Proceedings of the 12th Annual Scientific Meeting, Medical Faculty, Universitas Jenderal Achmad Yani, International Symposium on "Emergency Preparedness and Disaster Response during COVID 19 Pandemic" (ASMC 2021)

Prognostic Value of Neutrophil-Lymphocyte Ratio, D-Dimer Levels, and Scoring of Lung Lesion on Chest X-Ray on Mortality of COVID-19 Patients

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Authors
Yudith Yunia Kusmala, Jusron Iriawan, Fariz Albarri, Tersia Viradanti, Sunnatul Mufarrohah
Corresponding Author
Yudith Yunia Kusmala
Available Online 24 July 2021.
DOI
10.2991/ahsr.k.210723.032How to use a DOI?
Keywords
prognostic value, neutrophil-lymphocyte ratio, D-dimer, chest X-ray scoring, COVID-19
Abstract

Acute Respiratory Distress Syndrome (ARDS) plays an important role that increases mortality in COVID-19 patients. Several parameters have been tried to predict the patient’s condition for worsening and even death. The objective of this study was to determine the prognostic value of the neutrophil-lymphocyte ratio (NLR), D-Dimer levels, and the degree of severity of lung lesions on chest X-rays on patient mortality. A cross-sectional restrospective study was conducted on 53 patients with positive PCR at Kebon Jati Hospital Bandung for the period September-December 2020. Each patient who was admitted, carried out routine examinations of NLR, D-Dimer, and chest X-ray. There were 40 (75.5%) survival patients and 13 (24.5%) patients died. The mean NLR, D-Dimer, and score of lung lesions on chest X-rays of patients who died were higher than those of the survivor. NLR was 8.59 vs 4.10; P = 0.002, D-Dimer was 3,285.08 vs 1,489.33; P = 0.00 and scoring for lung lesions on chest X-ray was 11.00 vs 6.82; P = 0.001. The predictive ability of these parameters shown by the Area Under Curve (AUC), with the highest predictive value was represented by the AUC NLR of 0.0840, P = 0.000. The cut-off NLR value was 5.07 with a sensitivity of 92.3% and a specificity of 79.5% in predicting the occurrence of death due to COVID-19. The results showed that the NLR, D-Dimer, and thoracic lesion scoring at the time of admission to the hospital have prognostic values for the mortality of COVID-19 patients.

Copyright
© 2021, the Authors. Published by Atlantis Press.
Open Access
This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

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Volume Title
Proceedings of the 12th Annual Scientific Meeting, Medical Faculty, Universitas Jenderal Achmad Yani, International Symposium on "Emergency Preparedness and Disaster Response during COVID 19 Pandemic" (ASMC 2021)
Series
Advances in Health Sciences Research
Publication Date
24 July 2021
ISBN
978-94-6239-408-7
ISSN
2468-5739
DOI
10.2991/ahsr.k.210723.032How to use a DOI?
Copyright
© 2021, the Authors. Published by Atlantis Press.
Open Access
This is an open access article distributed under the CC BY-NC license (http://creativecommons.org/licenses/by-nc/4.0/).

Cite this article

TY  - CONF
AU  - Yudith Yunia Kusmala
AU  - Jusron Iriawan
AU  - Fariz Albarri
AU  - Tersia Viradanti
AU  - Sunnatul Mufarrohah
PY  - 2021
DA  - 2021/07/24
TI  - Prognostic Value of Neutrophil-Lymphocyte Ratio, D-Dimer Levels, and Scoring of Lung Lesion on Chest X-Ray on Mortality of COVID-19 Patients
BT  - Proceedings of the 12th Annual Scientific Meeting, Medical Faculty, Universitas Jenderal Achmad Yani, International Symposium on "Emergency Preparedness and Disaster Response during COVID 19 Pandemic" (ASMC 2021)
PB  - Atlantis Press
SP  - 128
EP  - 131
SN  - 2468-5739
UR  - https://doi.org/10.2991/ahsr.k.210723.032
DO  - 10.2991/ahsr.k.210723.032
ID  - Kusmala2021
ER  -