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C-reactive protein to lymphocyte ratio is a significant predictive factor for poor short-term clinical outcomes of SARS-CoV-2 BA.2.2 patients

Benjie Xiao, Yinyan Wu, Huazheng Liang, Jingjing Xiao, Yudi Han, Zhangwei Yang, Yong Bi

2023Frontiers in Public Health12 citationsDOIOpen Access PDF

Abstract

Objective: The aim of the present study is to assess the utility of C-reactive protein to Lymphocyte Ratio (CLR) in predicting short-term clinical outcomes of patients infected by SARS-CoV-2 BA.2.2. Methods: This retrospective study was performed on 1,219 patients with laboratory-confirmed SARS-CoV-2 BA.2.2 to determine the association of CLR with short-term clinical outcomes. Independent Chi square test, Rank sum test, and binary logistic regression analysis were performed to calculate mean differences and adjusted odds ratios (aORs) with their 95% CI, respectively. Results: Over 8% of patients admitted due to SARS-CoV-2 BA.2.2. were critically ill. The best cut-off value of CLR was 21.25 in the ROC with a sensitivity of 72.3% and a specificity of 86%. After adjusting age, gender, and comorbidities, binary logistic regression analysis showed that elevated CLR was an independent risk factor for poor short-term clinical outcomes of COVID-19 patients. Conclusion: C-reactive protein to Lymphocyte Ratio is a significant predictive factor for poor short-term clinical outcomes of SARS-CoV-2 BA.2.2 inflicted patients.

Topics & Concepts

MedicineOdds ratioLogistic regressionInternal medicineC-reactive proteinCoronavirus disease 2019 (COVID-19)Predictive value of testsLymphocyteRisk factorRetrospective cohort studyPredictive valueSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)DiseaseInfectious disease (medical specialty)InflammationCOVID-19 Clinical Research StudiesInflammatory Biomarkers in Disease PrognosisLong-Term Effects of COVID-19
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