About: Haematology patients receiving chemo‐ or immunotherapy are considered to be at greater risk of COVID‐19‐related morbidity and mortality. We aimed to identify risk factors for COVID‐19 severity and assess outcomes in patients where COVID‐19 complicated the treatment of their haematological disorder. A retrospective cohort study was conducted in 55 patients with haematological disorders and COVID‐19, including 52 with malignancy, 2 with bone marrow failure and 1 immune mediated thrombotic thrombocytopenic purpura (TTP). COVID‐19 diagnosis coincided with a new diagnosis of a haematological malignancy in four patients. 82% of patients were on systemic anti‐cancer therapy (SACT) at time of COVID‐19. Of hospitalised patients, 37% (19/51) died whilst all four outpatients recovered. Risk factors for severe disease or mortality were similar to other published cohorts. Raised CRP at diagnosis predicted an aggressive clinical course. The majority of patients recovered from COVID‐19, despite receiving recent SACT. This suggests that SACT, where urgent, should be administered despite intercurrent CV19 infection, which should be managed according to standard pathway. Delay or modification of therapy should be considered on an individual basis. Long‐term follow‐up studies in larger patient cohorts are required to assess efficacy of treatment strategies employed during the pandemic.   Goto Sponge  NotDistinct  Permalink

An Entity of Type : fabio:Abstract, within Data Space : wasabi.inria.fr associated with source document(s)

AttributesValues
type
value
  • Haematology patients receiving chemo‐ or immunotherapy are considered to be at greater risk of COVID‐19‐related morbidity and mortality. We aimed to identify risk factors for COVID‐19 severity and assess outcomes in patients where COVID‐19 complicated the treatment of their haematological disorder. A retrospective cohort study was conducted in 55 patients with haematological disorders and COVID‐19, including 52 with malignancy, 2 with bone marrow failure and 1 immune mediated thrombotic thrombocytopenic purpura (TTP). COVID‐19 diagnosis coincided with a new diagnosis of a haematological malignancy in four patients. 82% of patients were on systemic anti‐cancer therapy (SACT) at time of COVID‐19. Of hospitalised patients, 37% (19/51) died whilst all four outpatients recovered. Risk factors for severe disease or mortality were similar to other published cohorts. Raised CRP at diagnosis predicted an aggressive clinical course. The majority of patients recovered from COVID‐19, despite receiving recent SACT. This suggests that SACT, where urgent, should be administered despite intercurrent CV19 infection, which should be managed according to standard pathway. Delay or modification of therapy should be considered on an individual basis. Long‐term follow‐up studies in larger patient cohorts are required to assess efficacy of treatment strategies employed during the pandemic.
subject
  • Zoonoses
  • Autoimmune diseases
  • Viral respiratory tract infections
  • COVID-19
  • Occupational safety and health
  • 2003 establishments in the United States
  • Diagnostic intensive care medicine
part of
is abstract of
is hasSource of
Faceted Search & Find service v1.13.91 as of Mar 24 2020


Alternative Linked Data Documents: Sponger | ODE     Content Formats:       RDF       ODATA       Microdata      About   
This material is Open Knowledge   W3C Semantic Web Technology [RDF Data]
OpenLink Virtuoso version 07.20.3229 as of Jul 10 2020, on Linux (x86_64-pc-linux-gnu), Single-Server Edition (94 GB total memory)
Data on this page belongs to its respective rights holders.
Virtuoso Faceted Browser Copyright © 2009-2025 OpenLink Software