ASSOCIATION BETWEEN CRP, D-DIMER, SERUM FERRITIN, INITIAL CT- CHEST SEVERITY SCORE AND THE OUTCOME OF COVID-19 IN PATIENTS WITH TYPE 2 DIABETES MELLITUS

Author:

Dominic Melvin1,Abthahir S Syed2,Hara Sudhan C.Hari3,Chandrasekaran V.P.4,Saravanan Shananth2,KS Chanjal5

Affiliation:

1. M.D. Emergency Medicine, Assistant professor, Department of Emergency Medicine, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital.

2. M.D. Emergency Medicine, Junior Resident (Post Graduate), Department of Emergency Medicine, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital.

3. M.D (Accident and Critical care), Assistant professor, Department of Emergency Medicine, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital.

4. M.D (Accident and Critical care), Deputy medical director/ Senior Consultant, Department of Emergency Medicine, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital.

5. M.D. Emergency Medicine, Junior Resident (Post Graduate), Department of Emergency Medicine, Vinayaka Mission's Kirupananda Variyar Medical College & Hospital

Abstract

Introduction: The surge of Covid -19 pandemic and the earlier depletion of resources have led to the need of allocation of patients based on levels of risk. The COVID 19 related mortality has been on increase in people with old age, male gender, inammatory markers elevation and in people with history of co morbidities. With this background, thus study aimed to observe association between CRP, D-Dimer, Serum Ferritin, The Initial CT Chest Severity Score and the outcome of Covid 19 in patients with Type 2 Diabetes mellitus. A hospital based retrospective study was done among COVID 19 patients from the period of September toMaterials and methods: December 2020. Patients with Type 2 diabetes mellitus admitted with RT-PCR positive (or) CT Thorax – CORADS 4 and above with age more than 18 years and having CRP, D-Dimer, Serum Ferritin results within 24 hours after admission were included in the study. The data was collected using a semi structured questionnaire. A total of 531 individuals were participated in the study. The mean respiratory rate and oxygenResults: saturation between the survived and deceased groups was statistically signicant (p value 0.024 and 0.044 respectively). All the patients had normal blood urea and serum creatinine values. The mean CORADS score of the participants is 4.78 ± 0.60. There is statisticallyConclusion: signicant difference in the mean respiratory rate and mean SPO2 between deceased and recovered patients. With advancements in medical sciences, it may not be a rigid process to predict severity with laboratory investigations.

Publisher

World Wide Journals

Subject

General Medicine,General Psychology,Psychology (miscellaneous),Plant Science,Ecology, Evolution, Behavior and Systematics,Materials Chemistry,General Chemistry,Catalysis,General Physics and Astronomy,Economics, Econometrics and Finance (miscellaneous),Urban Studies,Social Sciences (miscellaneous),Industrial relations,Library and Information Sciences,Literature and Literary Theory,Applied Mathematics,Computational Theory and Mathematics,Computational Mathematics,Computer Science Applications,Human-Computer Interaction,Sociology and Political Science,Communication

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