ABO blood type association with SARS-CoV-2 infection mortality : A single-center population in New York City

© 2021 AABB..

BACKGROUND: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has a variable clinical course with significant mortality. Early reports suggested higher rates of SARS-CoV-2 infection in patients with type A blood and enrichment of type A individuals among COVID-19 mortalities.

STUDY DESIGN AND METHODS: The study includes all patients hospitalized or with an emergency department (ED) visit who were tested for SARS-CoV-2 between March 10, 2020 and June 8, 2020 and had a positive test result by nucleic acid test (NAT) performed on a nasopharyngeal swab specimen. A total of 4968 patients met the study inclusion criteria, with a subsequent 23.1% (n = 1146/4968) all-cause mortality rate in the study cohort. To estimate overall risk by ABO type and account for the competing risks of in-hospital mortality and discharge, we calculated the cumulative incidence function (CIF) for each event. Cause-specific hazard ratios (csHRs) for in-hospital mortality and discharge were analyzed using multivariable Cox proportional hazards models.

RESULTS: Type A blood was associated with the increased cause-specific hazard of death among COVID-19 patients compared to type O (HR = 1.17, 1.02-1.33, p = .02) and type B (HR = 1.32,1.10-1.58, p = .003).

CONCLUSIONS: Our study shows that ABO histo-blood group type is associated with the risk of in-hospital death in COVID-19 patients, warranting additional inquiry. Elucidating the mechanism behind this association may reveal insights into the susceptibility and/or immunity to SARS-CoV-2.

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:61

Enthalten in:

Transfusion - 61(2021), 4 vom: 20. Apr., Seite 1064-1070

Sprache:

Englisch

Beteiligte Personen:

Szymanski, James [VerfasserIn]
Mohrmann, Laurel [VerfasserIn]
Carter, Jamal [VerfasserIn]
Nelson, Randin [VerfasserIn]
Chekuri, Sweta [VerfasserIn]
Assa, Andrei [VerfasserIn]
Spund, Brian [VerfasserIn]
Reyes-Gil, Morayma [VerfasserIn]
Uehlinger, Joan [VerfasserIn]
Baron, Sarah [VerfasserIn]
Paroder, Monika [VerfasserIn]

Links:

Volltext

Themen:

ABO
ABO Blood-Group System
Clinical Trial
Journal Article
SARS-CoV-2

Anmerkungen:

Date Completed 19.04.2021

Date Revised 31.07.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/trf.16339

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM322232384