Evidence map›Paper›PMID 39576020›Full record

ArticleFuture science OA2024

Red cell distribution width-to-platelet ratio (RPR) as a predictor of prolonged stay at hospital for COVID-19 inpatients.

Martha Fors, Santiago J Ballaz

Abstract read
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Article in Future science OA, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Martha ForsEscuela de Medicina, Universidad de las Américas-UDLA, Quito, Ecuador.ORCID 0000-0002-0844-199X
Santiago J BallazFacultad de Ciencias de la Salud, Universidad Espíritu Santo, Samborondón, Ecuador.ORCID 0000-0001-5878-8679

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

AIMS/

backgroundWe looked at novel hematological composites like the neutrophil-to-lymphocyte ratio, platelet-to-lymphocyte ratio, monocyte-to-lymphocyte ratio, red cell distribution width-to-lymphocyte ratio, red cell distribution width-to-platelet ratio, leukocyte-to-C reactive protein ratio, and lymphocyte-to-C reactive protein ratio as explanatory variables for COVID-19 patients´ hospital length of stay (LoS).

methodsThe association of hematological indices with LoS was analyzed on 2930 COVID-19 patients using the univariate and multivariable Cox proportional hazards regression models with enter method. The Kaplan-Meier survival estimates were applied to LoS.

resultsThe survivors´ mean LoS was 7.8 ± 24.0 days, but the deaths´ mean LoS was 38.6 ± 41.9 days (W = 31338, p < 0.01). Every hematological scores representative of the inflammatory status was significantly correlated in the univariate analysis with a prolonged LoS (p < 0.001). In the multivariate analysis, it was discovered that just the monocyte-to-lymphocyte and lymphocyte-to-C reactive protein ratios had not achieved statistical significance. However, most systemic inflammation measures showed hazards ratios close to one. One exemption was the red cell distribution width-to-platelet ratio (RPR) index, which can increase the probability of a longer hospital stay by up to ten times (HR(IC95%) = 0.092(0.03-0.29); p < 0.001).

conclusionThe most effective biomarker to identify COVID-19 patients at high risk for extended hospital stay was RPR. HIGHLIGHTS:

Indexed as

COVID-19C-reactive proteinerythrocyte indiceslength of stayleukocyte countlymphocyte countplatelet countsurvival analysis

Identifiers

PMID39576020
PMCPMC11587840

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