The relationship between the severity of radiological involvement in
COVID-19 pneumonia and the neutrophil-lymphocyte ratio, the
platelet-lymphocyte ratio, and C-reactive protein level
Abstract
Background: Various studies describing the clinical characteristics of
patients with COVID-19 pneumonia have shown that patients with a severe
disease course have a tendency to have higher C-reactive protein (CRP)
levels, neutrophil-lymphocyte ratio (NLR) and platelet-lymphocyte ratio
(PLR). Aims: The aim of this study was to determine whether or not there
was a correlation between the CRP value, NLR, and PLR, which are simple,
effective, and repeatable predictive values, and the lung involvement
severity score determined from the thoracic computed tomography (CT)
findings of patients with COVID-19 pneumonia. Methods: This
retrospective study included 200 patients admitted to the COVID-19
clinic of Erzincan Binali Yildirim University Mengucek Gazi Training and
Research Hospital between 01.10.2020 and 31.12.2020. The thoracic CT
examination results and CT scores of the patients were recorded. The
relationships were investigated between the thoracic CT score and the
systemic inflammatory mediator levels. Results: A positive correlation
was determined between the radiological scoring and NLR at a weak level
(r=0.22, p=0.001), PLR at a weak level (r=0.18, p=0.012) and CRP at a
moderate level (r=0.43, p<0.001).