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  <front>
    <journal-meta>
      <journal-id journal-id-type="publisher-id">JPSIM</journal-id>
      <journal-title-group>
        <journal-title>Journal of Pakistan Society of Internal Medicine</journal-title>
        <abbrev-title>J Pak Soc Intern Med</abbrev-title>
      </journal-title-group>
      <issn publication-format="print">2709-8729</issn>
      <issn publication-format="electronic">2710-0804</issn>
      <publisher>
        <publisher-name>Pakistan Society of Internal Medicine</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">10.70302/jpsim.v5i1.2410</article-id>
      <article-id pub-id-type="publisher-id">jpsim.v5i1.2410</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Original Research</subject>
        </subj-group>
      </article-categories>
      <title-group>
        <article-title>Lactate Dehydrogenase as a Predictor of Disease Severity in Coronavirus Disease (Covid-19)</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author" corresp="yes">
          <name>
            <surname>Komal</surname>
            <given-names>Tayyeba</given-names>
          </name>
          <email>drtksami@gmail.com</email>
          <xref ref-type="aff" rid="aff1"/>
          <xref ref-type="corresp" rid="cor1">*</xref>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Mumtaz</surname>
            <given-names>Sami Ullah</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Rafique</surname>
            <given-names>Sana</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Ali</surname>
            <given-names>Akhtar</given-names>
          </name>
          <xref ref-type="aff" rid="aff2"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Iqtadar</surname>
            <given-names>Somia</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
        <contrib contrib-type="author">
          <name>
            <surname>Haque</surname>
            <given-names>Israr Ul</given-names>
          </name>
          <xref ref-type="aff" rid="aff1"/>
        </contrib>
      </contrib-group>
      <aff id="aff1">
        <institution>King Edward Medical University, Mayo hospital, Lahore</institution>
      </aff>
      <aff id="aff2">
        <institution>Shalamar Medical and Dental College, Shalamar Hospital, Lahore</institution>
      </aff>
      <author-notes>
        <corresp id="cor1">*Correspondence: Tayyeba Komal (drtksami@gmail.com)</corresp>
      </author-notes>
      <pub-date date-type="pub" publication-format="electronic" iso-8601-date="2024-02-28">
        <day>28</day>
        <month>02</month>
        <year>2024</year>
      </pub-date>
      <pub-date date-type="collection" publication-format="electronic">
        <year>2024</year>
      </pub-date>
      <volume>5</volume>
      <issue>1</issue>
      <fpage>404</fpage>
      <lpage>406</lpage>
      <history>
        <date date-type="received" iso-8601-date="2023-10-12">
          <day>12</day>
          <month>10</month>
          <year>2023</year>
        </date>
        <date date-type="accepted" iso-8601-date="2023-12-16">
          <day>16</day>
          <month>12</month>
          <year>2023</year>
        </date>
      </history>
      <permissions>
        <copyright-statement>Copyright © 2024 The Author(s)</copyright-statement>
        <copyright-year>2024</copyright-year>
        <copyright-holder>The Author(s)</copyright-holder>
        <ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/"/>
        <license license-type="open-access" xlink:href="https://creativecommons.org/licenses/by/4.0/">
          <ali:license_ref xmlns:ali="http://www.niso.org/schemas/ali/1.0/">https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
          <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
        </license>
      </permissions>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i1.2410" content-type="text/html"/>
      <self-uri xlink:href="https://psimj.com/article/jpsim.v5i1.2410.pdf" content-type="application/pdf"/>
      <abstract>
        <sec>
          <title>Objective</title>
          <p>To find out association between serum lactate dehydrogenase levels and coronavirus disease severity.</p>
        </sec>
        <sec>
          <title>Methodology</title>
          <p>It was a cross sectional study done at mayo hospital Lahore for six months.100 patients of age 15-80 years of either gender having COVID-19 PCR positive were included. Serum LDH levels were sent at the time of admission, day 7 &amp; day 14 to the pathology laboratory KEMU.To assess clinical severity of coronavirus disease, all the enrolled patients were categorized as mild, moderate, severe &amp; critical cases on the basis of oxygen/mechanical ventilation requirement .Data was analyzed using SPSS-26.</p>
        </sec>
        <sec>
          <title>Results</title>
          <p>A very strong positive correlation observed between serum LDH level a severity of corona virus disease i.e. r = 0.906, p-value &lt; 0.00001. LDH showed Sensitivity 59.52%, Positive Predictive Value 30.12% and Diagnostic Accuracy 25%.</p>
        </sec>
        <sec>
          <title>Conclusion</title>
          <p>LDH is a strong predictor of COVID-19 disease severity. Thereforein future LDH can be used to see disease severity.</p>
        </sec>
      </abstract>
      <kwd-group xml:lang="en" kwd-group-type="author-keywords">
        <title>Keywords</title>
        <kwd>: Lactate Dehydrogenase</kwd>
        <kwd>Predictor</kwd>
        <kwd>Severity</kwd>
        <kwd>COVID-19</kwd>
      </kwd-group>
    </article-meta>
  </front>
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  <back>
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</article>
