Parámetros de laboratorio relevantes en pacientes al ingreso hospitalario entre julio 2020 y octubre 2021 por covid 19 en el Hospital Fundación Tesãi
DOI:
https://doi.org/10.53732/rccsalud/04.02.2022.27Keywords:
biomarcadores, valores críticos de laboratorio, COVID-19Abstract
Introducción: en la lucha contra el COVID-19 es urgente la identificación de predictores de laboratorio en la progresión de formas graves y fatales. Objetivo: describir las alteraciones de los parámetros de laboratorio de pacientes con COVID 19 ingresados al Hospital Fundación Tesãi de Ciudad del Este-Paraguay en el período de julio de 2020 a octubre de 2021. Métodos: estudio retrospectivo, utilizando los registros de 103 pacientes ingresados al hospital por diagnóstico de COVID 19. Se recolectaron datos demográficos, clínicos y de laboratorio al ingreso hospitalario. Resultados: el 53,4% de los pacientes era del sexo masculino, edad media de 62,3±15,4 años y el 43,6% ingresó por neumonía. El 54,3% presentaba linfopenia, el 26% trombocitopenia y el 27% anemia. En el perfil hepático y renal, el 37,9% tenían niveles elevados de urea, el 56,3% niveles elevados de GOT, 26% y 61% niveles elevados de GPT y GGT, respectivamente. En cuanto a los biomarcadores, el 80 % tenía niveles elevados de LDH, el 34 % niveles elevados de dímero D, el 100 % proteína C reactiva elevada, el 43,7 % procalcitonina elevada y el 89,3 % ferritina elevada. Se encontraron diferencias significativas (p<0,05) según el sexo en los parámetros de hemoglobina, hematocrito, creatinina y el índice LMR. Conclusión: los pacientes presentaron diversas alteraciones en casi todos los parámetros evaluados, resultados que ofrecen un panorama general del estado de salud con el que ingresa el paciente con COVID 19 al hospital.
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