From: First wave of COVID-19 hospital admissions in Denmark: a Nationwide population-based cohort study
Laboratory parameters (unit) | Median reference interval | Baseline biochemistry for all admitted patients | Baseline biochemistry for patients later admitted to an ICU | Baseline biochemistry for non-survivors in the follow-up period | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Male n = 1315 | Female n = 1116 | Male n = 212 | Female n = 84 | Male n = 244 | Female n = 161 | |||||||||||
n (%) | median (ICR) | n (%) | median (ICR) | p-value | n (%) | median (ICR) | n (%) | median (ICR) | p-value | n (%) | median (ICR) | n (%) | median (ICR) | p-value | ||
Acute phase reactants | ||||||||||||||||
C-reactive protein (mg/L) | < 7 | 960 (73) | 73.25 (35.50–130.00) | 813 (73) | 50.00 (21.10–99.50) | < 0.001 | 200 (79) | 120.67 (64.13–190.00) | 71 (67) | 78.67 (39.00–127.08) | 0.0025 | 235 (85) | 94.00 (49.75–154.00) | 157 (88) | 74.50 (40.00–130.00) | 0.13 |
Ferritin (μg/L) | 15–245 | 320 (24) | 730.50 (332.21–1426.50) | 269 (24) | 284.67 (137.50–577.00) | < 0.001 | 66 (26) | 1160.00 (622.38–1990.00) | 20 (19) | 646.00 (372.63–1137.25) | 0.011 | 70 (25) | 710.00 (314.50–1474.50) | 44 (25) | 329.00 (161.13–709.25) | 0.015 |
Procalcitonin (μg/L) | < 0.30 | 200 (15) | 0.20 (0.09–0.60) | 141 (13) | 0.08 (0.05–0.22) | 0.16 | 62 (25) | 0.46 (0.20–1.35) | 17 (16) | 0.23 (0.14–0.62) | 0.18 | 40 (14) | 0.58 (0.17–1.41) | 19 (11) | 0.16 (0.10–0.35) | 0.010 |
Erythrocyte sedimentation rate (mm) | 2.0–17.5 | < 5 | 6 (1) | 38.50 (16.25–55.50) | < 5 | < 5 | < 5 | < 5 | ||||||||
Haptoglobin (g/L) | 0.35–2.05 | 9 (1) | 2.83 (1.69–3.50) | 13 (1) | 1.84 (1.59–4.02) | 0.97 | < 5 | < 5 | < 5 | < 5 | ||||||
Haematology | ||||||||||||||||
Haemoglobin (mmol/L) | 6.60–9.65 | 955 (73) | 8.32 (7.45–9.05) | 815 (73) | 7.83 (7.10–8.40) | < 0.001 | 202 (80) | 8.30 (7.65–9.06) | 73 (69) | 7.74 (6.88–8.40) | < 0.001 | 230 (83) | 7.90 (6.70–8.73) | 154 (87) | 7.69 (6.58–8.26) | 0.16 |
White blood cell count (× 109/L) | 4.45–13.30 | 959 (73) | 6.65 (5.05–9.06) | 810 (73) | 6.14 (4.60–8.60) | 0.28 | 201 (79) | 7.30 (5.30–10.20) | 71 (67) | 6.30 (4.63–8.43) | 0.12 | 233 (84) | 7.05 (5.35–9.90) | 157 (88) | 7.75 (5.30–10.70) | 0.58 |
Lymphocyte count (× 109/L) | 1.20–4.00 | 870 (66) | 0.92 (0.70–1.30) | 753 (67) | 1.05 (0.75–1.41) | 0.029 | 179 (71) | 0.83 (0.61–1.10) | 65 (61) | 0.84 (0.60–1.13) | 0.89 | 209 (75) | 0.80 (0.60–1.13) | 139 (78) | 0.90 (0.63–1.30) | 0.67 |
Neutrophil count (× 109/L) | 1.60–7.10 | 701 (53) | 4.90 (3.50–7.25) | 579 (52) | 4.50 (2.95–6.55) | 0.13 | 139 (55) | 5.96 (4.20–8.53) | 51 (48) | 5.30 (3.57–7.10) | 0.084 | 165 (60) | 5.45 (3.75–8.17) | 112 (63) | 6.60 (3.98–8.63) | 0.40 |
Monocyte count (× 109/L) | 0.20–1.20 | 870 (66) | 0.50 (0.30–0.70) | 753 (67) | 0.50 (0.30–0.70) | 0.59 | 179 (71) | 0.40 (0.25–0.56) | 65 (61) | 0.40 (0.23–0.60) | 0.72 | 209 (75) | 0.45 (0.30–0.70) | 139 (78) | 0.50 (0.31–0.80) | 0.11 |
Basophil count (× 109/L) | 0.00–0.20 | 870 (66) | 0.00 (0.00–0.05) | 753 (67) | 0.00 (0.00–0.05) | 0.96 | 179 (71) | 0.00 (0.00–0.05) | 65 (61) | 0.00 (0.00–0.05) | 0.46 | 209 (75) | 0.00 (0.00–0.03) | 139 (78) | 0.00 (0.00–0.03) | 0.71 |
Platelet count (× 109/L) | 145–555 | 932 (71) | 198.00 (153.00–250.13) | 802 (72) | 217.50 (171.00–290.75) | < 0.001 | 199 (79) | 200.00 (152.25–263.33) | 73 (69) | 197.50 (150.50–270.50) | 0.47 | 225 (81) | 189.00 (140.00–242.00) | 154 (87) | 217.75 (159.13–299.75) | 0.0029 |
Organ-specific markers | ||||||||||||||||
Alanine transaminase (U/L) | 8–45 | 889 (68) | 32.00 (22.00–52.00) | 754 (68) | 24.50 (17.50–39.00) | 0.044 | 188 (74) | 37.50 (26.00–66.25) | 67 (63) | 26.00 (20.00–39.58) | 0.59 | 214 (77) | 29.50 (19.25–47.63) | 139 (78) | 22.00 (16.00–33.00) | 0.92 |
Aspartate transaminase (U/L) | 15–40 | 39 (3) | 46.00 (30.00–69.25) | 31 (3) | 32.00 (24.00–49.50) | 0.94 | 18 (7) | 61.75 (43.00–74.50) | < 5 | 6 (2) | 50.50 (27.50–82.50) | < 5 | ||||
Bilirubin (μmol/L) | 3.40–21.50 | 891 (68) | 9.25 (7.00–13.00) | 759 (68) | 7.00 (5.00–10.00) | < 0.001 | 188 (74) | 9.90 (7.00–13.50) | 67 (63) | 7.60 (6.40–11.00) | 0.58 | 218 (79) | 9.55 (6.57–13.00) | 140 (79) | 7.83 (5.00–10.13) | 0.99 |
Amylase (U/L) | 25–112.5 | 447 (34) | 60.00 (42.75–82.00) | 382 (34) | 56.00 (41.00–78.00) | 0.10 | 96 (38) | 54.75 (41.00–79.13) | 36 (34) | 55.00 (36.13–96.88) | 0.39 | 120 (43) | 66.33 (43.00–93.00) | 69 (39) | 61.00 (40.00–88.00) | 0.39 |
Alkaline phosphatase (U/L) | 50–284 | 838 (64) | 68.58 (55.00–94.00) | 718 (64) | 76.00 (59.00–97.00) | 0.54 | 171 (68) | 67.00 (52.00–96.00) | 57 (54) | 66.00 (52.00–110.00) | 0.84 | 208 (75) | 74.00 (57.00–115.50) | 134 (75) | 88.50 (67.00–111.50) | 0.29 |
Lactate dehydrogenase (U/L) | 138–271 | 817 (62) | 288.50 (217.00–382.00) | 689 (62) | 247.00 (198.50–330.00) | < 0.001 | 166 (66) | 400.00 (306.75–548.42) | 62 (58) | 336.67 (231.38–528.13) | 0.16 | 198 (71) | 302.50 (231.63–436.25) | 123 (69) | 270.00 (224.50–380.00) | 0.010 |
Troponin I (ng/L) | < 45 | 86 (7) | 19.25 (11.03–39.00) | 78 (7) | 14.68 (7.10–44.08) | 0.31 | 24 (9) | 31.00 (13.68–60.38) | 12 (11) | 25.40 (13.69–68.75) | 0.97 | 12 (4) | 31.60 (11.95–58.25) | 15 (8) | 50.00 (34.00–135.50) | 0.14 |
Creatine kinase [muscle brain] (μg/L) | 0.00–5.50 | 61 (5) | 1.10 (1.00–2.80) | 48 (4) | 1.00 (1.00–2.00) | 0.94 | 13 (5) | 2.30 (1.30–3.00) | 6 (6) | 1.00 (1.00–1.23) | 0.23 | 11 (4) | 3.00 (1.55–7.85) | 11 (6) | 2.00 (1.00–4.30) | 0.68 |
Creatine kinase (U/L) | 40–260 | 151 (11) | 150.00 (84.75–463.00) | 93 (8) | 80.00 (48.00–160.00) | < 0.001 | 31 (12) | 257.00 (133.00–854.00) | 5 (5) | 126.00 (38.00–144.50) | 0.039 | 32 (12) | 220.00 (99.63–744.50) | 17 (10) | 84.00 (32.50–127.00) | 0.0044 |
Thyroid-stimulating hormone (10−3 IU/L) | 0.55–4.65 | 190 (14) | 1.10 (0.70–1.74) | 174 (16) | 1.30 (0.71–2.12) | 0.80 | 33 (13) | 1.03 (0.43–1.53) | 17 (16) | 0.93 (0.66–1.66) | 0.56 | 42 (15) | 1.05 (0.69–1.92) | 31 (17) | 1.50 (0.80–1.90) | 0.43 |
Creatinine (μmol/L) | 36.50–62.00 | 783 (60) | 92.50 (77.00–120.00) | 706 (63) | 68.88 (57.00–88.00) | < 0.001 | 158 (62) | 99.75 (82.38–125.00) | 62 (58) | 82.50 (65.63–113.25) | 0.28 | 204 (74) | 112.00 (89.25–157.50) | 144 (81) | 80.75 (65.50–124.08) | < 0.001 |
Glomerular filtration rate (estimated) (mL/min) | > 59.50 | 956 (73) | 72.00 (51.00–88.00) | 809 (72) | 77.00 (55.00–90.00) | 0.0094 | 201 (79) | 67.50 (52.50–85.50) | 72 (68) | 64.25 (51.25–82.75) | 0.34 | 235 (85) | 52.50 (35.17–71.25) | 157 (88) | 59.00 (36.00–76.00) | 0.32 |
Urea (mmol/L) | 2.60–7.50 | 844 (64) | 6.93 (5.00–10.26) | 715 (64) | 5.70 (3.80–8.80) | < 0.001 | 178 (70) | 7.80 (6.15–11.38) | 67 (63) | 7.10 (4.92–10.68) | 0.92 | 209 (75) | 10.40 (7.60–15.00) | 134 (75) | 9.05 (6.03–15.04) | 0.53 |
Transferrin (μg/L) | 25.00–43.00 | 37 (3) | 21.48 (17.34–23.87) | 42 (4) | 24.18 (19.72–28.11) | 0.034 | < 5 | < 5 | < 5 | 7 (4) | 17.71 (16.04–26.88) | |||||
Coagulation | ||||||||||||||||
D-dimer (U/L) | < 0.65 | 345 (26) | 1.10 (0.61–2.00) | 245 (22) | 0.71 (0.43–1.58) | 0.043 | 83 (33) | 1.40 (0.88–2.31) | 22 (21) | 0.82 (0.55–1.08) | 0.011 | 70 (25) | 1.74 (0.84–3.48) | 40 (22) | 1.38 (0.55–3.80) | 0.85 |
International normalized ratio (INR) | 0.80–1.20 | 888 (68) | 1.10 (1.00–1.20) | 754 (68) | 1.00 (1.00–1.10) | < 0.001 | 187 (74) | 1.05 (1.00–1.15) | 66 (62) | 1.02 (1.00–1.10) | 0.32 | 217 (78) | 1.10 (1.00–1.20) | 141 (79) | 1.05 (1.00–1.10) | 0.062 |
Coagulation. tissue factor-induced | 0.65–1.30 | 265 (20) | 0.93 (0.79–1.06) | 207 (19) | 0.99 (0.85–1.17) | < 0.001 | 53 (21) | 1.01 (0.87–1.11) | 22 (21) | 0.89 (0.83–1.06) | 0.30 | 66 (24) | 0.93 (0.80–1.10) | 39 (22) | 0.91 (0.84–1.14) | 0.48 |
Partial thromboplastin time (s) | 25.00–38.00 | 136 (10) | 32.00 (24.50–38.25) | 105 (9) | 29.00 (24.50–35.00) | 0.12 | 35 (14) | 34.00 (27.00–37.00) | 9 (8) | 32.00 (25.00–33.00) | 0.18 | 29 (10) | 31.00 (26.00–36.00) | 23 (13) | 29.00 (27.00–38.50) | 0.81 |
Fibrinogen (μmol/L) | 5.40–10.90 | 60 (5) | 15.50 (12.20–20.20) | 49 (4) | 13.30 (10.80–15.30) | 0.0064 | 16 (6) | 19.50 (15.02–21.93) | < 5 | 11 (4) | 13.00 (11.30–16.95) | 8 (4) | 11.80 (9.85–14.55) | 0.24 | ||
Fluid and electrolyte balance | ||||||||||||||||
Sodium (mmol/L) | 136–145 | 953 (72) | 137.00 (134.67–139.50) | 812 (73) | 138.00 (135.25–140.00) | 0.026 | 200 (79) | 137.00 (134.00–139.04) | 72 (68) | 137.25 (134.30–139.00) | 0.82 | 231 (83) | 138.50 (135.00–142.00) | 155 (87) | 139.00 (135.50–142.00) | 0.56 |
Potassium (mmol/L) | 3.35–5.10 | 951 (72) | 3.85 (3.56–4.10) | 809 (72) | 3.70 (3.50–4.00) | 0.0019 | 200 (79) | 3.85 (3.50–4.11) | 72 (68) | 3.79 (3.40–4.16) | 1.00 | 230 (83) | 3.93 (3.56–4.30) | 154 (87) | 3.90 (3.55–4.20) | 0.73 |
Calcium ion (mmol/L) | 1.18–1.37 | 481 (37) | 1.17 (1.13–1.20) | 385 (34) | 1.19 (1.15–1.23) | < 0.001 | 103 (41) | 1.14 (1.10–1.17) | 42 (40) | 1.15 (1.12–1.20) | 0.063 | 129 (47) | 1.16 (1.11–1.19) | 88 (49) | 1.18 (1.14–1.23) | 0.0072 |
Metabolism | ||||||||||||||||
Glucose (mmol/L) | 2.90–7.80 | 748 (57) | 7.00 (6.10–8.43) | 657 (59) | 6.53 (5.80–7.80) | < 0.001 | 156 (62) | 7.50 (6.50–9.91) | 56 (53) | 7.48 (6.47–9.62) | 0.74 | 187 (68) | 7.25 (6.30–9.05) | 124 (70) | 6.80 (5.79–8.80) | 0.036 |
HbA1c (mmol/L) | 5.40–7.50 | 167 (13) | 41 (36.5–50) | 165 (15) | 39 (36–45) | 0.10 | 29 (11) | 41.5 (37–64) | 14 (13) | 41 (36–54) | 0.62 | 38 (14) | 42 (36–48) | 29 (16) | 38 (34–42) | 0.21 |
Triglyceride (mmol/L) | 0.49–2.30 | 116 (9) | 1.21 (0.91–1.62) | 93 (8) | 1.36 (1.05–1.88) | 0.14 | 26 (10) | 1.53 (1.20–2.00) | 5 (5) | 1.52 (1.36–1.54) | 0.26 | 31 (11) | 1.21 (0.99–1.58) | 15 (8) | 1.67 (1.15–2.39) | 0.17 |
Albumin (g/L) | 35–47 | 928 (71) | 31.00 (27.00–34.50) | 783 (70) | 31.00 (27.50–35.00) | 0.22 | 194 (77) | 29.17 (25.50–33.38) | 70 (66) | 29.17 (26.00–33.00) | 0.64 | 228 (82) | 29.00 (25.00–33.00) | 147 (83) | 29.50 (24.75–32.50) | 0.92 |