The effect of thrombosis-related laboratory values on mortality in
Covid-19 infection
Abstract
Objective: Covid-19 may cause thrombosis in both venous and arterial
systems. Familiarity with the signs and symptoms of thrombosis and their
treatment plays an important role in treating Covid-19 infection and its
complications. D-Dimer and Mean platelet volume (MPV) are measurements
related to the development of thrombosis. This study investigates
whether MPV and D-Dimer values could be used to determine the risk of
thrombosis and mortality in Covid-19 early stages. Methods: 424 patients
were randomly and retrospectively included in the study, Covid 19
positive according to the World Health Organization (WHO) guidelines.
Demographic and clinical characteristics such as age, gender, and length
of hospitalization were obtained from the digital records of
participants. Participants were divided into living and deceased groups.
Results: WBC, neutrophils, and monocytes were significantly different in
the two groups (p <0.001), and its values were lower in the
living group than in the deceased group. MPV median values do not differ
according to prognosis (p = 0.994). Creatinine, Procalcitonin, Ferritin,
and the number of hospitalization days in living patients were
significantly lower than in patients who died (p <0.001).
Median values of D-dimer (mg / L) differ according to prognosis (p
<0.001). While the median value was 0.63 in the survivors, it
was found as 4.38 in the deceased. Conclusion: Our results did not show
any significant relationship between the mortality of Covid-19 patients
and their MPV levels. However, a significant association of D-Dimer and
mortality in Covid-19 patients was observed. Keywords: COVID-19, MPV,
D-Dimer, prognosis, mortality