影响COVID-19的因素在患有血液学疾病的患者中的结果
A M Rudzite1, D Auzina1, S Lejniece1,2
1Riga Stradins University, Riga, Latvia.
Experimental oncology
|December 20, 2024
概括
患有血液性恶性瘤的患者面临高的COVID-19死亡风险. 增加死亡风险的关键因素包括感染严重程度,细菌共同感染和急性髓性白血病.
科学领域:
- 血液学 血液学 血液学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 患有血液性恶性瘤 (HM) 的患者免疫力低下,增加他们患重症COVID-19的风险.
- 了解COVID-19对HM患者的影响对于改善临床管理至关重要.
研究的目的:
- 确定HM患者的COVID-19死亡率和临床结果.
- 在里加东方大学医院的COVID-19患者中确定与死亡相关的风险因素.
主要方法:
- 追溯性,非干预性队列研究.
- 包括实验室确认的COVID-19 (2020年12月 - 2023年3月) 的成年HM患者.
- 使用描述性统计和回归模型进行分析.
主要成果:
- 在156名HM患者中观察到COVID-19死亡率为19.9%.
- 死亡风险增加与COVID-19的严重程度,细菌感染,更长的住院时间,绝对中性粒细胞数量低 (ANC),发烧和急性髓性白血病有关.
- 与第二次相比,第三次大流行浪潮的死亡率较低;疫苗接种的影响在统计学上并不显著.
结论:
- 与普通人群相比,HM患者的COVID-19死亡率较高.
- 诸如COVID-19严重程度,细菌联合感染和特定的血液病状等因素显著增加了死亡风险.
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