Hematological Impact of COVID-19: Anemia in Post-COVID | ||
| Benha Medical Journal | ||
| Article 11, Volume 41, Issue 2, May and June 2024, Pages 118-127 PDF (590.17 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bmfj.2023.244728.1939 | ||
| Authors | ||
| Taher Abdel-Aziz* 1; Ghada Nabil Abd El Aziz2; Mai Fawzy3; Nagwa Ibrahim EL Dosoky4; Hanaa Iraqi Ahmed Hegab5; Ismail Dahshan6 | ||
| 1Clinical Research Unit, Directorate of Health Affairs in Qalyubia, Ministry of Health and Population, Egypt | ||
| 2American Board in pharmacotherapy, Specialized Kafr Shokr Hospital, Qalyubia, Ministry of Health and Population, Egypt) | ||
| 3Radiology Department, Benha Fever Hospital, Qalyubia Directorate of Health, Ministry of Health and Population, Egypt | ||
| 4Msc Pediatric Nursing, Specialized Kafr Shokr Hospital, Qalyubia, Ministry of Health and Population, Egypt | ||
| 5MSc Chemical and Clinical Pathology, Specialized Kafr Shokr Hospital, Qalyubia, Ministry of Health and Population, Egypt | ||
| 6Department of Family Medicine, Faculty of Medicine, Sues Canal University, Egypt | ||
| Abstract | ||
| Purpose: This study’s purpose was to assess the relationship between COVID-19 and hematological variations on admission and 6 months after discharge. Patients and Methods: In a prospective observational study at Kafr Shokr Specialized Hospital from September 2021 to September 2022, 292 adult patients with PCR-confirmed COVID-19 were categorized into hospitalized and non-hospitalized groups. Comprehensive clinical evaluations, including blood assessments, were conducted. The hospitalized patients were re-evaluated for anemia six months after discharge. Results: Hemoglobin (Hb) levels were significantly higher in the non-hospitalized group, with a mean of 14.13 g/dL, compared to the hospitalized group with 12.43 g/dL (p < 0.001). Anemia affected 18.005% of the non-hospitalized group, compared to 45.3% of the hospitalized group. At 6-month follow-up, hospitalized patients showed a decrease in Hb levels and platelet counts and an increase in white blood cell counts. Logistic regression identified baseline anemia, lower Hb, and reduced MCH levels as predictors for post-COVID anemia. Conclusion: The study revealed that COVID-19 severity was associated with anemia, which persisted and increased in prevalence six months post-infection. Baseline anemia, Hb, and MCH levels emerged as crucial predictors for post-COVID anemia, emphasizing the need for continuous hematological monitoring in COVID-19 survivors. | ||
| Keywords | ||
| COVID-19; anemia; disease severity; post-COVID | ||
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