Analysis of laboratory findings in recovered and non-recovered patients with COVID-19: a longitudinal observational study in Jilin Province of China

Background: We aimed to describe the laboratory characteristics of patients with laboratory confirmed coronavirus disease 2019 (COVID-19), and to compare the laboratory data between recovered and non-recovered patients. Methods: This is a multi-center study and 68 COVID-19 patients were recruited in Jilin Province, China, from January 21, 2020 to February 21, 2020. Laboratory tests were conducted at admission. Outcomes were followed up until February 21, 2020. Results: Of the 68 patients, 63 were diagnosed as mild and 5 as moderate or severe. After follow-up, there are 28 and 40 patients in recovered and non-recovered group, respectively. Lymphocytes, including immature leukocyte subpopulation, were significantly increased after day 10 in recovered patients. Platelets and thrombocytocrit were significantly increased, while mean platelet volume was reduced markedly from day 6 in recovered patients. High-sensitivity C-reactive protein was elevated at onset and continued to decline at day 7 in recovered patients. Cardiac troponin I is always higher from onset to recovery in recovered patients, yet it is sharply declined below the upper limit of reference interval after day 10. Cholinesterase and alanine aminotransferase were higher during the recovery process in recovered patients than in non-recovered patients. Both eosinophil and age were identified as independent predictors for recovery. Conclusions: Some markers had different change patterns between the recovered and non-recovered patients. Eosinophil may serve as an independent predictor for recovery in addition to age. The monitoring of the dynamic level of markers can give more effective clues for the judgment of the progress in COVID-19 patients. © 2021 AME Publishing Company. All rights reserved.