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Association of ABO blood group with COVID-19 severity, acute phase reactants and mortality
Uzma Ishaq1, Asmara Malik2, Jahanzeb Malik3,4
1Department of Hematology, Foundation University Medical College, Islamabad, Pakistan.
Insights
This study found no significant link between ABO blood groups and COVID-19 severity or mortality in a South-East Asian population. Blood type O was most common, but did not influence patient outcomes or lab results.
Area of Science:
- Infectious Diseases
- Epidemiology
- Hematology
Background:
- Coronavirus disease 2019 (COVID-19) has diverse clinical presentations.
- The association between ABO blood groups and COVID-19 outcomes requires further investigation, particularly in South-East Asian populations.
Purpose of the Study:
- To explore the correlation between ABO blood groups and COVID-19 severity.
- To investigate the association between ABO blood groups and COVID-19-related mortality.
- To examine the relationship between blood groups and key laboratory parameters in COVID-19 patients.
Main Methods:
- Retrospective analysis of 1067 COVID-19 patients.
- Categorization of patients by ABO blood groups (O, A, B, AB).
- Statistical analysis including multivariate and logistic regression to assess correlations.
Main Results:
- Blood group O was the most prevalent (48.8%).
- No statistically significant difference in COVID-19 severity or mortality rates was observed across different blood groups (p=0.412).
- Elevated IL-6, Procalcitonin, D-dimers, and CRP were noted but not consistently associated with specific blood types.
Conclusions:
- The study did not find a significant association between ABO blood groups and COVID-19 severity.
- No significant link was established between ABO blood groups and COVID-19-associated mortality.
- Alterations in acute phase reactants were not positively associated with any specific blood type in this cohort.
Introduction:
Coronavirus disease 2019 (COVID-19) is the ongoing pandemic with multitude of manifestations and association of ABO blood group in South-East Asian population needs to be explored.
Methods:
It was a retrospective study of patients with COVID-19. Blood group A, B, O, and AB were identified in every participant, irrespective of their RH type and allotted groups 1, 2,3, and 4, respectively. Correlation between blood group and lab parameters was presented as histogram distributed among the four groups. Multivariate regression and logistic regression were used for inferential statistics.
Results:
The cohort included 1067 patients: 521 (48.8%) participants had blood group O as the prevalent blood type. Overall, 10.6% COVID-19-related mortality was observed at our center. Mortality was 13.9% in blood group A, 9.5% in group B, 10% in group C, and 10.2% in AB blood group (p = 0.412). IL-6 was elevated in blood group A (median [IQR]: 23.6 [17.5,43.8]), Procalcitonin in blood group B (median [IQR]: 0.54 [0.3,0.7]), D-dimers and CRP in group AB (median [IQR]: 21.5 [9,34]; 24 [9,49], respectively). Regarding severity of COVID-19 disease, no statistical difference was seen between the blood groups. Alteration of the acute phase reactants was not positively associated with any specific blood type.
Conclusion:
In conclusion, this investigation did not show significant association of blood groups with severity and of COVID-19 disease and COVID-19-associated mortality.
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