Combination of the CD8+:B-cell and Neutrophil-to-Lymphocyte Ratio as a Novel Prediction Model for Intubation Need and Disease Severity in COVID-19 Patients.
In Vivo
; 35(6): 3305-3313, 2021.
Article
in En
| MEDLINE
| ID: mdl-34697162
ABSTRACT
BACKGROUND:
The study provides a novel prediction model for COVID-19 progression and outcome by the combination of the CD8+ B-cells ratio with neutrophil-to-lymphocyte ratio (NLR). PATIENTS ANDMETHODS:
Immune phenotyping was performed in 120 COVID-19 patients.RESULTS:
A decrease in CD8+B-cell (p<0.0001) and in lymphocyte-to-CRP (LCR) ratio (p<0.0001) was observed in intubated patients versus non-intubated with an increase for CD4+CD8+ (p<0.01), NLR (p<0.0001) and CRP Albumin (p<0.001). Receiving operating curve (ROC) analysis predicting requirement for mechanical ventilation revealed the highest AUC for CD8+B-cells, (AUC=0.795, p<0.001) versus NLR (AUC=0.783, p<0.001), LCR (AUC=0.779, p<0.001), AlbuminCRP (AUC=0.750, p<0.001) and CD4+CD8+ (AUC=0.779, p<0.001). Combination of the CD8+ B-cell ratio with the NLR increased the AUC (AUC=0.845, p<0.001). The combined ratios correlated with outcome defined as duration of hospital (r=0.435, p<0.001) or ICU stay (r=0.596, p<0.001).CONCLUSION:
Combination of the CD8+ B-cell ratio and NLR serves as a useful prognostic tool for COVID-19 patient progression.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
COVID-19
/
Neutrophils
Type of study:
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Humans
Language:
En
Journal:
In Vivo
Journal subject:
NEOPLASIAS
Year:
2021
Document type:
Article
Affiliation country:
Greece