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.
Abstract

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