Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi People

Background: The COVID-19 epidemic, which is still ongoing, has a significant effect on health care both in Iraq and worldwide. Further strain on health systems was caused by successive waves of altered viruses, further enhancing virus dissemination.  Persistent symptoms may last for several months...

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Main Authors: Sara Basim Zwain, Sami Raheem Al-Katib, Falah Mahdi Dananah, Basim MH Zwain
Format: Article
Language:English
Published: Faculty of Medicine, University of Kufa 2024-06-01
Series:مجلة الكوفة الطبية
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Online Access:https://journal.uokufa.edu.iq/index.php/kmj/article/view/15305
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author Sara Basim Zwain
Sami Raheem Al-Katib
Falah Mahdi Dananah
Basim MH Zwain
author_facet Sara Basim Zwain
Sami Raheem Al-Katib
Falah Mahdi Dananah
Basim MH Zwain
author_sort Sara Basim Zwain
collection DOAJ
description Background: The COVID-19 epidemic, which is still ongoing, has a significant effect on health care both in Iraq and worldwide. Further strain on health systems was caused by successive waves of altered viruses, further enhancing virus dissemination.  Persistent symptoms may last for several months following the initial COVID-19 infection. The illness is called post-acute sequelae of SARS-CoV-2 infection, or Long COVID (PASC). Long-term COVID-19 infection can affect various organs and systems, including the hematological system, and cause many symptoms. Hematological problems have been observed in several investigations with COVID-19 individuals. Poor outcomes and an increased risk of severe disease are linked to the majority of these changes. Objective: This study aims to find the post-COVID-19 effects on the hematological parameters. Methods: This study was a case-control investigation at the Al-Sader Teaching Hospital in Maysan City between October 13, 2023, and November 13, 2023. There are fifty-eight patients in all, along with fifty-eight controls. In this study, randomly selected controls were matched to patients with COVID-19 symptoms. Except for not having COVID-19 disease, the controls had to fulfill the same requirements as the cases. Clinical profiles and hematological markers were examined and contrasted between the two groups. Results: The data show no significant differences (P > 0.05) in age, BMI, and sex between cases and control group. The results confirm alterations in hematological parameters. Analysis of blood samples showed significantly a higher mean of RBC and a decline in MCHC, and MCV in comparison to the control. However, there are no significant differences in hemoglobin and hematocrit parameters between cases and control. Mean HCT% and HGB are significantly lower for the age group 18-29 years than for 30-39 and 40-49 years and the alterations were more noticeable in male COVID-19 patients. Conclusion: The results show altered hematological parameters after 3 years of COVID-19 infection. The changes include reduced Hg, MCH, and MCHC and higher RBC values that might affect oxygen transport through the body. The alterations were more noticeable in male COVID-19 patients, indicating that males are more affected by the disease than females. In light of the increasing number of individuals with Long-COVID, more research is required to determine the precise underlying causes of the extended altered RBC and hemoglobin value among different age groups.
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spelling doaj-art-17c9ed25fcfc4193b42eb3eb07687f252025-08-20T01:56:42ZengFaculty of Medicine, University of Kufaمجلة الكوفة الطبية1993-517X2709-44642024-06-0120110.36330/kmj.v20i1.15305Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi PeopleSara Basim Zwain0Sami Raheem Al-Katib1Falah Mahdi Dananah2Basim MH ZwainUniversity of Maysan, College of Dentistry, Department of Basic SciencesUniversity of Kufa, Faculty of medicine, Department Medical PhysiologyUniversity of Kufa, Faculty of medicine, Department Medical Physiology Background: The COVID-19 epidemic, which is still ongoing, has a significant effect on health care both in Iraq and worldwide. Further strain on health systems was caused by successive waves of altered viruses, further enhancing virus dissemination.  Persistent symptoms may last for several months following the initial COVID-19 infection. The illness is called post-acute sequelae of SARS-CoV-2 infection, or Long COVID (PASC). Long-term COVID-19 infection can affect various organs and systems, including the hematological system, and cause many symptoms. Hematological problems have been observed in several investigations with COVID-19 individuals. Poor outcomes and an increased risk of severe disease are linked to the majority of these changes. Objective: This study aims to find the post-COVID-19 effects on the hematological parameters. Methods: This study was a case-control investigation at the Al-Sader Teaching Hospital in Maysan City between October 13, 2023, and November 13, 2023. There are fifty-eight patients in all, along with fifty-eight controls. In this study, randomly selected controls were matched to patients with COVID-19 symptoms. Except for not having COVID-19 disease, the controls had to fulfill the same requirements as the cases. Clinical profiles and hematological markers were examined and contrasted between the two groups. Results: The data show no significant differences (P > 0.05) in age, BMI, and sex between cases and control group. The results confirm alterations in hematological parameters. Analysis of blood samples showed significantly a higher mean of RBC and a decline in MCHC, and MCV in comparison to the control. However, there are no significant differences in hemoglobin and hematocrit parameters between cases and control. Mean HCT% and HGB are significantly lower for the age group 18-29 years than for 30-39 and 40-49 years and the alterations were more noticeable in male COVID-19 patients. Conclusion: The results show altered hematological parameters after 3 years of COVID-19 infection. The changes include reduced Hg, MCH, and MCHC and higher RBC values that might affect oxygen transport through the body. The alterations were more noticeable in male COVID-19 patients, indicating that males are more affected by the disease than females. In light of the increasing number of individuals with Long-COVID, more research is required to determine the precise underlying causes of the extended altered RBC and hemoglobin value among different age groups. https://journal.uokufa.edu.iq/index.php/kmj/article/view/15305Long Covid-19; Hematological parameters; Hypoxia; SARS-CoV-2; Hemoglobin.
spellingShingle Sara Basim Zwain
Sami Raheem Al-Katib
Falah Mahdi Dananah
Basim MH Zwain
Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi People
مجلة الكوفة الطبية
Long Covid-19; Hematological parameters; Hypoxia; SARS-CoV-2; Hemoglobin.
title Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi People
title_full Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi People
title_fullStr Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi People
title_full_unstemmed Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi People
title_short Long Term Effect of Post-Covid-19 Syndrome on Hematological Parameters in Iraqi People
title_sort long term effect of post covid 19 syndrome on hematological parameters in iraqi people
topic Long Covid-19; Hematological parameters; Hypoxia; SARS-CoV-2; Hemoglobin.
url https://journal.uokufa.edu.iq/index.php/kmj/article/view/15305
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