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10.1111/ejh.13493

http://scihub22266oqcxt.onion/10.1111/ejh.13493
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32710500!ä!32710500

suck abstract from ncbi


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pmid32710500      Eur+J+Haematol 2020 ; 105 (5): 597-607
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  • Clinical course and risk factors for mortality from COVID-19 in patients with haematological malignancies #MMPMID32710500
  • Sanchez-Pina JM; Rodriguez Rodriguez M; Castro Quismondo N; Gil Manso R; Colmenares R; Gil Alos D; Paciello ML; Zafra D; Garcia-Sanchez C; Villegas C; Cuellar C; Carreno-Tarragona G; Zamanillo I; Poza M; Iniguez R; Gutierrez X; Alonso R; Rodriguez A; Folgueira MD; Delgado R; Ferrari JM; Lizasoain M; Aguado JM; Ayala R; Martinez-Lopez J; Calbacho M
  • Eur J Haematol 2020[Nov]; 105 (5): 597-607 PMID32710500show ga
  • BACKGROUND: The impact of coronavirus disease 2019 (COVID-19) in haematological patients (HP) has not been comprehensively reported. METHODS: We analysed 39 patients with SARS-CoV-2 infection and haematological malignancies. Clinical characteristics and outcomes were compared to a matched control group of 53 non-cancer patients with COVID-19. Univariate and multivariate analyses were carried out to assess the risk factors associated with poor outcome. RESULTS: The most frequent haematological diseases were lymphoma (30%) and multiple myeloma (30%). Eighty-seven % HP developed moderate or severe disease. Patients with haematological malignancies had a significantly higher mortality rate compared to non-cancer patients (35.9% vs 13.2%; P = .003 (odds ratio 6.652). The worst outcome was observed in chronic lymphocytic leukaemia patients. Only age >70 years and C reactive protein >10 mg/dl at admission were associated with higher risk of death (odds ratio 34.86, P = .003 and 13.56,P = .03). Persistent viral sheddind was detected in 5 HP. Active chemotherapy, viral load at diagnosis and COVID-19 therapy were not predictors of outcome. CONCLUSION: Mortality of COVID-19 is significantly higher in patients with haematological malignancies compared to non-cancer patients. The impact of persistent viral shedding must be considered in order to re-start therapies and maintain infectious control measures.
  • |Adult[MESH]
  • |Age Factors[MESH]
  • |Aged[MESH]
  • |Aged, 80 and over[MESH]
  • |COVID-19/blood/*complications/*mortality[MESH]
  • |Case-Control Studies[MESH]
  • |Female[MESH]
  • |Hematologic Neoplasms/blood/*complications[MESH]
  • |Humans[MESH]
  • |Leukemia, Lymphocytic, Chronic, B-Cell/complications[MESH]
  • |Lymphoma/complications[MESH]
  • |Male[MESH]
  • |Middle Aged[MESH]
  • |Multiple Myeloma/complications[MESH]
  • |Multivariate Analysis[MESH]
  • |Pandemics[MESH]
  • |Risk Factors[MESH]
  • |SARS-CoV-2[MESH]


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