Abdel-Aziz, T., Nabil Abd El Aziz, G., Fawzy, M., Ibrahim EL Dosoky, N., Iraqi Ahmed Hegab, H., Dahshan, I. (2024). Hematological Impact of COVID-19: Anemia in Post-COVID. Benha Medical Journal, 41(2), 118-127. doi: 10.21608/bmfj.2023.244728.1939
Taher Abdel-Aziz; Ghada Nabil Abd El Aziz; Mai Fawzy; Nagwa Ibrahim EL Dosoky; Hanaa Iraqi Ahmed Hegab; Ismail Dahshan. "Hematological Impact of COVID-19: Anemia in Post-COVID". Benha Medical Journal, 41, 2, 2024, 118-127. doi: 10.21608/bmfj.2023.244728.1939
Abdel-Aziz, T., Nabil Abd El Aziz, G., Fawzy, M., Ibrahim EL Dosoky, N., Iraqi Ahmed Hegab, H., Dahshan, I. (2024). 'Hematological Impact of COVID-19: Anemia in Post-COVID', Benha Medical Journal, 41(2), pp. 118-127. doi: 10.21608/bmfj.2023.244728.1939
Abdel-Aziz, T., Nabil Abd El Aziz, G., Fawzy, M., Ibrahim EL Dosoky, N., Iraqi Ahmed Hegab, H., Dahshan, I. Hematological Impact of COVID-19: Anemia in Post-COVID. Benha Medical Journal, 2024; 41(2): 118-127. doi: 10.21608/bmfj.2023.244728.1939
Hematological Impact of COVID-19: Anemia in Post-COVID
1Clinical Research Unit, Directorate of Health Affairs in Qalyubia, Ministry of Health and Population, Egypt
2American Board in pharmacotherapy, Specialized Kafr Shokr Hospital, Qalyubia, Ministry of Health and Population, Egypt)
3Radiology Department, Benha Fever Hospital, Qalyubia Directorate of Health, Ministry of Health and Population, Egypt
4Msc Pediatric Nursing, Specialized Kafr Shokr Hospital, Qalyubia, Ministry of Health and Population, Egypt
5MSc Chemical and Clinical Pathology, Specialized Kafr Shokr Hospital, Qalyubia, Ministry of Health and Population, Egypt
6Department of Family Medicine, Faculty of Medicine, Sues Canal University, Egypt
Abstract
Purpose: This study’s purpose was to assess the relationship between COVID-19 and hematological variations on admission and 6 months after discharge. Patients and Methods: In a prospective observational study at Kafr Shokr Specialized Hospital from September 2021 to September 2022, 292 adult patients with PCR-confirmed COVID-19 were categorized into hospitalized and non-hospitalized groups. Comprehensive clinical evaluations, including blood assessments, were conducted. The hospitalized patients were re-evaluated for anemia six months after discharge. Results: Hemoglobin (Hb) levels were significantly higher in the non-hospitalized group, with a mean of 14.13 g/dL, compared to the hospitalized group with 12.43 g/dL (p < 0.001). Anemia affected 18.005% of the non-hospitalized group, compared to 45.3% of the hospitalized group. At 6-month follow-up, hospitalized patients showed a decrease in Hb levels and platelet counts and an increase in white blood cell counts. Logistic regression identified baseline anemia, lower Hb, and reduced MCH levels as predictors for post-COVID anemia. Conclusion: The study revealed that COVID-19 severity was associated with anemia, which persisted and increased in prevalence six months post-infection. Baseline anemia, Hb, and MCH levels emerged as crucial predictors for post-COVID anemia, emphasizing the need for continuous hematological monitoring in COVID-19 survivors.
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