Alterações de parâmetros laboratoriais em pacientes com COVID-19
uma revisão sistemática
DOI:
https://doi.org/10.24220/2318-0897v31e2022a5379Palabras clave:
Biomarcadores, Covid-19, Diagnóstico laboratorialResumen
O objetivo deste estudo foi identificar e reunir os principais achados disponíveis no começo da pandemia, acerca das alterações laboratoriais de pacientes internados com COVID-19 e discutir a predominância dessas alterações na gravidade do curso da doença. Trata-se de uma revisão sistemática de literatura, restringida a publicações até abril de 2020, utilizando as bases de dados Lilacs e Pubmed. Um total de 381 publicações foram encontradas nas bases de dados consultadas e destas, 17 publicações foram elegíveis para análise conforme os critérios de inclusão e exclusão. Parâmetros laboratoriais como a redução de linfócitos e elevação de D-dímeros, lactato desidrogenase e proteína C reativa parecem estar ligados à infecção pelo SARS-CoV-2 e podem servir como indicadores prognósticos da doença. A linfocitopenia e o aumento de D-dímeros são marcadores relacionados ao agravamento da doença e a desfechos desfavoráveis como óbito.
Descargas
Citas
Guan W, Ni Z, Hu Y, Liang W, Ou C, He J, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020[citado 2020 April 30];382(18):1708-20. Disponível em: https://www.nejm.org/doi/10.1056/NEJMoa2002032
World Health Organization. Coronavirus Disease Pandemia. Geneva: World Health Organization; 2020[citado 2020 May 20]. Disponível em: https://www.who.int/emergencies/diseases/novel-coronavirus-2019
Johns Hopkins University. Coronavirus Resource Center. 2021[citado 2022 Fev 28]. Disponível em: https://coronavirus. jhu.edu/map.html
Wiersinga WJ, Rhodes A, Cheng AC, Peacock SJ, Prescott HC. Pathophysiology, Transmission, Diagnosis, and Treatment of Coronavirus Disease 2019 (COVID-19): A Review. J Am Med Assoc. 2020[citado 2020 Jul. 10];324(8):782-93. Disponível em: https://jamanetwork.com/journals/jama/fullarticle/2768391
Santos C, Pimenta C, Nobre M. A estratégica PICO para a construção da pergunta de pesquisa e busca de evidências. Rev Latino-am Enferm. 2007;15(3):2-5. https://doi.org/10.1590/S0104-11692007000300023
Chen T, Wu D, Chen H, Yan W, Yang D, Chen G, et al. Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study. BMJ. 2020;368(1091):1-12. https://doi.org/10.1136/bmj.m1091
Zhou F, Yu T, Du R, Fan G, Liu Y, Liu Z, et al. Clinical course and risk factors for mortality of adult inpatients with COVID-19 in Wuhan, China: a retrospective cohort study. Lancet. 2020;395(10229):1054-62. https://doi.org/10.1016/ S0140-6736(20)30566-3
Lei S, Jiang F, Su W, Chen C, Chen J, Mei W, et al. Clinical characteristics and outcomes of patients undergoing surgeries during the incubation period of COVID-19 infection. E Clinical Med. 2020;21:100331. https://doi.org/10.1016/j. eclinm.2020.100331
Wan S, Xiang Y, Fang W, Zheng Y, Li B, Hu Y, et al. Clinical features and treatment of COVID-19 patients in northeast Chongqing. J Med Virol. 2020;92(7):797-806. https://doi.org/10.1002/jmv.25783
Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497-506. https://doi.org/10.1016/S0140-6736(20)30183-5
Qin C, Zhou L, Hu Z, Zhang S, Yang S, Tao Y, et al. Dysregulation of immune response in patients with COVID-19 in Wuhan, China. Clin Infect Dis. 2020;28(71):762-8. https://doi.org/10.1093/cid/ciaa248
Zheng F, Tang W, Li H, Huang YX, Xie YL, Zhou ZG. Clinical characteristics of 161 cases of corona virus disease 2019 (COVID-19) in Changsha. Eur Rev Med Pharmacol Sci. 2020[citado 2020 Maio 24];24(6):3404-10. Disponível em: https://www.europeanreview.org/article/20711
Wang R, Pan M, Zhang X, Han M, Fan X, Zhao F, et al. Epidemiological and clinical features of 125 Hospitalized Patients with COVID-19 in Fuyang, Anhui, China. Int J Infect Dis. 2020;95:421-8. https://doi.org/10.1016/j.ijid.2020.03.070
Tu WJ, Cao J, Yu L, Hu X, Liu Q. Clinicolaboratory study of 25 fatal cases of COVID-19 in Wuhan. Intensive Care Med. 2020;46(6):1117-20. https://doi.org/10.1007/s00134-020-06023-4
Du Y, Tu L, Zhu P, Mu M, Wang R, Yang P, et al. Clinical features of 85 fatal cases of COVID-19 from Wuhan: A retrospective observational study. Am J Respir Crit Care Med. 2020;201(11):1372-9. https://doi.org/10.1164/rccm.202003-0543OC
Xu XW, Wu XX, Jiang XG, Xu KJ, Ying LJ, Ma CL, et al. Clinical findings in a group of patients infected with the 2019 novel coronavirus (SARS-Cov-2) outside of Wuhan, China: Retrospective case series. BMJ. 2020[citado 2020 junho 15];368(m606):1-7. https://www.bmj.com/content/368/bmj.m606
Chen N, Zhou M, Dong X, Qu J, Gong F, Han Y, et al. Epidemiological and clinical characteristics of 99 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a descriptive study. Lancet. 2020;395(10223):507-13. https://doi. org/10.1016/S0140-6736(20)30211-7
Zhang G, Zhang J, Wang B, Zhu X, Wang Q, Qiu S. Analysis of clinical characteristics and laboratory findings of 95 cases of 2019 novel coronavirus pneumonia in Wuhan, China: a retrospective analysis. Respir Res. 2020[citado 2020 Maio 25];21(74):1-10. Disponível em: https://respiratory-research.biomedcentral.com/articles/10.1186/s12931-020-01338-8
Goyal P, Choi JJ, Pinheiro LC, Schenck EJ, Chen R, Jabri A, et al. Clinical Characteristics of Covid-19 in New York City. N Engl J Med. 2020[citado 2020 Maio 30];100(1):1-3. Disponível em: https://www.nejm.org/doi/full/10.1056/ NEJMc2010419
Li R, Tian J, Yang F, Lv L, Yu J, Sun G, et al. Clinical characteristics of 225 patients with COVID-19 in a tertiary Hospital near Wuhan, China. J Clin Virol. 2020;127(104363):1-3. https://doi.org/10.1016/j.jcv.2020.104363
Wang X, Liu W, Zhao J, Lu Y, Yu C, Hu S, et al. Clinical characteristics of 80 hospitalized frontline medical workers infected with COVID-19 in Wuhan, China. J Hosp Infect. 2020;105(3):399-403. https://doi.org/10.1016/j.jhin.2020.04.019
Kazemi E, Soldoozi Nejat R, Ashkan F, Sheibani H. The laboratory findings and different COVID-19 severities: a systematic review and meta-analysis. Ann Clin Microbiol Antimicrob. 2021;20(1):1-12. https://doi.org/10.1186/s12941-021-00420-3
Teimury A, Khameneh MT, Khaledi EM. Major coagulation disorders and parameters in COVID-19 patients. Eur J Med Res. 2022;27(1):1-10. https://doi.org/10.1186/s40001-022-00655-6
Khamis AH, Jaber M, Azar A, Al Qahtani F, Bishawi K, Shanably A. Clinical and laboratory findings of COVID-19: a systematic review and meta-analysis. J Formos Med Assoc. 2021;120(9):1706-18. https://doi.org/10.1016/j.jfma.2020.12.003
Pink I, Raupach D, Fuge J, Vonberg RP, Hoeper MM, Welte T, et al. C-reactive protein and procalcitonin for antimicrobial stewardship in COVID-19. Infection. 2021;49(5):935-43. https://doi.org/10.1007/s15010-021-01615-8
Gorog DA, Storey RF, Gurbel PA, Tantry US, Berger JS, Chan MY, et al. Current and novel biomarkers of thrombotic risk in COVID-19: a Consensus Statement from the International COVID-19 Thrombosis Biomarkers Colloquium. Nat Rev Cardiol. 2022 [citado 2020 Fev 20];19:475-95. Disponivel em: https://www.nature.com/articles/s41569-021-00665-7
Pecly IMD, Azevedo RB, Muxfeldt ES, Botelho BG, Albuquerque GG, Silva R, et al. A review of Covid-19 and acute kidney injury: from pathophysiology to clinical results. J Bras Nefrol. 2021;43(4):551-71. https://doi.org/10.1590/2175- 8239-JBN-2020-0204