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©The Author(s) 2025.
World J Exp Med. Sep 20, 2025; 15(3): 107220
Published online Sep 20, 2025. doi: 10.5493/wjem.v15.i3.107220
Published online Sep 20, 2025. doi: 10.5493/wjem.v15.i3.107220
Table 1 Relative risks for the main blood tests in the study population of the need for oxygen therapy or of forced expiratory volume in one second/forced vital capacity < 70% during follow-up Source: Regional Health Agency Sprint data
Blood tests | Level | Raw RR | RR adjusted for age and gender | RRs adjusted for age and gender RRs adjusted for age. gender. days after discharge | |||||||||||||
RR | Min | Max | P value | RR | Min | Max | P value | RR | Min | Max | P value | ||||||
Alteration of liver enzymes (aspartate aminotransferase, alanine transaminase, Gamma-gamma-glutamyl transferase) | None | ||||||||||||||||
1 or more impaired during hospitalization | 0.63 | 0.36 | 1.09 | 0.099 | 0.66 | 0.38 | 1.15 | 0.144 | 0.70 | 0.40 | 1.22 | 0.207 | |||||
Altered at discharge | 1.61 | 1.09 | 2.39 | 0.017 | 1.61 | 1.07 | 2.42 | 0.021 | 1.55 | 1.03 | 2.32 | 0.034 | |||||
D-Dimer | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 0.73 | 0.19 | 2.85 | 0.652 | 0.65 | 0.16 | 2.59 | 0.543 | 0.74 | 0.18 | 3.09 | 0.684 | |||||
Altered at discharge | 0.76 | 0.46 | 1.23 | 0.263 | 0.76 | 0.47 | 1.23 | 0.264 | 0.77 | 0.46 | 1.30 | 0.328 | |||||
Hematocrit | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 0.92 | 0.53 | 1.57 | 0.751 | 0.76 | 0.46 | 1.28 | 0.305 | 0.77 | 0.52 | 1.12 | 0.169 | |||||
Altered at discharge | 0.55 | 0.37 | 0.83 | 0.005 | 0.46 | 0.30 | 0.68 | 0.000 | 0.47 | 0.33 | 0.67 | 0.000 | |||||
Hemoglobin | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 1.13 | 0.71 | 1.79 | 0.610 | 0.84 | 0.53 | 1.33 | 0.464 | 0.86 | 0.56 | 1.33 | 0.505 | |||||
Altered at discharge | 0.73 | 0.50 | 1.07 | 0.108 | 0.58 | 0.39 | 0.86 | 0.007 | 0.60 | 0.41 | 0.89 | 0.011 | |||||
Ferritin | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | |||||||||||||||||
Altered at discharge | 1.12 | 0.65 | 1.92 | 0.689 | 1.09 | 0.64 | 1.85 | 0.765 | 0.99 | 0.58 | 1.70 | 0.979 | |||||
Glomerular filtration rate | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 0.83 | 0.45 | 1.54 | 0.563 | 0.52 | 0.28 | 0.98 | 0.043 | 0.45 | 0.25 | 0.82 | 0.009 | |||||
Altered at discharge | 1.30 | 0.76 | 2.20 | 0.339 | 0.84 | 0.50 | 1.43 | 0.531 | 0.75 | 0.48 | 1.18 | 0.213 | |||||
White globules | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 1.12 | 0.68 | 1.82 | 0.661 | 0.96 | 0.60 | 1.56 | 0.884 | 0.91 | 0.58 | 1.42 | 0.674 | |||||
Altered at discharge | 1.01 | 0.53 | 1.91 | 0.984 | 0.98 | 0.53 | 1.84 | 0.960 | 0.92 | 0.52 | 1.65 | 0.789 | |||||
Red cells | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 0.97 | 0.58 | 1.62 | 0.904 | 0.83 | 0.50 | 1.35 | 0.451 | 0.85 | 0.53 | 1.35 | 0.484 | |||||
Altered at discharge | 0.76 | 0.52 | 1.12 | 0.168 | 0.59 | 0.40 | 0.87 | 0.008 | 0.59 | 0.41 | 0.87 | 0.007 | |||||
Lymphocytes | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 0.62 | 0.33 | 1.17 | 0.143 | 0.55 | 0.30 | 1.02 | 0.058 | 0.57 | 0.31 | 1.05 | 0.070 | |||||
Altered at discharge | 0.87 | 0.49 | 1.54 | 0.635 | 0.55 | 0.31 | 0.97 | 0.037 | 0.56 | 0.32 | 0.99 | 0.045 | |||||
Monocytes | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 1.05 | 0.61 | 1.79 | 0.871 | 1.04 | 0.61 | 1.77 | 0.883 | 1.05 | 0.62 | 1.79 | 0.850 | |||||
Altered at discharge | 1.75 | 0.93 | 3.32 | 0.085 | 1.53 | 0.82 | 2.86 | 0.180 | 1.69 | 0.89 | 3.21 | 0.109 | |||||
Neutrophils | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 0.97 | 0.55 | 1.69 | 0.907 | 0.83 | 0.49 | 1.43 | 0.507 | 0.81 | 0.48 | 1.39 | 0.451 | |||||
Altered at discharge | 0.75 | 0.41 | 1.38 | 0.351 | 0.50 | 0.27 | 0.92 | 0.026 | 0.42 | 0.23 | 0.77 | 0.004 | |||||
Platelets | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 0.70 | 0.39 | 1.26 | 0.237 | 0.63 | 0.36 | 1.12 | 0.118 | 0.64 | 0.36 | 1.13 | 0.126 | |||||
Altered at discharge | 0.74 | 0.34 | 1.57 | 0.429 | 0.69 | 0.33 | 1.43 | 0.317 | 0.73 | 0.36 | 1.50 | 0.392 | |||||
Protein C reactive | None | 1.00 | 1.00 | 1.00 | |||||||||||||
1 or more impaired during hospitalization | 2.05 | 0.50 | 8.43 | 0.319 | 1.56 | 0.39 | 6.18 | 0.529 | 1.53 | 0.39 | 6.09 | 0.544 | |||||
Altered at discharge | 3.44 | 0.88 | 13.50 | 0.077 | 2.58 | 0.68 | 9.78 | 0.164 | 2.31 | 0.61 | 8.79 | 0.219 |
Table 2 Mean value and SD of forced expiratory volume in one second, forced vital capacity and forced expiratory volume in one second/forced vital capacity ratio at all follow-up time points Source: Regional Health Agency Sprint data
Time elapsed between follow-up and discharge date (days) | FEV1 | FVC | FEV1/FVC ratio | ||||||
Patients (n) | Average value | SD | Patients (n) | Average value | SD | Patients (n) | Average value | SD | |
0-59 | 3 | 2 | 2 | ||||||
60-119 | 283 | 98.4 | 15.8 | 279 | 97.9 | 16.1 | 280 | 78.8 | 7.5 |
120-179 | 144 | 97.9 | 16.2 | 141 | 96.9 | 17.4 | 137 | 78.8 | 8.3 |
180-239 | 160 | 94.8 | 19.9 | 159 | 95.5 | 19.1 | 158 | 76.5 | 9.7 |
240-299 | 31 | 99.0 | 16.1 | 31 | 95.4 | 17.9 | 28 | 79.2 | 7.4 |
300+ | 93 | 96.4 | 17.7 | 91 | 90.7 | 19.2 | 88 | 81.7 | 6.5 |
Test Anova P value: 0.242 | Test Anova P value: 0.017 | Test Anova P value: 0.001 |
Table 3 Relative risks in the study population of the need for oxygen therapy or of forced vital capacity and forced expiratory volume in one second/forced vital capacity < 0.70 at follow-up Source: Regional Health Agency Sprint data
Variable | Level | Raw RR | RR adjusted for age and gender | RRs adjusted for age and gender RRs adjusted for age, gender, days after discharge | |||||||||
RR | Min | Mx | P value | RR | Min | Mx | P value | RR | Min | Mx | P value | ||
Class of age | 18-49 | 1.00 | 1.00 | 1.00 | |||||||||
50-59 | 1.22 | 0.66 | 2.27 | 0.521 | 1.18 | 0.63 | 2.18 | 0.606 | 1.17 | 0.63 | 2.16 | 0.617 | |
60-69 | 1.45 | 0.80 | 2.63 | 0.218 | 1.40 | 0.77 | 2.54 | 0.269 | 1.43 | 0.79 | 2.59 | 0.234 | |
70-79 | 2.95 | 1.71 | 5.10 | 0.000 | 2.93 | 1.70 | 5.07 | 0.000 | 2.81 | 1.63 | 4.85 | 0.000 | |
80+ | 3.61 | 1.99 | 6.54 | 0.000 | 3.60 | 1.99 | 6.52 | 0.000 | 3.25 | 1.81 | 5.84 | 0.000 | |
Gender | Male | 1.00 | 1.00 | 1.00 | |||||||||
Female | 0.84 | 0.62 | 1.12 | 0.234 | 0.77 | 0.57 | 1.03 | 0.078 | 0.82 | 0.62 | 1.09 | 0.165 | |
Chronic illnesses | No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 1.17 | 0.88 | 1.54 | 0.282 | 0.93 | 0.70 | 1.24 | 0.629 | 1.00 | 0.76 | 1.31 | 0.983 | |
Chronic obstructive pulmonary disease | No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 2.19 | 1.35 | 3.55 | 0.001 | 1.62 | 0.99 | 2.64 | 0.053 | 1.46 | 0.92 | 2.32 | 0.109 | |
Cardiovascular diseases | No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 1.24 | 0.77 | 1.98 | 0.376 | 0.97 | 0.61 | 1.54 | 0.890 | 0.97 | 0.61 | 1.55 | 0.914 | |
Diabetes | No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 1.22 | 0.82 | 1.81 | 0.322 | 1.13 | 0.76 | 1.67 | 0.545 | 1.13 | 0.76 | 1.66 | 0.552 | |
Hypertension | No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 0.91 | 0.63 | 1.32 | 0.620 | 0.80 | 0.56 | 1.15 | 0.227 | 0.87 | 0.61 | 1.25 | 0.456 | |
Neurological diseases | No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 0.62 | 0.09 | 4.06 | 0.616 | 0.36 | 0.05 | 2.38 | 0.289 | 0.45 | 0.07 | 3.03 | 0.412 | |
Tumors | No | 1.00 | 1.00 | 1.00 | |||||||||
Yes | 1.47 | 0.74 | 2.89 | 0.270 | 1.35 | 0.70 | 2.59 | 0.371 | 1.36 | 0.71 | 2.63 | 0.355 | |
Smoking | No | 1.00 | 1.00 | 1.00 | |||||||||
Ex smoker | 0.59 | 0.32 | 1.10 | 0.099 | 0.55 | 0.30 | 1.01 | 0.054 | 0.56 | 0.33 | 0.95 | 0.033 | |
Smoker | 0.52 | 0.28 | 0.97 | 0.039 | 0.58 | 0.32 | 1.06 | 0.074 | 0.61 | 0.35 | 1.07 | 0.087 | |
Days to discharge | < 90 | 1.00 | 1.00 | 1.00 | |||||||||
90-179 | 0.42 | 0.29 | 0.61 | 0.000 | 0.52 | 0.37 | 0.74 | 0.000 | 0.52 | 0.37 | 0.74 | 0.000 | |
180-269 | 0.26 | 0.18 | 0.39 | 0.000 | 0.31 | 0.22 | 0.46 | 0.000 | 0.31 | 0.22 | 0.46 | 0.000 | |
270-359 | 0.26 | 0.14 | 0.51 | 0.000 | 0.33 | 0.18 | 0.63 | 0.001 | 0.33 | 0.18 | 0.63 | 0.001 | |
360+ | 0.16 | 0.07 | 0.40 | 0.000 | 0.21 | 0.08 | 0.51 | 0.001 | 0.21 | 0.08 | 0.51 | 0.001 | |
Body mass index | Normal weight/underweight | 1.00 | 1.00 | 1.00 | |||||||||
Overweight | 0.38 | 0.22 | 0.63 | 0.000 | 0.38 | 0.23 | 0.64 | 0.000 | 0.38 | 0.24 | 0.62 | 0.000 | |
Obese | 0.85 | 0.54 | 1.36 | 0.512 | 1.02 | 0.64 | 1.63 | 0.922 | 0.93 | 0.63 | 1.37 | 0.714 |
- Citation: Silvestri C, Stasi C, Profili F, Bartolacci S, Sessa E, Tacconi D, Villari L, Carrozzi L, Dotta F, Bargagli E, Donnini S, Masotti L, Rasero L, Lavorini F, Pistelli F, Chimera D, Sorano A, D'alessandro M, Pacifici M, Milli C, Voller F. Evaluation of short and long-term laboratory and instrumental findings in COVID-19 patients hospitalized in Tuscany. World J Exp Med 2025; 15(3): 107220
- URL: https://www.wjgnet.com/2220-315X/full/v15/i3/107220.htm
- DOI: https://dx.doi.org/10.5493/wjem.v15.i3.107220