Red blood cell profile in patients with mild, moderate and severe COVID-19

Background and objectives: Coronavirus disease 2019 (COVID-19) pandemic has affected millions of people world-wide. It is caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Increasing evidence has shown abnormalities of different hematological parameters with the severity of the diseases. The present study was undertaken to determine the red blood cell (RBC) profile in different categories of COVID-19 patients. Materials and methods: The study was conducted from January 2020 to December 2020. Reverse transcriptase-polymerase chain reaction (RT-PCR) positive COVID-19 patients were enrolled. Patients were categorized into mild, moderate and severe COVID-19 cases. Blood samples were analyzed by Automated Hematology Analyzer for hemoglobin concentration, total erythrocyte count and RBC indices. ANOVA followed by Bonferroni test, Chi square test, Spearman’s rho correlation coefficient test were performed as applicable using SPSS version 25.0. Results: A total of 100 RT-PCR positive COVID-19 patients were included in the study. There were 25, 38 and 37 mild, moderate and severe cases respectively. The mean age of the study participants was 44.68 + 13.16 years (range: 18 to 65 years). There were 67 (67%) males and 33 (33%) females. No significant difference in hemoglobin (Hb), hematocrit (HCT), total RBC count, red blood cell distribution width (CDW) was observed among the three groups. Significant negative correlation of mean corpuscular volume (MCV) and mean corpuscular hemoglobin (MCH); rs-0.362 & -0.255 respectively) was observed with disease severity. Conclusion: The study showed low MCV and MCH were significantly related with the severity of the COVID-19 illness. Therefore, comprehensive analysis of the RBC profile would be helpful to understand the disease course. Ibrahim Med. Coll. J. 2021; 15(2): 26-31

Download Full-text

Red Blood Cell Variables in Children and Adolescents regarding the Age and Sex

Iranian Journal of Public Health ◽

10.18502/ijph.v48i4.1004 ◽

2019 ◽

Cited By ~ 1

Author(s):

Jasmina PLUNCEVIC GLIGOROSKA ◽

Serjoza GONTAREV ◽

Beti DEJANOVA ◽

Lidija TODOROVSKA ◽

Daniela SHUKOVA STOJMANOVA ◽

...

Keyword(s):

Blood Cell ◽

Children And Adolescents ◽

Red Blood Cell ◽

Hematological Parameters ◽

Hemoglobin Concentration ◽

Female Group ◽

Distribution Width ◽

Hematological Indices ◽

Significant Difference ◽

Age And Sex

Background: This study aimed to assess the basic red blood cell variables and hematological indices in children and adolescents and analyze the differences regarding age and sex. Methods: Overall, 320 young participants, age 8 to 18 yr, were enrolled at Laboratory of Sport’s Medicine, Medical Faculty, Skopje, Macedonia in 2016. Capillary blood samples were drawn and following hematologic parameters were measured: the red blood cell count (RBC), hemoglobin concentration (Hb), hematocrit level (Hct) and hematological indexes: mean corpuscular volume (MCV), mean hemoglobin concentration (MCH), mean corpuscular hemoglobin concentration (MCHC) and red cell distribution width (RDW). Results: RBC variables in male group showed high statistical level of significance between age different groups (P=0.001) for all studied parameters except MCHC (P=0.423) and RDW (P=0.174). ANOVA test and multivariate tests in female group showed that there was no significant difference for all hematological parameters between age different groups. Regarding the sex differences, male participants had significantly higher red blood count (P<0.001), hemoglobin content (P<0.001) and hematocrit (P<0.001). Conclusion: Hematological parameters in adolescent as inhomogeneous population are not quantified sufficiently, especially hematological indices. RBC variables, regardless of the age, differ very much between male and female examinees, in favor of the male examinees. Hematological indices were insignificantly higher in males. Regarding the age of examinees, RBC variables showed significant inter-groups differences only within male adolescents. While with girls, ages span 8 to 18 yr, we did not find significant differences for most of the hematological variables.

Download Full-text

Complete Blood Count Peculiarities in Pregnant SARS-CoV-2-Infected Patients at Term: A Cohort Study

Diagnostics ◽

10.3390/diagnostics12010080 ◽

2021 ◽

Vol 12 (1) ◽

pp. 80

Author(s):

Roxana Covali ◽

Demetra Socolov ◽

Razvan Socolov ◽

Ioana Pavaleanu ◽

Alexandru Carauleanu ◽

...

Keyword(s):

Blood Cell ◽

Red Blood Cell ◽

Blood Count ◽

Complete Blood Count ◽

Hemoglobin Concentration ◽

Mean Corpuscular Hemoglobin ◽

Mean Corpuscular Hemoglobin Concentration ◽

Blood Cell Count ◽

Corpuscular Hemoglobin ◽

Distribution Width

Background: During viral outbreaks, pregnancy poses an increased risk of infection for women. Methods: In a prospective study, all patients admitted for delivery at term to Elena Doamna Obstetrics and Gynecology University Hospital in Iasi, Romania, between 1 April 2020 and 31 December 2020 were included. There were 457 patients, divided into two groups: group 1, SARS-CoV-2-positive patients (n = 46) and group 2, SARS-CoV-2-negative patients (n = 411). Among other tests, complete blood count was determined upon admittance, and the following values were studied: white blood cell count, lymphocytes, neutrophils, red blood cell count, hemoglobin, mean corpuscular hemoglobin concentration, mean corpuscular hemoglobin, mean corpuscular volume, red blood cell distribution width, hematocrit, platelet count, mean platelet volume, platelet distribution width, plateletcrit, and platelet large cell ratio. Results: in pregnant SARS-CoV-2-infected patients at term, there was a significant decrease in white blood cell, neutrophil, and lymphocyte count, and an increase in mean corpuscular hemoglobin concentration, compared to healthy pregnant women at term, although all still within normal limits. None of the other components of the complete blood count or fetal outcomes studied was significantly influenced by SARS-CoV-2 infection in pregnant patients at term.

Download Full-text

Impact of weight loss on inflammation and red blood cell biomarkers after laparoscopic gastric banding surgery

Journal of Investigative Medicine ◽

10.1136/jim-2017-000528 ◽

2017 ◽

Vol 66 (2) ◽

pp. 304-308 ◽

Cited By ~ 5

Author(s):

Susana Coimbra ◽

Cátia Ferreira ◽

Luís Belo ◽

Petronila Rocha-Pereira ◽

Alice Catarino ◽

...

Keyword(s):

Weight Loss ◽

Blood Cell ◽

Gastric Banding ◽

Iron Metabolism ◽

Red Blood Cell ◽

Hemoglobin Concentration ◽

Mean Corpuscular Hemoglobin ◽

Obese Patients ◽

Corpuscular Hemoglobin ◽

Distribution Width

Adipose tissue produces several adipokines that are enrolled in different metabolic and inflammatory pathways that may disturb iron metabolism and erythropoiesis. Considering that laparoscopic adjustable gastric banding (LAGB) has not been associated with a long-term risk of malabsorption, we performed a 13-month follow-up study in severe obese patients submitted to LAGB in order to clarify its impact on inflammation, iron metabolism and on red blood cell (RBC) biomarkers. Twenty obese patients were enrolled in the study, being clinical and analytically assessed before (T0) and 13 months after LAGB intervention (T1). Inflammation, iron bioavailability and RBC biomarkers were evaluated at T0 and T1. At T1, weight and anthropometric indices decreased significantly; patients showed a significant increase in mean corpuscular volume, mean corpuscular hemoglobin and mean corpuscular hemoglobin concentration (MCHC), and a reduction in red cell distribution width, ferritin, hepcidin, tumor necrosis factor-α, interleukin-6 (IL-6) and C-reactive protein. Before LAGB, IL-6 correlated negatively with iron, hemoglobin concentration and MCHC; hepcidin correlated inversely with transferrin. Our data show that 13 months after LAGB, the weight loss is associated with an improvement in inflammation, namely a reduction in IL-6 that may reduce hepcidin production, improving iron availability for erythropoiesis, as shown by more adequate erythrocyte hemoglobinization.

Download Full-text

Reference Ranges for Hematological and Biochemical Profile of Martina Franca Donkeys

Frontiers in Veterinary Science ◽

10.3389/fvets.2020.602984 ◽

2020 ◽

Vol 7 ◽

Author(s):

Francesca Trimboli ◽

Ippolito De Amicis ◽

Antonio Di Loria ◽

Carlotta Ceniti ◽

Augusto Carluccio

Keyword(s):

Blood Cell ◽

Hematological Parameters ◽

Hemoglobin Concentration ◽

Conservation Strategies ◽

Total Serum ◽

Mean Corpuscular Hemoglobin ◽

Reference Ranges ◽

Platelet Volume ◽

Distribution Width ◽

Glutamyl Transferase

The Martina Franca donkey (MFd) is one of the largest Italian donkey breeds, considered as endangered breed. To support the conservation strategies, knowledge about the physiologic hematological parameters of MFds is needed. The aims of the study were to determine reference value for hematological and major serum parameters in a population of healthy MFds and to estimate the influence of age on these parameters. Eighty-one clinically healthy MFds (17 males and 64 females) in different ages were enrolled: group A (foals, n° 16, animals < 1 year old) group B (young animals, n° 36, from 1 to 3 years old), and group C (adult animals, n° 29, over 3 years old). Red blood cell count (RBC); hematocrit value (HCT); hemoglobin concentration (HGB); mean corpuscular volume (MCV); mean corpuscular hemoglobin (MCH); hemoglobin concentration distribution width (HDW); RBC distribution width (RDW); total white blood cell (WBC); WBC differential count for neutrophils, lymphocytes, monocytes, eosinophils and basophils, and platelets (PLT); mean platelet volume (MPV); platelet volume distribution width; and plateletcrit (PCT) were analyzed. The biochemistry panel included aspartate aminotransferase (AST), alanine aminotransferase (ALT), alkaline phosphatase (ALP), gamma glutamyl transferase (GGT), total serum protein (TP), albumin (ALB), cholesterol (CHOL), triglyceride (TGL), blood urea nitrogen (BUN), creatinine (CREA), glucose (GLU), Ca2+, phosphorus, Na+, Cl−, K+, and Mg2+. The effect of age on hematological parameters was investigated using one-way ANOVA test. Age of donkeys does not influence total WBC, HGB, HCT, platelet count and MPV, and PCT (P > 0.05). Some leukocyte populations such as eosinophils, monocytes, and basophils showed age-linked variations (P < 0.05). RBC count, RDW, and HDW decrease with age whereas MCV and MCH increase. Na+, K+, Cl−, Ca2+, phosphorus, ALP, GGT, CREA, GLUC, and CHOL decrease with age (P < 0.05), while AST and TP showed an increase with aging (P < 0.05). ALB reaches the lowest values in young donkeys and returns to values of foals in older animals (P < 0.05). Finally, a difference among groups for BUN and TGL was not found (P < 0.05). The results suggest how even for the MFd breed, age is a variable that affects different hematological and biochemical parameters. Compared to other donkey and horses, the MFd breed showed some differences that clinicians involved during conservation strategies need to be consider.

Download Full-text

Changes in white blood cell, red blood cell and platelet parameters following short term aerobic exercise in students of Nnamdi Azikiwe University, Nigeria

International Journal of Sport Exercise and Health Research ◽

10.31254/sportmed.4209 ◽

2020 ◽

Vol 4 (2) ◽

pp. 73-78

Author(s):

Okeke Chizoba O ◽

◽

Mama Emmanuel I ◽

Akosile Christopher O ◽

Ani Kenneth U ◽

...

Keyword(s):

Blood Cell ◽

White Blood Cell ◽

Red Blood Cell ◽

Hematological Parameters ◽

Significant Negative Correlation ◽

Short Term ◽

Distribution Width ◽

Post Exercise ◽

Post Test ◽

Ethical Approval

Background: Haematological changes have been associated with physical activity (exercise) and these changes have been found to involve leucocytes, red blood cells and thrombocytes depending on variables such as the duration and intensity of the exercise. Objective: This experimental pre-post test study was designed to assess the changes in white blood cell, red blood cell and platelet parameters following short term exercise. Method: A total of 30 participants with an average age of 23.8 ± 1.98 years participated in the standard treadmill exercise (Bruce protocol) for 30 minutes on voluntary basis. Blood samples were collected from the subjects before exercise, immediately after exercise and 24 hours after exercise. Hematological parameters were analyzed using hematology auto-analyzer. Height, weight, body mass index and blood pressure of the participant were measured. Ethical approval was obtained from the Ethics committee of Faculty of Health Sciences and Technology and informed consent of the participants were obtained. Statistical Package for Social Sciences version 21 was used for statistical analysis. Results: The platelet count significantly increased post-exercise compared to pre-exercise and decreased 24hours post-exercise compared to postexercise value. Conversely, the Platelet distribution width (PDW) significantly decreased at post-exercise compared to pre-exercise, and significantly increased at 24hours post exercise compared to post-exercise value. Moreover, there was a significant increase in Mean platelet volume (MPV) at 24hours post-exercise compared to post exercise and a significant decrease in Plateletcrit (PCT) at 24hours post-exercise compared to post-exercise. At post-exercise and 24hours post-exercise, the total lymphocyte count was significantly higher in females while the granulocyte count was significantly higher in males. Also at 24 hours post exercise the MCHC was significantly higher in females compared to males. At post-exercise, there was a significant positive correlation between BMI and MCH (r=0.512, P=0.004) and BMI and MCHC (r=0.553, P=0.003) while there was a significant negative correlation between BMI and MPV (r=-0.367, P=0.046). Conclusion: Short term exercise causes significant alterations in platelet parameters than other hematological parameters.

Download Full-text

Impacts of Mycoplasma loads and lung lesions on immune and hematological statuses of pigs in an eight-breed cross heterogeneous population

Journal of Animal Science ◽

10.1093/jas/skaa235 ◽

2020 ◽

Vol 98 (8) ◽

Author(s):

Qing Zhang ◽

Jing Li ◽

Tao Huang ◽

Yifeng Zhang ◽

Wenwu Xu ◽

...

Keyword(s):

Blood Cell ◽

Neutrophil Count ◽

Lymphocyte Count ◽

Hemoglobin Concentration ◽

Mean Corpuscular Hemoglobin ◽

Volume Distribution ◽

Mean Corpuscular Hemoglobin Concentration ◽

Corpuscular Hemoglobin ◽

Distribution Width ◽

Lung Lesions

Abstract Developments of pulmonary diseases, often accompanied by infections of bacteria, severely affect the meat production and welfare of pigs. This study investigated 307 pigs at age of 240 d from an eight-breed cross reared under standardized housing conditions for associations among the extent of lung lesions, bacteria load inferred from 16S rRNA sequencing of bronchoalveolar lavage fluid, as well as 57 immune cells and 25 hematological traits. We showed that the pigs under study suffered substantial and varied lung lesions, and the Mycoplasma is the most associated bacteria genera. At a false discovery rate of 0.05 (FDR < 0.05), the severity of lung lesions were significantly associated with greater CD8+ to CD3+ cell ratio, neutrophil-to-lymphocyte ratio (NLR), and standard deviation of red blood cell volume distribution width (RDW-SD), and lower CD4−CD8−/CD3+, CD3+CD4−CD8−/PBMCs (peripheral blood mononuclear cells) and CD14−CD16−/PBMCs cell ratios, mean corpuscular hemoglobin concentration, lymphocyte count, and lymphocyte count percentage, reflecting an status of inflammation, immune suppression, and hypoxia of the pigs accompanying the progression of the lung lesions. The Mycoplasma abundance showed positive correlations with neutrophil count, neutrophil count percentage, NLR, monocyte count, coefficient of variation in red blood cell volume distribution width , and RDW-SD, and negative correlations with mean corpuscular hemoglobin concentration, lymphocyte count, and lymphocyte count percentage; these correlations are largely consistent with those of lung lesions, supporting the comorbidity of lung lesions and Mycoplasma infection. We also observed nonlinear associations that sharp increases in neutrophil count and neutrophil count percentage occurred only when Mycoplasma abundance raised above the population-average level. The results provide helpful insights into the changes of host immune status in response to Mycoplasma relevant lung diseases in pigs.

Download Full-text

Preliminary Study on the Clinical and Genetic Characteristics of Hereditary Spherocytosis in 15 Chinese Children

Frontiers in Genetics ◽

10.3389/fgene.2021.652376 ◽

2021 ◽

Vol 12 ◽

Author(s):

Chongjun Wu ◽

Ting Xiong ◽

Zhongjin Xu ◽

Chunlei Zhan ◽

Feng Chen ◽

...

Keyword(s):

Blood Cell ◽

Red Blood Cell ◽

Clinical Characteristics ◽

Hemoglobin Concentration ◽

Chinese Children ◽

Test Results ◽

Test Analysis ◽

Genetic Characteristics ◽

Significant Difference ◽

Gene Test

ObjectiveTo investigate the clinical and genetic characteristics of hereditary spherocythemia (HS) in Chinese children, and to analyze the potential genotypic/phenotypic associations.MethodsThe clinical data and gene test results of children with HS were collected. All patients were diagnosed by gene test results, and the laboratory results were obtained before splenectomy. The data of red blood cell (RBC), hemoglobin (HB), mean red blood cell volume (MCV), mean red blood cell hemoglobin (MCH), mean red blood cell hemoglobin concentration (MCHC), and hematocrit (HCT) were statistically analyzed according to different mutation genes. Statistical methods for comparison between groups Mann–Whitney test analysis, two-terminal p < 0.05 was considered significant difference.ResultsA total of 15 children were enrolled in our hospital, and 14 variants were found (nine variants have not been reported before), including 10 ANK1 mutations (seven ANK1 truncated mutations) and five SPTB mutations. Patients with ANK1 mutations had more severe anemia than those with SPTB mutations (significantly lower RBC, HB, MCHC, and HCT).ConclusionThis is one of the few studies on the genetic and clinical characteristics of children with HS in China. This study identified the unique genetic and clinical characteristics of Chinese children with HS and analyzed the pathogenic genotype–phenotypic association. The results confirmed that the anemia degree of HS patients caused by ANK1 was more serious than that of patients with SPTB deficiency. However, further study of the correlation between genotype and phenotype requires a larger sample size.

Download Full-text

Blood Donation in Nigeria: Standard of the Donated Blood

Journal of Laboratory Physicians ◽

10.4103/0974-2727.105589 ◽

2012 ◽

Vol 4 (02) ◽

pp. 094-097 ◽

Cited By ~ 4

Author(s):

Nwogoh Benedict ◽

Awodu Omolade Augustina ◽

Bazuaye Godwin Nosakhare

Keyword(s):

Blood Donation ◽

Hematological Parameters ◽

Hemoglobin Concentration ◽

Mean Corpuscular Hemoglobin ◽

Corpuscular Hemoglobin ◽

Mean Cell Volume ◽

Benin City ◽

Cell Counts ◽

Significant Difference ◽

The Mean

ABSTRACT Objective: The objective was to determine the basic hematological parameters of remunerated blood donors in Benin City and to compare them with those of voluntary donors. Materials and Methods: This is a prospective study conducted in a tertiary health facility in Benin City. Pretransfusion samples were obtained from blood bags after gentle mixing and analyzed for hematological parameters. Samples were analyzed using the hematology autoanalyzer MODEL SYSMEX KN21. Result: A total of 215 samples were obtained comprising 160 remunerated (paid) and 55 voluntary donor samples. In the paid donors, the mean hemoglobin concentration (Hb) and hematocrit (HCT) 7.7±2.9 and 28.8±8.5 respectively. This was significantly lower than those of voluntary donors who had 13.9±1.2 and 42.2±3.3 with P < 0.001. The mean values of the red cell counts (RBC), white cell counts (WBC), mean cell volume (MCV), mean corpuscular hemoglobin (MCH), and mean corpuscular hemoglobin concentration (MCHC) were significantly lower in paid donors as P-values were <0.001. MCV was significantly low but not compared to the other parameters as P=0.04. There was no significant difference in the platelet count. Conclusion: Paid donors in Benin City have significantly lower hematological parameters than controls.

Download Full-text

Inherited microcytic anemias

Hematology ◽

10.1182/hematology.2020000158 ◽

2020 ◽

Vol 2020 (1) ◽

pp. 465-470

Author(s):

Maria Domenica Cappellini ◽

Roberta Russo ◽

Immacolata Andolfo ◽

Achille Iolascon

Keyword(s):

Iron Deficiency ◽

Blood Cell ◽

Iron Metabolism ◽

Red Blood Cell ◽

Iron Status ◽

Transferrin Saturation ◽

Microcytic Anemia ◽

Deficiency Anemia ◽

Mean Corpuscular Hemoglobin ◽

Distribution Width

Abstract Inherited microcytic anemias can be broadly classified into 3 subgroups: (1) defects in globin chains (hemoglobinopathies or thalassemias), (2) defects in heme synthesis, and (3) defects in iron availability or iron acquisition by the erythroid precursors. These conditions are characterized by a decreased availability of hemoglobin (Hb) components (globins, iron, and heme) that in turn causes a reduced Hb content in red cell precursors with subsequent delayed erythroid differentiation. Iron metabolism alterations remain central to the diagnosis of microcytic anemia, and, in general, the iron status has to be evaluated in cases of microcytosis. Besides the very common microcytic anemia due to acquired iron deficiency, a range of hereditary abnormalities that result in actual or functional iron deficiency are now being recognized. Atransferrinemia, DMT1 deficiency, ferroportin disease, and iron-refractory iron deficiency anemia are hereditary disorders due to iron metabolism abnormalities, some of which are associated with iron overload. Because causes of microcytosis other than iron deficiency should be considered, it is important to evaluate several other red blood cell and iron parameters in patients with a reduced mean corpuscular volume (MCV), including mean corpuscular hemoglobin, red blood cell distribution width, reticulocyte hemoglobin content, serum iron and serum ferritin levels, total iron-binding capacity, transferrin saturation, hemoglobin electrophoresis, and sometimes reticulocyte count. From the epidemiological perspective, hemoglobinopathies/thalassemias are the most common forms of hereditary microcytic anemia, ranging from inconsequential changes in MCV to severe anemia syndromes.

Download Full-text

Effect of Resistance Training on Hematological Blood Markers in Older Men and Women: A Pilot Study

Current Gerontology and Geriatrics Research ◽

10.1155/2009/156820 ◽

2009 ◽

Vol 2009 ◽

pp. 1-4 ◽

Cited By ~ 12

Author(s):

Florian Bobeuf ◽

Mélissa Labonté ◽

Abdelouahed Khalil ◽

Isabelle J. Dionne

Keyword(s):

Resistance Training ◽

Large Population ◽

Hemoglobin Concentration ◽

Blood Parameters ◽

Mean Corpuscular Hemoglobin ◽

Older Individuals ◽

Corpuscular Hemoglobin ◽

Distribution Width ◽

Men And Women ◽

Significant Difference

The aim of this study was to examine the effects of resistance training on hematological blood markers in older individuals. Twenty-nine men and women participated to this study. Subjects were randomized in 2 groups: (1) control (n=13) and (2) resistance training (n=16). At baseline and after the intervention, subjects were submitted to a blood sample to determine their hematological profile (red blood cells, hemoglobin, hematocrit, platelets, leukocytes, neutrophils, lymphocytes, monocytes, mean corpuscular volume, mean corpuscular hemoglobin, mean corpuscular hemoglobin concentration, red cell distribution width). At baseline, no difference was observed between groups. Moreover, we found no significant difference after the intervention on any of these markers. A 6-month resistance program in healthy older individuals seems to have no beneficial nor deleterious effects on hematological blood parameters. However, resistance training was well tolerated and should be recommended for other health purposes. Further studies are needed to confirm these results in a large population.

Download Full-text