PROGNOSTIC VALUE OF NEUTROFIL LIMFOSITE RATIO, D DIMER LEVELS AND SCORING OF LUNG LESSION ON CHEST X-RAY ON MORTALITY OF COVID-19 PATIENTS
Yudith Yunia Kusmala (a), Jusron Iriawan(a), Fariz Albarri(b), Tersia Viradanti(b), Sunnatul Mufarrohah(b)

(a). Internal Medicine Dept. Medical Faculty Universitas Jenderal Achmad Yani
(b). Programme of Bacheclor Degree Medical Faculty Universitas Jenderal Achmad Yani

Abstract

Acute Respiratory Distress Syndrome (ARDS) plays an important role that increase mortality in Covid-19 patients. Several parameters have been tried to predict the patient^s condition for worsening and even death. The objective of this study was to determine the prognostic value of the neutrophil lymphocyte ratio (NLR), D Dimer levels and the degree of severity of lung lesions on chest X-rays on patient mortality. A cross sectional study was conducted on 53 patients with positive PCR at Kebon Jati Hospital Bandung for the period September-December 2020. Each patient who was admitted, carried out routine examinations of NLR, D Dimer and chest X ray. There were 40 (75.5%) survival patients and 13 (24.5%) patients were died. The mean NLR, D Dimer, score of lung lesions on chest X-rays of patients who died was higher than those of the survival. NLR (8.59 vs 4.10- P = 0.002), D Dimer (3,285.08 vs 1,489.33- P = 0.000) and scoring for lung lesions on the chest X-ray (11.00 vs 6.82- P = 0.001). The prognostic value of these parameters above shown by the Area Under Curve (AUC), with the largest value represented by the AUC NLR of 0.0840, P = 0.000. The NLR value> 5.07 has a sensitivity of 92.3% and a specificity of 79.5% in predicting the occurrence of death due to Covid-19. The results showed that the NLR, D Dimer and thoracic lesion scoring at the time of admission to the hospital have prognostic values for the mortality of Covid-19 patients.

Keywords: Prognostic Value, Neurofil Limfosit Ratio, D Dimer, Chest X-ray Scoring, Covid 19

Topic: Covid 19 in Emergency