Post-COVID-19 hematologic complications: a systematic review

Sam Alahyari1, Milad Moradi1, Mohsen Rajaeinejad2

  • 1Faculty of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Insights

Post-COVID complications can affect blood health, including dangerous blood clots and low platelets. Research is ongoing to identify and prevent these hematologic issues in patients recovering from COVID-19.

Area of Science:

  • Hematology
  • Infectious Diseases
  • Internal Medicine

Background:

  • The COVID-19 pandemic has led to various post-disease complications.
  • Limited studies have documented the hematologic sequelae following SARS-CoV-2 infection.
  • Comprehensive assessment of these complications is crucial for patient management.

Purpose of the Study:

  • To systematically review and assess the spectrum of post-COVID-19 hematologic complications.
  • To identify the frequency and types of hematologic issues observed after COVID-19.
  • To understand the clinical implications and outcomes of these complications.

Main Methods:

  • A systematic literature search was conducted across PubMed, Scopus, and Google Scholar from January 2020 to August 2021.
  • Keywords related to COVID-19 and hematologic complications were utilized.
  • Data extraction and evaluation were performed by two independent researchers.

Main Results:

  • Sixty-five articles detailing post-COVID hematologic complications were analyzed.
  • Thromboembolic events (deep vein thrombosis and pulmonary embolism) were the most frequent complications.
  • Other reported complications included immune thrombocytopenia (ITP), hemolytic anemia, and aplastic anemia.
  • These findings suggest that post-COVID hematologic issues extend beyond thrombotic events.

Conclusions:

  • Post-COVID-19 hematologic complications are diverse and include thromboembolic events, immune thrombocytopenia, and rare anemias.
  • While some complications are infrequent, they highlight the systemic impact of SARS-CoV-2 infection.
  • Future research should focus on identifying at-risk patients and developing preventive strategies for these hematologic sequelae.
Abstract

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