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COVID-19 患者的血液恶性肿瘤结局。

The outcome of COVID-19 in patients with hematological malignancy.

机构信息

Department of Hematology and Bone Marrow Transplantation Center, Ankara Oncology Training and Research Hospital, University of Health Sciences, Ankara, Turkey.

Department of Strategy Development, Republic of Turkey, Ministry of Health, Ankara, Turkey.

出版信息

J Med Virol. 2021 Feb;93(2):1099-1104. doi: 10.1002/jmv.26404. Epub 2020 Aug 26.

Abstract

In this study, we aim to report the outcomes for COVID-19 in patients with hematological malignancy in Turkey. Data from laboratory-confirmed 188 897 COVID-19 patients diagnosed between 11 March 2020 and 22 June 2020 included in the Republic of Turkey, Ministry of Health database were analyzed retrospectively. All COVID-19 patients with hematological malignancy (n = 740) were included in the study and an age, sex, and comorbidity-matched cohort of COVID-19 patients without cancer (n = 740) at a 1:1 ratio was used for comparison. Non-Hodgkin lymphoma (30.1%), myelodysplastic syndrome (19.7%), myeloproliferative neoplasm (15.7%) were the most common hematological malignancies. The rates of severe and critical disease were significantly higher in patients with hematological malignancy compared with patients without cancer (P = .001). The rates of hospital and intensive care unit (ICU) admission were higher in patients with hematological malignancy compared with the patients without cancer (P = .023, P = .001, respectively). The length of hospital stay and ICU stay was similar between groups (P = .7, P = .3, retrospectively). The rate of mechanical ventilation (MV) support was higher in patients with hematological malignancy compared with the control group (P = .001). The case fatality rate was 13.8% in patients with hematological malignancy, and it was 6.8% in the control group (P = .001). This study reveals that there is an increased risk of COVID-19-related serious events (ICU admission, MV support, or death) in patients with hematological malignancy compared with COVID-19 patients without cancer and confirms the high vulnerability of patients with hematological malignancy in the current pandemic.

摘要

在这项研究中,我们旨在报告土耳其血液恶性肿瘤患者的 COVID-19 结局。对 2020 年 3 月 11 日至 2020 年 6 月 22 日期间纳入土耳其共和国卫生部数据库的 188897 例实验室确诊 COVID-19 患者的数据进行了回顾性分析。将所有患有血液恶性肿瘤的 COVID-19 患者(n=740)纳入研究,并按年龄、性别和合并症匹配了 740 例无癌症的 COVID-19 患者作为对照组进行比较。最常见的血液恶性肿瘤是非霍奇金淋巴瘤(30.1%)、骨髓增生异常综合征(19.7%)和骨髓增殖性肿瘤(15.7%)。与无癌症的患者相比,血液恶性肿瘤患者发生严重和危重症疾病的比例显著更高(P=0.001)。与无癌症的患者相比,血液恶性肿瘤患者住院和入住重症监护病房(ICU)的比例更高(P=0.023,P=0.001)。两组患者的住院时间和 ICU 入住时间相似(P=0.7,P=0.3,回顾性)。与对照组相比,血液恶性肿瘤患者接受机械通气(MV)支持的比例更高(P=0.001)。血液恶性肿瘤患者的病死率为 13.8%,对照组为 6.8%(P=0.001)。本研究表明,与无癌症的 COVID-19 患者相比,血液恶性肿瘤患者发生 COVID-19 相关严重事件(入住 ICU、接受 MV 支持或死亡)的风险增加,并证实了血液恶性肿瘤患者在当前大流行中的高度脆弱性。

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