Hamdi Metin, Nevin Köremezli Keskin, Adilen Şen
Experimental and Applied Medical Science - 2025;6(3):231-240
Objective: To examined the relationship between hematologic parameters and prognosis in patients diagnosed with COVID-19 in the pediatric emergency department. Methods: This study was designed as a retrospective cross-sectional study. A total of 605 patients admitted to the emergency department were analyzed. WBC, lymphocyte, monocyte, neutrophil and platelet counts, hemoglobin, creatinine, albumin and CRP levels were recorded. Neutrophil-lymphocyte ratio (NLR), SII (platelet count x neutrophil count/lymphocyte count), lymphocyte-CRP ratio (LCR), platelet-NLR (P/NLR) and platelet-CRP ratio (P/CRP) were obtained. Cases were classified according to hospitalization status and age groups. Results: A total of 656 pediatric patients were admitted to a tertiary hospital emergency department with COVID-19 rt-PCR positivity.51 patients were excluded. 225 (37.2%) of the patients were hospitalized patients.80.00% of patients under 1 year were hospitalized, whereas 26.9% of the 15-17 age group were hospitalized. WBC levels were significantly higher in hospitalized patients only in the 7-14 age group (p=0.007); lymphocyte and CRP levels were not observed to be significant in terms of hospitalization in any age group. Conclusion: In pediatric patients infected with Covid-19, hospitalization of younger patients was prioritized over all hematologic parameters due to the uncertainty of the process and prognosis at the beginning.
