Predictors of mortality in hospitalized African American COVID-19 patients with cancer

  • 0Department of Medicine and Cancer Center, College of Medicine, Howard University, Washington, DC, USA.

|

|

Summary

This summary is machine-generated.

COVID-19 cancer patients face higher mortality. A significant drop in albumin levels during hospitalization predicts death in these patients, highlighting a key marker for monitoring outcomes.

Area Of Science

  • Oncology
  • Infectious Diseases
  • Public Health

Background

  • Coronavirus disease 2019 (COVID-19) impacts patients differently based on health status.
  • The effect of COVID-19 on African Americans with cancer is not well understood.
  • This study investigates mortality markers in COVID-19 patients with cancer.

Purpose Of The Study

  • To identify demographic, clinical, and laboratory markers associated with mortality in COVID-19 patients with cancer.
  • To compare outcomes between COVID-19 patients with and without cancer.
  • To analyze predictors of mortality in cancer patients with COVID-19.

Main Methods

  • Retrospective review of COVID-19 hospitalized patients from Dec 2019 to Oct 2021.
  • Extracted clinical, treatment, lab, and pathological data for cancer patients (cases) and cancer-free patients (controls).
  • Conducted univariable and multivariable analyses using SPSS software.

Main Results

  • COVID-19 patients with cancer (n=49) had higher mortality (20.4%) than those without (n=463, 8.9%).
  • Cancer patients were older (mean age 70.6 vs 56.3 years) with longer hospital stays.
  • A significant reduction in albumin levels from admission to day 5 was associated with mortality in cancer patients (P<0.001).

Conclusions

  • Albumin levels show an inverse relationship with clinical outcomes in COVID-19 cancer patients.
  • Decreased albumin during hospitalization is a potential predictor of mortality in COVID-19 cancer patients.
  • Further research is needed to validate these findings and identify additional predictors.

Related Concept Videos

Cancer Survival Analysis 01:21

345

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...

Comparing the Survival Analysis of Two or More Groups 01:20

179

Survival analysis is a cornerstone of medical research, used to evaluate the time until an event of interest occurs, such as death, disease recurrence, or recovery. Unlike standard statistical methods, survival analysis is particularly adept at handling censored data—instances where the event has not occurred for some participants by the end of the study or remains unobserved. To address these unique challenges, specialized techniques like the Kaplan-Meier estimator, log-rank test, and...

Psychoneuroimmunology: Diabetes and Cancer 01:19

28

Chronic stress has been linked to both the onset and progression of serious health conditions, including Type 2 diabetes and cancer. Type 2 diabetes, a widespread chronic illness, is closely associated with obesity and insulin resistance, both of which often worsen under stress. Studies indicate that men experiencing high levels of chronic stress face a 45% higher risk of developing diabetes compared to those with minimal stress. Stress triggers physiological responses that elevate blood...

Factors Affecting the Risk of Infection 01:26

11.8K

The hosts' susceptibility to infection depends on several factors. The integrity of the skin and mucous membranes helps protect the body against microbial attacks. When the skin is altered, the chance of infection, limb loss, and even death increases.
The integrity and count of the white blood cells help the body resist pathogens and fight infection. When impaired, it reduces the body's resistance to pathogens. The acidic pH levels of the gastrointestinal, genitourinary tracts, and skin...

Pulmonary Tuberculosis I 01:29

242

Tuberculosis, often called TB, is a contagious illness primarily caused by Mycobacterium tuberculosis. It mainly affects the lung parenchyma but can also impact other body parts.
Causative Organism
The primary infectious agent causing tuberculosis is Mycobacterium tuberculosis, a slow-growing, acid-fast, aerobic rod that exhibits sensitivity to heat and ultraviolet light. Instances of Mycobacterium bovis and Mycobacterium avium contributing to the development of TB infection are rare.
Mode of...

Assumptions of Survival Analysis 01:15

125

Survival models analyze the time until one or more events occur, such as death in biological organisms or failure in mechanical systems. These models are widely used across fields like medicine, biology, engineering, and public health to study time-to-event phenomena. To ensure accurate results, survival analysis relies on key assumptions and careful study design.

Survival Times Are Positively Skewed
 Survival times often exhibit positive skewness, unlike the normal distribution assumed...