Coagulation Abnormalities in Covid-19 Positive Patients at Covid Hospital of Hassan Institute of Medical Sciences, Hassan

Abstract

Shivakumarswamy Udasimath1, Nagesha K.R.2, Kumar Naik H.K.3, Puruhotham R.4

BACKGROUND
Throughout the world, millions of people are affected by corona virus disease 2019
(Covid-19). 16 % of infected Covid-19 people may need hospitalisation. Patients
with severe respiratory or systemic manifestations are at increased risk of venous
thromboembolism. Thrombocytopenia, elevated D-Dimer, prolonged prothrombin
time, and features of disseminated intravascular coagulation laboratory findings
are included in initial reports on Covid-19 patients’ blood samples.
METHODS
This cross-sectional study was conducted at pathology laboratory, Hassan Institute
of Medical Sciences, Hassan, between June 01, 2020 to August 29, 2020. 4096
patients’ blood samples with Covid-19 positivity in Covid Hospital of Hassan
Institute of Medical Sciences, Hassan, were analysed in detail and statistical
reports were derived from the fresh samples for platelet count, prothrombin time
and D-Dimer. The results were compared with severity of infection.
RESULTS
Analysis of 4096 Covid-19 blood sample results, revealed significant abnormal
mean values in critical cases for platelet count in which it was severely decreased
(35,000 cells / cumm), prothrombin time was prolonged for more than 180
seconds and D-Dimer values were 3.74 microgram per ml.
CONCLUSIONS
As the pandemic is spreading, we highlight the importance of laboratory and
clinical findings of coagulation disorders in Covid-19 infected patients. To prevent
death of Covid-19 infected patients, noticing the laboratory findings related to
coagulation will help in early detection of critical patients. This is very important
for relevant treatment and may prevent mortality in Covid-19 infected patients.

image