Table 2.
Summary of changes in platelet parameters in patients with SARS-CoV-2 infection
| Platelet parameter | Patients with SARS-CoV-2 infection | Clinical implications |
|---|---|---|
| Platelet count |
Decreased in advanced stages of infection Increased (rare) |
Pejorative prognostic marker of the disease Not defined |
| Mean platelet volumen (MPV) | Increased (> 10 fL) | Appears to predict the risk of developing thrombocytopenia and an increased risk of venous thromboembolism (VTE) |
| Immature platelet fraction (IPF) | Increased (> 8%) |
Seems to predict evolution towards thrombocytopenia and increased risk of VTE Indicator of destruction and/or peripheral platelet consumption |
| Platelet distribution width (PDW) | Increased (> 11 fL) | Platelet activation marker and increased risk of thrombosis |
|
Platelet/lymphocyte ratio (PLR) |
Increased | Patients with severe COVID-19 have higher PLR levels than patients with mild/moderate disease |
| MPV/platelet count ratio (MPR) | Increased | Independent risk predictor for developing COVID pneumonia |
| Platelet function and aggregation | Hyperfunction | An increased thrombotic risk is attributed to it in some studies |