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与新型冠状病毒肺炎相关的感染和血栓形成:ABO血型系统的潜在作用

Infection and thrombosis associated with COVID-19: Possible role of the ABO blood group.

作者信息

Zalba Marcos Saioa, Antelo María Luisa, Galbete Arkaitz, Etayo Maialen, Ongay Eva, García-Erce José Antonio

机构信息

Servicio de Hematología y Hemoterapia, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

Servicio de Apoyo a la Gestión Clínica y Continuidad Asistencial, Complejo Hospitalario de Navarra, Pamplona, Navarra, Spain.

出版信息

Med Clin (Engl Ed). 2020 Oct 23;155(8):340-343. doi: 10.1016/j.medcle.2020.06.013. Epub 2020 Sep 26.

Abstract

BACKGROUND

SARS-CoV-2 infection is clinically very heterogeneous, varying from asymptomatic to severe clinical conditions with a fatal outcome. Some studies suggests that the ABO blood group could be a biological marker of susceptibility for the development of the disease.

MATERIAL AND METHODS

We collected data from patients admitted with COVID-19 infection who had ABO blood group recorded, and analyzed the incidence by groups, compared with the global population in Navarre, as well as their main complications and evolution.

RESULTS

Group O was proportionally less represented in the hospitalized patients with respect to the global population, although the difference was not statistically significant. Group B had significantly higher rates of thrombotic complications and required more admissions in intensive care units.

CONCLUSION

The study suggests a lower susceptibility to infection in group O and a higher risk of complications in group B. Studies with a larger sample size are required in order to obtain significant results.

摘要

背景

严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染在临床上具有很大的异质性,从无症状到严重临床状况甚至导致死亡。一些研究表明,ABO血型可能是该疾病易感性的生物学标志物。

材料与方法

我们收集了记录有ABO血型的新冠肺炎感染住院患者的数据,按组分析发病率,并与纳瓦拉的全球人口进行比较,同时分析了他们的主要并发症和病情演变。

结果

与全球人口相比,O型血在住院患者中的比例相对较低,尽管差异无统计学意义。B型血患者的血栓并发症发生率显著更高,且需要更多次入住重症监护病房。

结论

该研究表明,O型血人群对感染的易感性较低,而B型血人群发生并发症的风险较高。需要开展更大样本量的研究以获得显著结果。

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