IFCC Interim Guidelines on Biochemical/Hematological Monitoring of COVID-19 Patients
- PMID: 33027044
- DOI: 10.1515/cclm-2020-1414
IFCC Interim Guidelines on Biochemical/Hematological Monitoring of COVID-19 Patients
Abstract
Routine biochemical and hematological tests have been reported to be useful in the stratification and prognostication of pediatric and adult patients with diagnosed coronavirus disease (COVID-19), correlating with poor outcomes such as the need for mechanical ventilation or intensive care, progression to multisystem organ failure, and/or death. While these tests are already well established in most clinical laboratories, there is still debate regarding their clinical value in the management of COVID-19, particularly in pediatrics, as well as the value of composite clinical risk scores in COVID-19 prognostication. This document by the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) Task Force on COVID-19 provides interim guidance on: (A) clinical indications for testing, (B) recommendations for test selection and interpretation, (C) considerations in test interpretation, and (D) current limitations of biochemical/hematological monitoring of COVID-19 patients. These evidence-based recommendations will provide practical guidance to clinical laboratories worldwide, underscoring the contribution of biochemical and hematological testing to our collective pandemic response.
Keywords: COVID-19; SARS-CoV-2; biochemistry; hematology.
References
-
- Singh, A, Sood, N, Narang, V, Goyal, A. Morphology of COVID-19-affected cells in peripheral blood film. BMJ Case Rep 2020;13: e236117. https://doi.org/10.1136/bcr-2020-236117.
-
- Huang, I, Pranata, R. Lymphopenia in severe coronavirus disease-2019 (COVID-19): systematic review and meta-analysis. J. Intensive Care 2020; 8: 36. https://doi.org/10.1186/s40560-020-00453-4.
-
- Henry, BM, De Oliveira, MHS, Benoit, S, Plebani, M, Lippi, G. Hematologic, biochemical and immune biomarker abnormalities associated with severe illness and mortality in coronavirus disease 2019 (COVID-19): a meta-analysis. Clin Chem Lab Med 2020; 58: 1021–8. https://doi.org/10.1515/cclm-2020-0369.
-
- Zhang, J, Dong, X, Cao, Y, Yuan, Y, Yang, Y, Yan, Y, et al. Clinical characteristics of 140 patients infected with SARS-CoV-2 in Wuhan, China. Eur J Allergy Clin Immunol 2020; 75: 1730–41. https://doi.org/10.1111/all.14238.
-
- Bao, J, Li, C, Zhang, K, Kang, H, Chen, W, Gu, B. Comparative analysis of laboratory indexes of severe and non-severe patients infected with COVID-19. Clin Chim Acta 2020; 509: 180–94. https://doi.org/10.1016/j.cca.2020.06.009.
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