Evidence map›Paper›PMID 41824486›Full record

ArticlePloS one2026

Early clinical and laboratory markers associated with post-COVID respiratory syndrome: A retrospective analysis.

Yulia Ariani, Indra Gunawan, Agus Dwi Susanto, Riyadi Sutarto

Abstract read
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Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Yulia ArianiDepartment of Medical Biology, Faculty of Medicine, University of Indonesia, Salemba, Jakarta, Indonesia.
Indra GunawanDepartment of Medical Biology, Faculty of Medicine, University of Indonesia, Salemba, Jakarta, Indonesia.ORCID https://orcid.org/0009-0002-4609-1369
Agus Dwi SusantoPersahabatan National Respiratory Hospital, Rawamangun, Jakarta, Indonesia.
Riyadi SutartoPersahabatan National Respiratory Hospital, Rawamangun, Jakarta, Indonesia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-COVID-19 respiratory syndrome remains a significant concern, yet early clinical and laboratory markers at the time of admission are not well established. Identifying laboratory markers associated with this condition could help guide clinical management and long-term monitoring. This study aimed to determine which laboratory findings at admission significantly differ between COVID-19 survivors with and without post-COVID respiratory syndrome (PCRS) and assess their potential as markers.

methodsA retrospective comparative study was conducted on COVID-19 survivors who has history of hospitalization at Persahabatan National Referral General Hospital, Jakarta, in 2020-2021, divided into case (PCRS, n:43) and control (nonPCRS, n:42) groups. Demographic data, vital signs, and laboratory findings were analyzed, including complete blood count, kidney and liver function, electrolytes, blood gas analysis, D-dimer, and C-reactive protein (CRP).

resultsCompared with controls, cases demonstrated significantly higher neutrophil percentages, neutrophil-to-lymphocyte ratio (NLR), blood urea nitrogen (BUN), potassium levels, and respiratory rates, along with lower lymphocyte and eosinophil percentages at admission. After Benjamini-Hochberg correction for multiple testing, respiratory rate, potassium, BUN, and neutrophil percentage remained statistically significant. In adjusted multivariable logistic regression models controlling for age, sex, body mass index, and markers of disease severity (SpO₂ and/or respiratory rate), potassium and respiratory rate showed consistent independent associations with case status across several models, while NLR retained a modest association only in models incorporating SpO₂. No significant differences were observed for D-dimer or CRP.

conclusionNeutrophilia, lymphopenia, increased NLR, elevated BUN, potassium levels, and higher respiratory rates at admission were associated with post-COVID respiratory syndrome. Among these, potassium levels and respiratory rate showed more consistent associations after adjustment for demographic factors and disease severity markers. These findings describe admission characteristics linked to post-COVID-19 Respiratory syndrome. Larger prospective studies with serial measurements are needed to confirm their clinical relevance and prognostic value.

Indexed as

BiomarkersCOVID-19AdultBlood Urea NitrogenC-Reactive ProteinFemaleHumansMaleMiddle AgedNeutrophilsPost-Acute COVID-19 SyndromeRetrospective StudiesSARS-CoV-2BiomarkersC-Reactive Protein

Identifiers

PMID41824486
PMCPMC12987420

What Socratic holds

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.