Respiratory failure & ventilation

Complete blood count, coagulation biomarkers, and lung function 6 months after critical COVID ‐19

Acta Anaesthesiol ScandPublished Prospective cohort study

Authors' conclusion

Only a few patients had normal CBC and coagulation biomarker values 6 months after critical COVID-19. A weak negative correlation between DLCOc% and FVIII suggests that deranged coagulation activity may be associated with reduced diffusing capacity.

Study context

Population
Patients treated for COVID-19 in ICUs, 3/2020–1/2021
Outcome
CBC and coagulation biomarkers (PT%, activated partial thromboplastin time (APTT), fibrinogen, FVIII, AT, D-dimer), compared with acute phase and correlated with lung function (DLCOc%)
Follow-up
6 months post-hospitalization

Main finding

As reported in the abstract

6 months

Full normalization of all biomarkers

21%

15/70

Factor VIII (FVIII) elevated

46%

31/68

Leukocytes elevated

26%

18/70

D-dimer elevated

27%

18/67

Observational data: associations, not effects.

Further findings

Correlation between DLCOc% and FVIII · 6 months

Weak negative correlation (r)
−0.37
P
P = 0.036
Multivariable analysis: weak, independent association between DLCOc% and FVIII

Correlation with DLCOc%, excluding patients on anticoagulation (subgroup) · 6 months

FVIII no longer correlated with DLCOc%; Antithrombin (AT) showed a moderate correlation

Original publication

Complete blood count, coagulation biomarkers, and lung function 6 months after critical COVID ‐19. Acta Anaesthesiol Scand. Published 9 May 2024. doi:10.1111/aas.14437

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