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Simple blood test predicts patients most likely to die from COVID-19

One of the big challenges healthcare workers are facing in this global pandemic is identifying those COVID-19 patients most at risk of severe illness and death. COVID-19 certainly is more dangerous, on average, in the elderly or those with pre-existing health problems, but that doesn’t preclude a 96-year-old from presenting with no symptoms, or a healthy 21-year-old losing her life. A team of researchers from Massachusetts General Hospital have been trawling through hospital admission data to find some way to help doctors better assess those patients most at risk of suffering the worst effects of the disease.

The researchers analyzed blood samples from 1,641 patients admitted to Boston hospitals with COVID-19 earlier this year. The plan was to closely study the samples to identify any particular molecular patterns that could predict disease severity. Before looking at more complicated blood-based biomarkers the researchers first looked at biomarkers gathered in the most routine blood tests.

"We were surprised to find that one standard test that quantifies the variation in size of red blood cells – called red cell distribution width, or RDW – was highly correlated with patient mortality, and the correlation persisted when controlling for other identified risk factors like patient age, some other lab tests, and some pre-existing illnesses," says co-author on the new study, Jonathan Carlson...

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