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ABO phenotype and clinical correlates of COVID-19 severity in hospitalized patients
David J Hermel1, Samantha R Spierling Bagsic1, Carrie L Costantini1
1Division of Hematology & Oncology, Scripps Clinic, La Jolla, CA 92037, USA.
Insights
This study found no link between ABO blood type and COVID-19 severity. However, anemia and male sex were associated with worse COVID-19 outcomes in a diverse patient group.
Area of Science:
- Infectious Diseases
- Hematology
- Epidemiology
Background:
- COVID-19 severity varies significantly among patient populations.
- The role of ABO blood phenotype in COVID-19 outcomes requires further investigation.
- Understanding clinical predictors is crucial for managing severe COVID-19 cases, particularly in diverse demographics.
Purpose of the Study:
- To investigate the association between ABO blood phenotype and COVID-19 severity.
- To identify clinical predictors of severe COVID-19 outcomes.
- To analyze these associations within a predominantly Hispanic population in San Diego County.
Main Methods:
- Retrospective review of 942 patients hospitalized with COVID-19.
- Analysis included 473 patients with available blood type data.
- Multivariate and exploratory analyses were conducted to assess associations.
Main Results:
- No significant association was identified between ABO blood phenotype and COVID-19 severity (ICU admission, intubation, hospitalization length, death).
- Anemia diagnosis was significantly associated with all measured COVID-19 severity outcomes.
- Male sex was also found to be associated with increased COVID-19 severity.
Conclusions:
- ABO blood phenotype does not appear to be a significant predictor of COVID-19 severity.
- Anemia and male sex are important clinical correlates of severe COVID-19.
- These findings contribute to a better understanding of COVID-19 severity factors.
Aim:
This study investigates the association between ABO blood phenotype and COVID-19 severity, measured by intensive care unit admission, need for intubation, hospitalization length and death. It further explores clinical predictors of COVID-19 severity within a primarily Hispanic demographic in San Diego County.
Materials & Methods:
We retrospectively reviewed 942 total patients, 473 with available blood type, hospitalized at five Scripps Health hospitals with COVID-19.
Results:
No significant association was found between ABO phenotype and COVID-19 severity on multivariate analysis, while a diagnosis of anemia and male sex was associated with all severity outcomes on exploratory analysis.
Conclusion:
Our results provide relevant clinical correlates of COVID-19 severity and help better elucidate the association between ABO phenotype and COVID-19.
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