the course of the disease will be unfavourable if some or all of these parameters are altered.

Keywords: Biomarkers; COVID-19; Laboratory markers; Mild and severe COVID-19.

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