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The course of COVID-19 in patients with hematological malignancies and risk factors affecting mortality: A
Esma Eryilmaz-Eren1, Zeynep Ture2, Ayşin Kilinç-Toker1
1Kayseri City Education and Research Hospital, Kayseri, Turkey.
Insights
Older age and secondary infections increase COVID-19 mortality risk in hematological malignancy patients. Hematological malignancy remission status is protective. These factors predict survival in this vulnerable population.
Area of Science:
- Hematology
- Infectious Diseases
- Oncology
Background:
- Hematological malignancy (HM) patients face increased risks from COVID-19.
- Understanding mortality risk factors is crucial for managing these complex cases.
Purpose of the Study:
- To identify clinical outcomes and mortality risk factors in COVID-19 patients with hematological malignancy.
- To analyze prognostic factors influencing survival in this specific patient cohort.
Main Methods:
- Retrospective study of 49 patients diagnosed with HM and hospitalized for COVID-19.
- Comparison of demographic, clinical characteristics, prognosis, and treatment between survivors and non-survivors.
- Multivariate regression analysis to determine independent risk and protective factors.
Main Results:
- Overall mortality rate was 34.6% within 28 days.
- Non-survivors had higher rates of older age, diabetes, COPD, and secondary infections.
- Hematological malignancy remission status was significantly higher in survivors.
- Multivariate analysis identified older age and secondary infection as mortality risk factors, and HM remission as a protective factor.
Conclusions:
- Older age, secondary infections, and hematological malignancy remission status are key prognostic factors for COVID-19 mortality in HM patients.
- Early identification and management of these factors are essential for improving patient outcomes.
Objective:
This study aimed to determine the clinical outcomes and risk factors affecting mortality in patients with COVID-19 following hematological malignancy (HM).
Methods:
Patients diagnosed with HM and hospitalized for COVID-19 were included in this retrospective study. The age, demographic and clinical characteristics, prognosis and treatment of surviving and non-surviving patients were compared.
Results:
A total of 49 patients were included in this study, 17 (34.6%) of whom died within 28 days of being diagnosed with COVID-19. Older age (p = 0.001), diabetes (p = 0.001), chronic obstructive pulmonary disease (p = 0.002), secondary infection (p < 0.001) and secondary bacterial infection (p = 0.005) were statistically significantly higher in non-survivors. The remission status of HM was higher in surviving patients (p < 0.001). In multivariate regression analysis, age (OR: 1.102, p = 0.035) and secondary infection (OR: 16.677, p = 0.024) were risk factors increasing mortality, the remission status of HM (OR: 0.093, p = 0.047) was a protective factor from mortality.
Conclusion:
The older age, the remission status of HM and secondary infection due to COVID-19 were determined as prognostic factors predicting mortality in HM patients with following COVID-19.
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