Prognostic Value of D-dimer to Lymphocyte Ratio (DLR) in Hospitalized Coronavirus Disease 2019 (COVID-19) Patients: A Validation Study in a National Cohort.

COVID-19 D-dimer to lymphocyte ratio SARS-CoV-2 biomarkers mortality ratios

Journal

Viruses
ISSN: 1999-4915
Titre abrégé: Viruses
Pays: Switzerland
ID NLM: 101509722

Informations de publication

Date de publication:
22 Feb 2024
Historique:
received: 07 01 2024
revised: 13 02 2024
accepted: 19 02 2024
medline: 28 3 2024
pubmed: 28 3 2024
entrez: 28 3 2024
Statut: epublish

Résumé

This study aimed to validate the role of the D-dimer to lymphocyte ratio (DLR) for mortality prediction in a large national cohort of hospitalized coronavirus disease 2019 (COVID-19) patients. A retrospective, multicenter, observational study that included hospitalized patients due to SARS-CoV-2 infection in Spain was conducted from March 2020 to March 2022. All biomarkers and laboratory indices analyzed were measured once at admission. A total of 10,575 COVID-19 patients were included in this study. The mean age of participants was 66.9 (±16) years, and 58.6% (6202 patients) of them were male. The overall mortality rate was 16.3% ( This study confirmed the usefulness of DLR as a prognostic biomarker for mortality associated with SARS-CoV-2 infection, being an accessible, cost-effective, and easy-to-use biomarker in daily clinical practice.

Sections du résumé

BACKGROUND BACKGROUND
This study aimed to validate the role of the D-dimer to lymphocyte ratio (DLR) for mortality prediction in a large national cohort of hospitalized coronavirus disease 2019 (COVID-19) patients.
METHODS METHODS
A retrospective, multicenter, observational study that included hospitalized patients due to SARS-CoV-2 infection in Spain was conducted from March 2020 to March 2022. All biomarkers and laboratory indices analyzed were measured once at admission.
RESULTS RESULTS
A total of 10,575 COVID-19 patients were included in this study. The mean age of participants was 66.9 (±16) years, and 58.6% (6202 patients) of them were male. The overall mortality rate was 16.3% (
CONCLUSIONS CONCLUSIONS
This study confirmed the usefulness of DLR as a prognostic biomarker for mortality associated with SARS-CoV-2 infection, being an accessible, cost-effective, and easy-to-use biomarker in daily clinical practice.

Identifiants

pubmed: 38543700
pii: v16030335
doi: 10.3390/v16030335
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Auteurs

Crhistian-Mario Oblitas (CM)

Internal Medicine Department, Hospital Clínico de Santiago, 15706 Santiago de Compostela, Spain.
Sanitary Research Institute of Santiago, 15706 Santiago de Compostela, Spain.
School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.

Pablo Demelo-Rodríguez (P)

School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Internal Medicine Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.
Sanitary Research Institute Gregorio Marañón, 28009 Madrid, Spain.

Luis-Antonio Alvarez-Sala-Walther (LA)

School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Internal Medicine Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.
Sanitary Research Institute Gregorio Marañón, 28009 Madrid, Spain.

Manuel Rubio-Rivas (M)

Internal Medicine Department, Hospital Universitario de Bellvitge, 08908 Barcelona, Spain.

Francisco Navarro-Romero (F)

Internal Medicine Department, Hospital Costa del Sol, 29603 Marbella, Spain.

Vicente Giner Galvañ (V)

Internal Medicine Department, Hospital Universitario San Juan de Alicante, 03550 Alicante, Spain.

Lucía de Jorge-Huerta (L)

Internal Medicine Department, Hospital Universitario 12 de Octubre, 28041 Madrid, Spain.

Eva Fonseca Aizpuru (E)

Internal Medicine Department, Hospital de Cabueñes, 33394 Gijon, Spain.

Gema María García García (GM)

Internal Medicine Department, Complejo Hospitalario Universitario de Badajoz, 06010 Badajoz, Spain.

José Luis Beato Pérez (JL)

Internal Medicine Department, Complejo Hospitalario Universitario de Albacete, 02006 Albacete, Spain.

Paula María Pesqueira Fontan (PM)

Internal Medicine Department, Hospital Clínico de Santiago, 15706 Santiago de Compostela, Spain.

Arturo Artero Mora (A)

Internal Medicine Department, Hospital Universitario Dr. Peset, 46017 Valencia, Spain.

Juan Antonio Vargas Núñez (JA)

Internal Medicine Department, Hospital Universitario Puerta de Hierro Majadahonda, 28222 Madrid, Spain.

Nuria Ramírez Perea (N)

Internal Medicine Department, Hospital General Universitario de Elda, 03600 Alicante, Spain.

José Miguel García Bruñén (JM)

Internal Medicine Department, Hospital Miguel Servet, 50009 Zaragoza, Spain.

Emilia Roy Vallejo (E)

Internal Medicine Department, Hospital Universitario La Princesa, 28006 Madrid, Spain.

Isabel Perales-Fraile (I)

Internal Medicine Department, Hospital Infanta Sofía, 28702 Madrid, Spain.

Ricardo Gil Sánchez (R)

Internal Medicine Department, Hospital Universitario La Fe, 46026 Valencia, Spain.

José López Castro (J)

Internal Medicine Department, Hospital Público de Monforte de Lemos, 27400 Lugo, Spain.

Ángel Luis Martínez González (ÁL)

Internal Medicine Department, Complejo Asistencial Universitario de León, 24008 Leon, Spain.

Luis Felipe Díez García (LF)

Internal Medicine Department, Hospital Torrecardenas, 04009 Almeria, Spain.

Marina Aroza Espinar (M)

Internal Medicine Department, Hospital Insular de Gran Canaria, 35016 Las Palmas de Gran Canarias, Spain.

José-Manuel Casas-Rojo (JM)

School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Internal Medicine Department, Infanta Cristina University Hospital of Parla, 28981 Madrid, Spain.
Sanitary Research Institute Puerta de Hierro-Segovia de Arana, 28222 Madrid, Spain.

Jesús Millán Núñez-Cortés (J)

School of Medicine, Universidad Complutense de Madrid, 28040 Madrid, Spain.
Internal Medicine Department, Hospital General Universitario Gregorio Marañón, 28007 Madrid, Spain.

Classifications MeSH