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Hematologic malignancies and COVID-19 infection: A monocenter retrospective study
Hamed Azhdari Tehrani1, Soodeh Ramezaninejad1, Masoud Mardani2
1Department of Hematology and Medical Oncology Shahid Beheshti University of Medical Sciences Tehran Iran.
Health Science Reports
|May 27, 2022
Summary
Patients with hematologic malignancies face a high risk of death from COVID-19. Male gender, intensive care admission, and higher fibrinogen levels were identified as key mortality predictors in this vulnerable group.
Area of Science:
- Hematology
- Infectious Diseases
- Oncology
Background:
- Hematologic malignancies are established risk factors for severe COVID-19.
- Identifying mortality predictors in this patient cohort is crucial for risk assessment and management strategies.
Purpose of the Study:
- To investigate the characteristics of patients with hematologic malignancies and COVID-19.
- To analyze the predictors of mortality in this population.
Main Methods:
- Retrospective analysis of hospitalized patients with hematologic malignancies and confirmed COVID-19 infection (January 2020 - March 2021).
- Patients were categorized by malignancy type and treatment phase.
- Statistical analysis to identify factors correlated with mortality.
Main Results:
- 194 patients included; 47% overall case-fatality rate.
- Severe COVID-19 (119 patients) and ICU admission (61 patients) were common.
- Mortality predictors included male gender, preinduction/induction treatment phase, ICU admission, low oxygen saturation, Rh positivity, and elevated fibrinogen.
Conclusions:
- Patients with hematologic malignancies exhibit a high risk of mortality from COVID-19.
- Specific clinical and laboratory factors significantly correlate with increased mortality risk.
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