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.

Future Science OA
|July 22, 2021
PubMed

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.
Abstract

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