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Use of ABO blood groups and co-morbidities as predictors of mortality in COVID-19 patients
M Reşit Öncü1, R S Aktaş, G Gizli
1Department of Emergency Medicine, Department of Chest Diseases, Department of Infectious Disease, Van Yuzuncu Yil University, Faculty of Medicine, Van, Turkey. mroncu@gmail.com.
Insights
Certain ABO blood groups and comorbid conditions are significant risk factors for COVID-19 mortality. Blood group AB showed a more severe clinical course and higher mortality rates, while blood group O had lower transmission risk.
Area of Science:
- Infectious Diseases
- Epidemiology
- Genetics
Background:
- The relationship between ABO blood groups and COVID-19 outcomes requires further investigation.
- Comorbid diseases are known to influence COVID-19 severity and mortality.
Purpose of the Study:
- To investigate the association between ABO blood groups, comorbid diseases, and COVID-19 mortality.
- To determine if ABO blood groups and comorbidities can serve as prognostic factors for COVID-19 hospitalization.
Main Methods:
- Retrospective study of 384 adult COVID-19 patients.
- Patients categorized by clinical severity (mild to critical) and presence of comorbid diseases.
- Clinical data analyzed from hospital automation system.
Main Results:
- Blood group A showed a higher transmission risk; blood group O had a lower transmission risk.
- Blood group AB was associated with a more severe clinical course and significantly higher mortality rates (p < 0.001).
- 35 out of 384 patients died during hospitalization.
Conclusions:
- ABO blood types and comorbid diseases are significant risk factors for COVID-19.
- Blood group AB is linked to increased severity and mortality in COVID-19 patients.
- Comorbidities and specific blood types may aid in predicting COVID-19 prognosis.
Objective:
This study aimed to investigate the mortality relationship between COVID-19 and ABO blood groups and comorbid diseases. The aim of this study was to determine whether ABO blood groups and comorbid diseases can be used as a prognostic factor for hospitalization.
Patients And Methods:
This retrospective study included patients aged ≥ 18 years presenting to the adult emergency COVID-19 outpatient clinic. COVID-19 patients were divided into four stages according to their clinical status: mild, moderate, severe, and critical. Those with the comorbid disease were classified as Group I, and those without comorbid disease were classified as Group II.
Results:
Of the 384 patients included in the study, 190 (49.5%) were male and 194 (50.5%) were female, with a mean age of 47.3 ± 18.4 years. The clinical data of the patients were scanned from the hospital automation system. Although the risk of transmission was higher, especially in people with A blood type, this rate was lower in the O blood group. The clinical course of the disease was more severe and the mortality rates were higher in the AB blood group (p < 0.001). In the hospital, 35 people who were treated for COVID-19 disease died.
Conclusions:
Certain ABO blood types and comorbid diseases were important risk factors for COVID-19 and were associated with mortality. We found that some ABO blood groups and comorbid diseases are associated with COVID-19 and may be important risk factors. While the risk of transmission of COVID-19 is high in blood group A, we think that the clinical course of COVID-19 may be more severe and the death rate higher in blood group AB.
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