The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods

SUMMARY OBJECTIVES The 2019 Novel coronavirus disease puts a serious burden on the health system. Therefore, the detection of particularly serious patients at an early stage is extremely important in terms of controlling the outbreak and improving the prognosis. We investigated the role of inflammatory markers studied in patients suspected of COVID-19 at an emergency department in predicting PCR and CT results. METHODS This retrospective study was carried out with 133 patients who were admitted between 13 March and 1st April 2020 with suspicion of COVID-19. The patients were divided into four groups according to CT and RT-PCR results and evaluated. RESULTS Considering all patients, no specific findings were found in the hematological and biochemical values of patients in the laboratory analyses. Although all of the results remained within the reference range, there was a significant difference in white blood cell, neutrophil, platelet, and lymphocyte values when the groups were compared [p = 0.000; p = 0.004; p = 0.022; p = 0.023]. CONCLUSION Laboratory is not specific enough in the pre-diagnosis. In addition, this result does not alter with PCR or CT positivity. However, minimal changes observed in laboratory results may be partially guiding in patients in whom both PCR and CT are positive.

Saved in:
Bibliographic Details
Main Authors: Guneysu,Fatih, Yurumez,Yusuf, Guclu,Ertugrul, Koroglu,Mehmet, Karacan,Alper, Guner,Necip Gokhan, Durgun,Yesim
Format: Digital revista
Language:English
Published: Associação Médica Brasileira 2020
Online Access:http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020001400058
Tags: Add Tag
No Tags, Be the first to tag this record!
id oai:scielo:S0104-42302020001400058
record_format ojs
spelling oai:scielo:S0104-423020200014000582020-11-04The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methodsGuneysu,FatihYurumez,YusufGuclu,ErtugrulKoroglu,MehmetKaracan,AlperGuner,Necip GokhanDurgun,Yesim Coronavirus Infections/diagnosis Laboratory Test Diagnostic Imaging Tomography, X-Ray Computed Emergency Service, Hospital SUMMARY OBJECTIVES The 2019 Novel coronavirus disease puts a serious burden on the health system. Therefore, the detection of particularly serious patients at an early stage is extremely important in terms of controlling the outbreak and improving the prognosis. We investigated the role of inflammatory markers studied in patients suspected of COVID-19 at an emergency department in predicting PCR and CT results. METHODS This retrospective study was carried out with 133 patients who were admitted between 13 March and 1st April 2020 with suspicion of COVID-19. The patients were divided into four groups according to CT and RT-PCR results and evaluated. RESULTS Considering all patients, no specific findings were found in the hematological and biochemical values of patients in the laboratory analyses. Although all of the results remained within the reference range, there was a significant difference in white blood cell, neutrophil, platelet, and lymphocyte values when the groups were compared [p = 0.000; p = 0.004; p = 0.022; p = 0.023]. CONCLUSION Laboratory is not specific enough in the pre-diagnosis. In addition, this result does not alter with PCR or CT positivity. However, minimal changes observed in laboratory results may be partially guiding in patients in whom both PCR and CT are positive.info:eu-repo/semantics/openAccessAssociação Médica BrasileiraRevista da Associação Médica Brasileira v.66 suppl.2 20202020-01-01info:eu-repo/semantics/articletext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020001400058en10.1590/1806-9282.66.s2.58
institution SCIELO
collection OJS
country Brasil
countrycode BR
component Revista
access En linea
databasecode rev-scielo-br
tag revista
region America del Sur
libraryname SciELO
language English
format Digital
author Guneysu,Fatih
Yurumez,Yusuf
Guclu,Ertugrul
Koroglu,Mehmet
Karacan,Alper
Guner,Necip Gokhan
Durgun,Yesim
spellingShingle Guneysu,Fatih
Yurumez,Yusuf
Guclu,Ertugrul
Koroglu,Mehmet
Karacan,Alper
Guner,Necip Gokhan
Durgun,Yesim
The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods
author_facet Guneysu,Fatih
Yurumez,Yusuf
Guclu,Ertugrul
Koroglu,Mehmet
Karacan,Alper
Guner,Necip Gokhan
Durgun,Yesim
author_sort Guneysu,Fatih
title The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods
title_short The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods
title_full The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods
title_fullStr The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods
title_full_unstemmed The diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods
title_sort diagnostic process of covıd-19 in the emergency department: laboratory and ımaging methods
description SUMMARY OBJECTIVES The 2019 Novel coronavirus disease puts a serious burden on the health system. Therefore, the detection of particularly serious patients at an early stage is extremely important in terms of controlling the outbreak and improving the prognosis. We investigated the role of inflammatory markers studied in patients suspected of COVID-19 at an emergency department in predicting PCR and CT results. METHODS This retrospective study was carried out with 133 patients who were admitted between 13 March and 1st April 2020 with suspicion of COVID-19. The patients were divided into four groups according to CT and RT-PCR results and evaluated. RESULTS Considering all patients, no specific findings were found in the hematological and biochemical values of patients in the laboratory analyses. Although all of the results remained within the reference range, there was a significant difference in white blood cell, neutrophil, platelet, and lymphocyte values when the groups were compared [p = 0.000; p = 0.004; p = 0.022; p = 0.023]. CONCLUSION Laboratory is not specific enough in the pre-diagnosis. In addition, this result does not alter with PCR or CT positivity. However, minimal changes observed in laboratory results may be partially guiding in patients in whom both PCR and CT are positive.
publisher Associação Médica Brasileira
publishDate 2020
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302020001400058
work_keys_str_mv AT guneysufatih thediagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT yurumezyusuf thediagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT gucluertugrul thediagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT koroglumehmet thediagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT karacanalper thediagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT gunernecipgokhan thediagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT durgunyesim thediagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT guneysufatih diagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT yurumezyusuf diagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT gucluertugrul diagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT koroglumehmet diagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT karacanalper diagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT gunernecipgokhan diagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
AT durgunyesim diagnosticprocessofcovıd19intheemergencydepartmentlaboratoryandımagingmethods
_version_ 1756410097760731136