Статья

Interest of the cellular population data analysis as an aid in the early diagnosis of SARS-CoV-2 infection

M. Vasse, M. Ballester, D. Ayaka, D. Sukhachev, F. Delcominette, F. Habarou, E. Jolly, E. Sukhacheva, T. Pascreau, É. Farfour,
2021

Introduction: Coronavirus disease 2019 (COVID-19) is characterized by a high contagiousness requiring isolation measures. At this time, diagnosis is based on the positivity of specific RT-PCR and/or chest computed tomography scan, which are time-consuming and may delay diagnosis. Complete blood count (CBC) can potentially contribute to the diagnosis of COVID-19. We studied whether the analysis of cellular population data (CPD), provided as part of CBC-Diff analysis by the DxH 800 analyzers (Beckman Coulter), can help to identify SARS-CoV-2 infection. Methods: Cellular population data of the different leukocyte subpopulations were analyzed in 137 controls, 322 patients with proven COVID-19 (COVID+), and 285 patients for whom investigations were negative for SARS-CoV-2 infection (COVID−). When CPD of COVID+ were different from controls and COVID− patients, we used receiver operating characteristic analysis to test the discriminating capacity of the individual parameters. Using a random forest classifier, we developed the algorithm based on the combination of 4 monocyte CPD to discriminate COVID+ from COVID− patients. This algorithm was tested prospectively in a series of 222 patients referred to the emergency unit. Results: Among the 222 patients, 86 were diagnosed as COVID-19 and 60.5% were correctly identified using the discriminating protocol. Among the 136 COVID− patients, 10.3% were misclassified (specificity 89.7%, sensitivity 60.5%). False negatives were observed mainly in patients with a low inflammatory state whereas false positives were mainly seen in patients with sepsis. Conclusion: Consideration of CPD could constitute a first step and potentially aid in the early diagnosis of COVID-19. © 2020 John Wiley & Sons Ltd

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  • 1. Version of Record от 2021-04-27

Метаданные

Об авторах
  • M. Vasse
    Biology Department, Foch Hospital& UMR-S 1176, Suresnes and Kremlin-Bicêtre, France
  • M. Ballester
    Emergency Unit, Foch Hospital, Suresnes, France
  • D. Ayaka
    Biology Department, Foch Hospital, Suresnes, France
  • D. Sukhachev
    LabTech Ltd, Saint-Petersburg, Russian Federation
  • F. Delcominette
    Beckman Coulter Eurocenter, Nyon, Switzerland
  • F. Habarou
  • E. Jolly
  • E. Sukhacheva
  • T. Pascreau
  • É. Farfour
Название журнала
  • International Journal of Laboratory Hematology
Том
  • 43
Выпуск
  • 1
Страницы
  • 116-122
Ключевые слова
  • adolescent; adult; aged; blood; classification; decision tree; diagnosis; diagnostic imaging; early diagnosis; epidemiology; false negative result; false positive result; female; human; leukocyte; leukocyte count; male; middle aged; pandemic; predictive value; prospective study; receiver operating characteristic; reverse transcription polymerase chain reaction; supervised machine learning; very elderly; x-ray computed tomography; young adult; Adolescent; Adult; Aged; Aged, 80 and over; COVID-19; COVID-19 Nucleic Acid Testing; COVID-19 Testing; Decision Trees; Early Diagnosis; False Negative Reactions; False Positive Reactions; Female; Humans; Leukocyte Count; Leukocytes; Male; Middle Aged; Pandemics; Predictive Value of Tests; Prospective Studies; Reverse Transcriptase Polymerase Chain Reaction; ROC Curve; SARS-CoV-2; Supervised Machine Learning; Tomography, X-Ray Computed; Young Adult
Издатель
  • Blackwell Publishing Ltd
Тип документа
  • journal article
Источник
  • scopus