Abstract

Background The Coronavirus 2019 is a pandemic that has spread worldwide, threatening human health. The main cause of death in patients with COVID-19 is a systemic pro-infammatory mechanism that quickly progresses to acute respiratory distress syndrome. Hematological ratios as afordable indicators of infammatory response were studied in COVID-19 patients. The study aimed to study the importance of the blood cell indexes of the systemic infammatory response, as the Aggregate Index of Systemic Infammation (AISI), neutrophils lymphocyte to platelet ratio (NLPR), systemic immuneinfammation index (SII) and, systemic infammation response index (SIRI) in predicting intensive care unit (ICU) admission of COVID-19 patients.

Methods 495 COVID-19 patients managed in four tertiary centers; divided into non-ICU and ICU groups.

Results Total leucocyte count (TLC), AISI, NLPR, SII, and SIRI were more elevated in the ICU group (P<0.001 for all except AMC P=0.006), while this group had less absolute lymphocyte count (ALC) (P=0.047). We estimated the optimal cut-of values of the hematological ratio; AISI (729), NLPR (0.0195), SII (1346), and SIRI (2.5). SII had the highest specifcity (95.6%), while NLPR had the highest sensitivity (61.3%). Age, AISI, CRP, D-dimer, and oxygen aid were the independent predictors for ICU admission in COVID-19 in multivariate logistic regression.

Conclusion AISI is a predictor for severity and ICU admission in COVID-19 patients, SII is a predictor of survival, while NLPR and SIRI have an additive role that needs further evaluation.