401042

COVID-19 infection in a resource-limited setting: Predictors of severity and mortality

Article

Last updated: 04 May 2025

Subjects

-

Tags

Infectious Diseases

Abstract

Background: Following the declaration of COVID-19 infection as a pandemic by the World Health Organisation (WHO), researchers have been working to identify diagnostic and prognostic markers while considering the accuracy and cost-effectiveness of the selected method. This study aimed to identify common COVID-19 infection clinical severity and outcome predictors in a resource-constrained setting. Method: This analytical cross-sectional study involved 91 COVID-19 infection patients diagnosed with real-time polymerase chain reaction (RT‒PCR) for SARS-CoV-2. The prognostic usefulness of several COVID-19 infection predictors was assessed using multiple logistic regression analysis and the receiver operating characteristic (ROC) curve. A P value< 0.05 is considered significant. Results: The mean age of the participants was 65.37±12.13 years, with males being predominant 51(56%). Furthermore, age, body mass index, haemoglobin, total white blood cell count, neutrophil count, lymphocyte count, neutrophil-to-lymphocyte ratio, serum creatinine, D-dimer, C-reactive protein, random blood sugar, spontaneous oxygen saturation and respiratory rate were found to be strongly correlated with the severity and mortality of COVID-19 infection (P values< 0.05). Among the different biomarkers studied, the most reliable predictors of COVID-19 infection severity and mortality were the neutrophil-lymphocyte ratio (for severity; aOR = 8.060, AUC = 0.81 and for mortality; aOR = 4.139, AUC = 0.85) and D-dimer level (for severity; aOR = 4.695, AUC = 0.77, and for mortality; aOR = 3.508, AUC = 0.82). Conclusions: This study identified several independent, inexpensive, simple, and important biomarkers of COVID-19 infection that can be used for patient stratification and resource allocation, especially in resource-limited settings.

DOI

10.21608/mid.2024.332889.2325

Keywords

COVID-19 Infection, Predictor, severity, mortality, D-Dimer

Authors

First Name

Ahmed

Last Name

Yassin

MiddleName

Suliman

Affiliation

Department of Physiology, Faculty of Medicine, The National Ribat University, Khartoum, Sudan.

Email

nruphysiology@gmail.com

City

-

Orcid

-

First Name

Ibrahim

Last Name

Ali

MiddleName

Abdelrhim

Affiliation

Department of Physiology, Faculty of Medicine, The National Ribat University, Khartoum, Sudan.

Email

hemamedicine@gmail.com

City

-

Orcid

0000-0001-8333-5735

First Name

Muaath

Last Name

Mohammed

MiddleName

Ahmed

Affiliation

Department of Physiology, Faculty of Medicine, The National Ribat University, Khartoum, Sudan.

Email

mwawssi0@gmail.com

City

-

Orcid

0009-0006-2314-0905

First Name

Izzut

Last Name

Ahmed

MiddleName

Awad

Affiliation

Department of Physiology, Faculty of Medicine, The National Ribat University, Khartoum, Sudan.

Email

izzutawad@gmail.com

City

-

Orcid

0009-0009-1145-890X

First Name

Nisreen

Last Name

Omer

MiddleName

DaffaAlla

Affiliation

Basic Medical Department, College of Medicine, Almaarefa University, Riyadh, Saudi Arabia, Department of Physiology, Faculty of Medicine, University of Khartoum, Khartoum, Sudan.

Email

niomar@gmail.com

City

-

Orcid

-

Volume

6

Article Issue

2

Related Issue

55370

Issue Date

2025-05-01

Receive Date

2024-11-01

Publish Date

2025-05-01

Page Start

444

Page End

454

Print ISSN

2682-4132

Online ISSN

2682-4140

Link

https://mid.journals.ekb.eg/article_401042.html

Detail API

http://journals.ekb.eg?_action=service&article_code=401042

Order

4

Type

Original Article

Type Code

1,157

Publication Type

Journal

Publication Title

Microbes and Infectious Diseases

Publication Link

https://mid.journals.ekb.eg/

MainTitle

COVID-19 infection in a resource-limited setting: Predictors of severity and mortality

Details

Type

Article

Created At

04 May 2025