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Poor Prognostic Factors in Sickle Cell Disease Patients Infected with Covid-19 – Review of Literatures
American Journal of Laboratory Medicine
Volume 5, Issue 4, July 2020, Pages: 125-130
Received: Jul. 9, 2020; Accepted: Jul. 30, 2020; Published: Aug. 17, 2020
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Odebiyi Hassan Abiola, Department of Haematology, Federal Medical Center, Birnin Kudu, Nigeria
Dachi Rufai Abdul, Department of Haematology and Blood Transfusion, Abubakar Tafawa Balewa University Teaching Hospital, Bauchi, Nigeria
Pindiga Kasim Muhammad, Department of Haematology and Blood Transfusion, Federal Teaching Hospital Gombe, Gombe, Nigeria
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Sickle cell disease (SCD) is the co-inheritance of HbS with other abnormal haemoglobin. COVID-19 is a severe acute respiratory distress syndrome caused by coronavirus 2 infections. The immunosuppression and chronic inflammatory states in patients with SCD predispose them to severe form of COVID-19. The few case studies on sickle cell disease patients infected with COVID-19 mostly discuss the pattern of clinical presentations and laboratory changes in patients with SCD infected with COVID-19. This review of literature assesses the prognostic indicators in sickle cell disease patients infected with COVID 19 in three major case series. Some presenting symptoms and signs, presence of comorbidities and certain laboratory parameters were compared with poor outcome of patients. Poor clinical outcomes of patients in this review included: 1. Duration of admission of ≥10 days, 2. A week or more of intensive care unit admission, 3. Death of patient despite intervention while on admission, and 4. Deterioration in the presenting comorbid clinical condition. The presenting symptoms and signs, presence of comorbidities and certain laboratory parameters associated with these poor clinical outcomes were considered as poor prognostic factors. The presence of comorbidities, markedly elevated pro-inflammatory markers such as leukocytosis, IL-6, C-reactive proteins, marked elevated D-Dimer and high serum creatinine are poor prognostic factors in sickle cell disease patients with COVID-19 infection.
Sickle Cell Disease, COVID-19, Poor prognostic Factors, Comorbidities
To cite this article
Odebiyi Hassan Abiola, Dachi Rufai Abdul, Pindiga Kasim Muhammad, Poor Prognostic Factors in Sickle Cell Disease Patients Infected with Covid-19 – Review of Literatures, American Journal of Laboratory Medicine. Vol. 5, No. 4, 2020, pp. 125-130. doi: 10.11648/j.ajlm.20200504.17
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