On-admission anemia predicts mortality in COVID-19 patients: A single center, retrospective cohort study

Seung Mi Oh1, John P Skendelas2, Eric Macdonald1

  • 1Department of Anesthesiology, Albert Einstein College of Medicine, Bronx, NY 10461, USA.

Insights

Anemia on admission increases mortality risk in hospitalized COVID-19 patients. Moderate-severe anemia is linked to severe outcomes and death, suggesting anemia management is crucial for patient care.

Area of Science:

  • Internal Medicine
  • Infectious Diseases
  • Hematology

Background:

  • Anemia, a common condition, may impact COVID-19 severity.
  • Hemoglobin levels on admission could serve as a prognostic indicator for coronavirus disease 2019 (COVID-19).

Purpose of the Study:

  • To investigate the prognostic value of admission anemia in predicting severe outcomes and mortality in hospitalized COVID-19 patients.

Main Methods:

  • Retrospective cohort study of 733 adult patients with laboratory-confirmed SARS-CoV-2 infection.
  • Data collected from Montefiore Medical Center between March-June 2020.
  • Primary outcome: composite endpoint of in-hospital severe COVID-19 outcomes; Secondary outcome: in-hospital all-cause mortality.

Main Results:

  • Anemia was present in 59.8% of patients on admission.
  • Anemia on admission independently predicted all-cause mortality (OR 1.52).
  • Moderate-severe anemia (Hb < 11 g/dL) independently predicted both severe outcomes (OR 1.53) and mortality (OR 1.67).

Conclusions:

  • Admission anemia is an independent risk factor for mortality in COVID-19 patients.
  • Moderate-severe anemia is a significant predictor of severe COVID-19 outcomes.
  • Incorporating anemia assessment into COVID-19 patient management may improve risk stratification and care.
Abstract

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