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COVID-19 Disease in Patients with Hematological Disease-Single Center Data

Yıl 2022, Cilt: 75 Sayı: 2, 204 - 210, 30.06.2022
https://doi.org/10.4274/atfm.galenos.2021.09825

Öz

Objectives: Coronavirus disease-2019 (COVID-19) is a pandemic that has been the main issue of the healthcare since December 2019. There are
difficulties in treatment and follow-up for hematology patients. In this study, we aimed to share data about the disease and mortality of patients
diagnosed with COVID-19.

Materials and Methods: The patients diagnosed with COVID-19 between March 2020 and February 2021 were included. Patients were retrospectively
analyzed.

Results: Forty-nine patients were evaluated. Twenty-one were female, 28 were male, the median age was 64 (19-84) years. Nineteen patients
had no comorbidities. Thirty patients had 1-4 comorbid diagnoses. Forty-one (83%) patients had malignant hematological diagnosis, 33 (67%)
of them were receiving active chemotherapy. Sixteen (33%) patients were in the cytopenic period. Six patients were asymptomatic at the time
of diagnosis. Nineteen (38.8%) of the patients had mild illness, 6 (12.2%) had moderate COVID-19, 24 (49%) had severe disease. Fourteen (29%)
patients were followed up at home, while 35 (71%) patients were hospitalized. Twenty-one (60%) of the inpatients were followed up in the intensive
care unit. Totally 17 patients (34.6%) died from COVID-19 infection. Being diagnosed with COVID-19 during hospitalization for the hematological
causes, hematological disease status, cytopenia on the day of COVID-19 diagnosis, hospitalization for COVID-19 treatment, lung involvement,
accompanying extrapulmonary organ involvement, decreased hemoglobin level and thrombocyte count, systemic inflammatory response syndrome
development, intensive care admission, intubation and secondary infection during hospitalization were the factors associated with higher mortality.

Conclusion: In this study, we observed that COVID-19 had a higher morbidity and mortality in hematological patients. More attention should be
paid to hematological patient groups in the era of COVID-19 to protect them from the disease.

Etik Beyan

Ethics committee approval was received from Ministry of Health and Ankara City Hospital Local Ethic Committee with the number E1-21-1715. Informed Consent: Patients were retrospectively analyzed. Peer-reviewed: Externally peer-reviewed.

Destekleyen Kurum

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Teşekkür

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Kaynakça

  • 1. Hu B, Guo H, Zhou P, et al. Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol. 2021;19:141-154.
  • 2. Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382:727-733.
  • 3. Gale RP. Perspective: SARS-CoV-2, COVID-19 and Haematologists. Acta Haematol. 2021;144:117-121.
  • 4. Gao YD, Ding M, Dong X, et al. Risk factors for severe and critically ill COVID-19 patients: A review. Allergy. 2021;76:428-455. 5. Tian J, Yuan X, Xiao J, et al. Clinical characteristics and risk factors associated with COVID-19 disease severity in patients with cancer in Wuhan, China: a multicentre, retrospective, cohort study. Lancet Oncol. 2020;21:893-903.
  • 6. Cai G, Gao Y, Zeng S, et al. Immunological alternation in COVID-19 patients with cancer and its implications on mortality. Oncoimmunology. 2021;10:1854424.
  • 7. Erdal GS, Polat O, Erdem GU, et al. The mortality rate of COVID-19 was high in cancer patients: a retrospective single-center study. Int J Clin Oncol. 2021;26:826-834.
  • 8. Nakamura S, Kanemasa Y, Atsuta Y, et al. Characteristics and outcomes of coronavirus disease 2019 (COVID-19) patients with cancer: a singlecenter retrospective observational study in Tokyo, Japan. Int J Clin Oncol. 2021;26:485-493.
  • 9. Rüthrich MM, Giessen-Jung C, Borgmann S, et al. COVID-19 in cancer patients: clinical characteristics and outcome-an analysis of the LEOSS registry. Ann Hematol. 2021;100:383-393.
  • 10. García-Suárez J, de la Cruz J, Cedillo Á, et al. Impact of hematologic malignancy and type of cancer therapy on COVID-19 severity and mortality: lessons from a large population-based registry study. J Hematol Oncol. 2020;13:133.
  • 11. Kim JS, Lee KH, Kim GE, et al. Clinical characteristics and mortality of patients with hematologic malignancies and COVID-19: a systematic review. Eur Rev Med Pharmacol Sci. 2020;24:11926 11933.
  • 12. Vijenthira A, Gong IY, Fox TA, et al. Outcomes of patients with hematologic malignancies and COVID-19: a systematic review and meta-analysis of 3377 patients. Blood. 2020;136:2881-2892.
  • 13. Wood WA, Neuberg DS, Thompson JC, et al. Outcomes of patients with hematologic malignancies and COVID-19: a report from the ASH Research Collaborative Data Hub. Blood Adv. 2020;4:5966-5975.
  • 14. De Ramón C, Hernandez-Rivas JA, Rodríguez García JA, et al. Impact of Sars- CoV2 Infection on 491 Hematological Patients: The Ecovidehe Multicenter Study. Blood. 2020;136:5-6.
  • 15. He W, Chen L, Yuan G, et al. COVID-19 in persons with haematological cancers. Leukemia. 2020;34:1637-1645.
  • 16. Yigenoglu TN, Ata N, Altuntas F, et al. The outcome of COVID-19 in patients with hematological malignancy. J Med Virol. 2021;93:1099-1104.
  • 17. WHO Coronavirus (COVID-19) Dashboard, https://covid19.who.int/; Turkey: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data
  • 18. Passamonti F, Cattaneo C, Arcaini L, et al. Clinical characteristics and risk factors associated with COVID-19 severity in patients with haematological malignancies in Italy: a retrospective, multicentre, cohort study. Lancet Haematol. 2020;7:737-745.
  • 19. Cattaneo C, Daffini R, Pagani C, et al. Clinical characteristics and risk factors for mortality in hematologic patients affected by COVID-19. Cancer. 2020;126:5069-5076.
  • 20. American Society of Hematology. (2021). Covid 19 resources for clinicans. Avaliable from https://www.hematology.org/covid-19; MALIGNANT TOPICS.
  • 21. Ibrahim A, Noun P, Khali C, et al. Changing Management of Hematological Malignancies With COVID-19: Statement and Recommendations of the Lebanese Society of Hematology and Blood Transfusion. Front Oncol. 2021;11:564383.
  • 22. Isidori A, de Leval L, Gergis U, et al. Management of Patients With Hematologic Malignancies During the COVID-19 Pandemic: Practical Considerations and Lessons to Be Learned. Front Oncol. 2020;10:1439.
  • 23. European Hematology Association (EHA) Covid 19 Hematology Hub. (2021). Avaliable from https://ehaweb.org/covid-19/covid-19-recommendations/.
  • 24. Turk C, Turk S, Malkan UY, et al. Three critical clinicobiological phases of the human SARS-associated coronavirus infections. Eur Rev Med Pharmacol Sci. 2020;24:8606-8620.
  • 25. Quesada JA, López-Pineda A, Gil-Guillén VF, F et al. Incubation period of COVID-19: A systematic review and meta-analysis]. Rev Clin Esp (Barc). 2021;221:109-117.
  • 26. Tsai PH, Lai WY, Lin YY, et al. Clinical manifestation and disease progression in COVID-19 infection. J Chin Med Assoc. 2021;84:3-8.
  • 27. Mac S, Barrett K, Khan YA, et al. Demographic characteristics, acute care resource use and mortality by age and sex in patients with COVID-19 in Ontario, Canada: a descriptive analysis. CMAJ Open. 2021;9:271-279.
  • 28. Kim SW, Kim SM, Kim YK, et al. Clinical Characteristics and Outcomes of COVID-19 Cohort Patients in Daegu Metropolitan City Outbreak in 2020. J Korean Med Sci. 2021;36:e12.
  • 29. Ranzani OT, Bastos LSL, Gelli JGM, et al. Characterisation of the first 250,000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data. Lancet. Respir Med. 2021;9:407-418.
  • 30. Borah P, Mirgh S, Sharma SK, et al. Effect of age, comorbidity and remission status on outcome of COVID-19 in patients with hematological malignancies. Blood Cells Mol Dis. 2021;87:102525.

Hematolojik Hastalarda COVID-19 Hastalığı-Tek Merkez Verisi

Yıl 2022, Cilt: 75 Sayı: 2, 204 - 210, 30.06.2022
https://doi.org/10.4274/atfm.galenos.2021.09825

Öz

Amaç: Koronavirüs hastalığı-2019 (COVID-19), Aralık 2019’dan bu yana sağlık hizmetlerinin ana uğraşı haline gelmiş bir hastalıktır. Hematoloji
hastalarının COVID-19 tedavi ve takiplerinde zorluklar yaşanmaktadır. Bu çalışmada COVID-19 tanısı alan hematolojik hastaların hastalık seyri ve
ölüm oranlarına ilişkin verileri paylaşmayı amaçladık.

Gereç ve Yöntem: Mart 2020 ile Şubat 2021 arasında COVID-19 tanısı konulan hastalar çalışmaya dahil edildi. Hastalar retrospektif olarak incelendi.

Bulgular: Kırk dokuz hasta değerlendirildi. Yirmi biri kadın, 28’i erkek idi, ortanca yaş 64 (19-84) idi. On dokuz hastada komorbidite yoktu. Otuz
hastada 1-4 ek tanı vardı. Kırk bir (%83) hastada malign hematolojik tanı saptandı, 33’ü (%67) aktif kemoterapi alıyordu. On altı (%33) hasta sitopenik
dönemdeydi. Altı hasta tanı anında asemptomatikti. Hastaların 19’u (%38,8) hafif, 6’sı (%12,2) orta derecede COVID-19, 24’ü (%49) ağır hastalığa
sahipti. On dört (%29) hasta evde takip edilirken, 35 (%71) hasta hastaneye yatırıldı. Yatan hastaların 21’i (%60) yoğun bakımda takip edildi. Toplam 17
hasta (%34,6) COVID-19 enfeksiyonundan öldü. Hematolojik nedenlerle hastanede yatışı sırasında COVID-19 tanısı almış olmak, hematolojik hastalık
durumu, COVID-19 tedavisi için yatış, akciğer tutulumu, eşlik eden ekstrapulmoner organ tutulumu, anemi, trombositopeni, sistemik enflamatuvar
yanıt sendromu gelişimi, yoğun bakıma yatış, entübasyon ve sekonder enfeksiyon gelişimi daha yüksek mortalite ile ilişkili bulundu.

Kaynakça

  • 1. Hu B, Guo H, Zhou P, et al. Characteristics of SARS-CoV-2 and COVID-19. Nat Rev Microbiol. 2021;19:141-154.
  • 2. Zhu N, Zhang D, Wang W, et al. A Novel Coronavirus from Patients with Pneumonia in China, 2019. N Engl J Med. 2020;382:727-733.
  • 3. Gale RP. Perspective: SARS-CoV-2, COVID-19 and Haematologists. Acta Haematol. 2021;144:117-121.
  • 4. Gao YD, Ding M, Dong X, et al. Risk factors for severe and critically ill COVID-19 patients: A review. Allergy. 2021;76:428-455. 5. Tian J, Yuan X, Xiao J, et al. Clinical characteristics and risk factors associated with COVID-19 disease severity in patients with cancer in Wuhan, China: a multicentre, retrospective, cohort study. Lancet Oncol. 2020;21:893-903.
  • 6. Cai G, Gao Y, Zeng S, et al. Immunological alternation in COVID-19 patients with cancer and its implications on mortality. Oncoimmunology. 2021;10:1854424.
  • 7. Erdal GS, Polat O, Erdem GU, et al. The mortality rate of COVID-19 was high in cancer patients: a retrospective single-center study. Int J Clin Oncol. 2021;26:826-834.
  • 8. Nakamura S, Kanemasa Y, Atsuta Y, et al. Characteristics and outcomes of coronavirus disease 2019 (COVID-19) patients with cancer: a singlecenter retrospective observational study in Tokyo, Japan. Int J Clin Oncol. 2021;26:485-493.
  • 9. Rüthrich MM, Giessen-Jung C, Borgmann S, et al. COVID-19 in cancer patients: clinical characteristics and outcome-an analysis of the LEOSS registry. Ann Hematol. 2021;100:383-393.
  • 10. García-Suárez J, de la Cruz J, Cedillo Á, et al. Impact of hematologic malignancy and type of cancer therapy on COVID-19 severity and mortality: lessons from a large population-based registry study. J Hematol Oncol. 2020;13:133.
  • 11. Kim JS, Lee KH, Kim GE, et al. Clinical characteristics and mortality of patients with hematologic malignancies and COVID-19: a systematic review. Eur Rev Med Pharmacol Sci. 2020;24:11926 11933.
  • 12. Vijenthira A, Gong IY, Fox TA, et al. Outcomes of patients with hematologic malignancies and COVID-19: a systematic review and meta-analysis of 3377 patients. Blood. 2020;136:2881-2892.
  • 13. Wood WA, Neuberg DS, Thompson JC, et al. Outcomes of patients with hematologic malignancies and COVID-19: a report from the ASH Research Collaborative Data Hub. Blood Adv. 2020;4:5966-5975.
  • 14. De Ramón C, Hernandez-Rivas JA, Rodríguez García JA, et al. Impact of Sars- CoV2 Infection on 491 Hematological Patients: The Ecovidehe Multicenter Study. Blood. 2020;136:5-6.
  • 15. He W, Chen L, Yuan G, et al. COVID-19 in persons with haematological cancers. Leukemia. 2020;34:1637-1645.
  • 16. Yigenoglu TN, Ata N, Altuntas F, et al. The outcome of COVID-19 in patients with hematological malignancy. J Med Virol. 2021;93:1099-1104.
  • 17. WHO Coronavirus (COVID-19) Dashboard, https://covid19.who.int/; Turkey: WHO Coronavirus Disease (COVID-19) Dashboard With Vaccination Data
  • 18. Passamonti F, Cattaneo C, Arcaini L, et al. Clinical characteristics and risk factors associated with COVID-19 severity in patients with haematological malignancies in Italy: a retrospective, multicentre, cohort study. Lancet Haematol. 2020;7:737-745.
  • 19. Cattaneo C, Daffini R, Pagani C, et al. Clinical characteristics and risk factors for mortality in hematologic patients affected by COVID-19. Cancer. 2020;126:5069-5076.
  • 20. American Society of Hematology. (2021). Covid 19 resources for clinicans. Avaliable from https://www.hematology.org/covid-19; MALIGNANT TOPICS.
  • 21. Ibrahim A, Noun P, Khali C, et al. Changing Management of Hematological Malignancies With COVID-19: Statement and Recommendations of the Lebanese Society of Hematology and Blood Transfusion. Front Oncol. 2021;11:564383.
  • 22. Isidori A, de Leval L, Gergis U, et al. Management of Patients With Hematologic Malignancies During the COVID-19 Pandemic: Practical Considerations and Lessons to Be Learned. Front Oncol. 2020;10:1439.
  • 23. European Hematology Association (EHA) Covid 19 Hematology Hub. (2021). Avaliable from https://ehaweb.org/covid-19/covid-19-recommendations/.
  • 24. Turk C, Turk S, Malkan UY, et al. Three critical clinicobiological phases of the human SARS-associated coronavirus infections. Eur Rev Med Pharmacol Sci. 2020;24:8606-8620.
  • 25. Quesada JA, López-Pineda A, Gil-Guillén VF, F et al. Incubation period of COVID-19: A systematic review and meta-analysis]. Rev Clin Esp (Barc). 2021;221:109-117.
  • 26. Tsai PH, Lai WY, Lin YY, et al. Clinical manifestation and disease progression in COVID-19 infection. J Chin Med Assoc. 2021;84:3-8.
  • 27. Mac S, Barrett K, Khan YA, et al. Demographic characteristics, acute care resource use and mortality by age and sex in patients with COVID-19 in Ontario, Canada: a descriptive analysis. CMAJ Open. 2021;9:271-279.
  • 28. Kim SW, Kim SM, Kim YK, et al. Clinical Characteristics and Outcomes of COVID-19 Cohort Patients in Daegu Metropolitan City Outbreak in 2020. J Korean Med Sci. 2021;36:e12.
  • 29. Ranzani OT, Bastos LSL, Gelli JGM, et al. Characterisation of the first 250,000 hospital admissions for COVID-19 in Brazil: a retrospective analysis of nationwide data. Lancet. Respir Med. 2021;9:407-418.
  • 30. Borah P, Mirgh S, Sharma SK, et al. Effect of age, comorbidity and remission status on outcome of COVID-19 in patients with hematological malignancies. Blood Cells Mol Dis. 2021;87:102525.
Toplam 29 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hematoloji
Bölüm Makaleler
Yazarlar

Ferda Can 0000-0002-9899-1441

Yayımlanma Tarihi 30 Haziran 2022
Yayımlandığı Sayı Yıl 2022 Cilt: 75 Sayı: 2

Kaynak Göster

APA Can, F. (2022). COVID-19 Disease in Patients with Hematological Disease-Single Center Data. Ankara Üniversitesi Tıp Fakültesi Mecmuası, 75(2), 204-210. https://doi.org/10.4274/atfm.galenos.2021.09825
AMA Can F. COVID-19 Disease in Patients with Hematological Disease-Single Center Data. Ankara Üniversitesi Tıp Fakültesi Mecmuası. Haziran 2022;75(2):204-210. doi:10.4274/atfm.galenos.2021.09825
Chicago Can, Ferda. “COVID-19 Disease in Patients With Hematological Disease-Single Center Data”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75, sy. 2 (Haziran 2022): 204-10. https://doi.org/10.4274/atfm.galenos.2021.09825.
EndNote Can F (01 Haziran 2022) COVID-19 Disease in Patients with Hematological Disease-Single Center Data. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75 2 204–210.
IEEE F. Can, “COVID-19 Disease in Patients with Hematological Disease-Single Center Data”, Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 75, sy. 2, ss. 204–210, 2022, doi: 10.4274/atfm.galenos.2021.09825.
ISNAD Can, Ferda. “COVID-19 Disease in Patients With Hematological Disease-Single Center Data”. Ankara Üniversitesi Tıp Fakültesi Mecmuası 75/2 (Haziran 2022), 204-210. https://doi.org/10.4274/atfm.galenos.2021.09825.
JAMA Can F. COVID-19 Disease in Patients with Hematological Disease-Single Center Data. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75:204–210.
MLA Can, Ferda. “COVID-19 Disease in Patients With Hematological Disease-Single Center Data”. Ankara Üniversitesi Tıp Fakültesi Mecmuası, c. 75, sy. 2, 2022, ss. 204-10, doi:10.4274/atfm.galenos.2021.09825.
Vancouver Can F. COVID-19 Disease in Patients with Hematological Disease-Single Center Data. Ankara Üniversitesi Tıp Fakültesi Mecmuası. 2022;75(2):204-10.