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Published on: March 22, 2012
Risk Factors for Mortality Associated With Influenza Infection in Patients With Hematologic Malignancies: A
Setayesh Sindarreh1, Seyed Amirhossein Dormiani Tabatabaei1, Mehran Sharifi1
1Cancer Prevention Research Center Isfahan University of Medical Sciences Isfahan Iran.
Health Science Reports
|July 27, 2026
Summary
Patients with hematologic malignancies (HMs) face severe influenza risks. This study found multiple myeloma (MM), acute myeloid leukemia (AML), comorbidities, and lower respiratory tract infections (LRTIs) significantly predict mortality in these patients.
Area of Science:
- Hematology
- Infectious Diseases
- Oncology
Background:
- Hematologic malignancies (HMs) place patients at high risk for severe influenza complications.
- Influenza infection poses a significant threat to immunocompromised individuals undergoing cancer treatment.
Purpose of the Study:
- To investigate influenza infection outcomes in patients with HMs.
- To identify risk factors associated with influenza-related mortality in this vulnerable population.
Main Methods:
- A cross-sectional descriptive observational study of 90 patients with confirmed influenza and HMs.
- Data collected included demographics, cancer details, influenza type, symptoms, clinical findings, and outcomes (ICU admission, mortality).
Main Results:
- Influenza A was the predominant infection (80%).
- Risk factors for ICU admission included older age, comorbidities, lower respiratory tract infections (LRTIs), and specific malignancies (multiple myeloma [MM], chronic myelogenous leukemia [CML], acute myeloid leukemia [AML]).
- Mortality was higher in patients with MM or AML, comorbidities, and LRTIs.
Conclusions:
- MM, LRTIs, and comorbidities are identified as strong predictors of mortality in HMs patients with influenza.
- These findings highlight the critical need for vigilant monitoring and management of influenza in this high-risk group.
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