학술논문
COVID-19 infection in adult patients with hematological malignancies: a European Hematology Association Survey (EPICOVIDEHA)
Document Type
Academic Journal
Author
Pagano, Livio; Salmanton-García, Jon; Marchesi, Francesco; Busca, Alessandro; Corradini, Paolo; Hoenigl, Martin; Klimko, Nikolai; Koehler, Philipp; Pagliuca, Antonio; Passamonti, Francesco; Verga, Luisa; VíÅ¡ek, Benjamin; Ilhan, Osman; Nadali, Gianpaolo; Weinbergerová, Barbora; Córdoba-Mascuéano, Raúl; Marchetti, Monia; Collins, Graham P.; Farina, Francesca; Cattaneo, Chiara; Cabirta, Alba; Gomes-Silva, Maria; Itri, Federico; van Doesum, Jaap; Ledoux, Marie-Pierre; ÄerÅan, Martin; JakÅ¡iÄ, Ozren; Duarte, Rafael F.; Magliano, Gabriele; Omrani, Ali S.; Fracchiolla, Nicola S.; Kulasekararaj, Austin; ValkoviÄ, Toni; Poulsen, Christian Bjarn; Machado, Marina; Glenthaj, Andreas; Stoma, Igor; Rácil, ZdenÄk; Piukovics, Klára; Navrátil, Milan; Emarah, Ziad; Sili, Uluhan; Maertens, Johan; Blennow, Ola; Bergantim, Rui; García-Vidal, Carolina; Prezioso, Lucia; Guidetti, Anna; del Principe, Maria Ilaria; Popova, Marina; de Jonge, Nick; Ormazabal-Vélez, Irati; Fernández, Noemí; Falces-Romero, Iker; Cuccaro, Annarosa; Meers, Stef; Buquicchio, Caterina; AntiÄ, Darko; Al-Khabori, Murtadha; García-Sanz, Ramón; Biernat, Monika M.; Tisi, Maria Chiara; Sal, Ertan; Rahimli, Laman; ÄoloviÄ, Natasa; Schönlein, Martin; Calbacho, Maria; Tascini, Carlo; Miranda-Castillo, Carolina; Khanna, Nina; Méndez, Gustavo-Adolfo; Petzer, Verena; Novák, Jan; Besson, Caroline; Duléry, Rémy; Lamure, Sylvain; Nucci, Marcio; Zambrotta, Giovanni; Žák, Pavel; Seval, Guldane Cengiz; Bonuomo, Valentina; Mayer, JiÅí; López-García, Alberto; Sacchi, Maria Vittoria; Booth, Stephen; Ciceri, Fabio; Oberti, Margherita; Salvini, Marco; Izuzquiza, Macarena; Nunes-Rodrigues, Raquel; Ammatuna, Emanuele; Obr, AleÅ¡; Herbrecht, Raoul; Núéez-Martín-Buitrago, Lucía; Mancini, Valentina; Shwaylia, Hawraa; Sciumè, Mariarita; Essame, Jenna; Nygaard, Marietta; BatiniÄ, Josip; Gonzaga, Yung; Regalado-Artamendi, Isabel; Karlsson, Linda Katharina; Shapetska, Maryia; Hanakova, Michaela; El-Ashwah, Shaimaa; Borbényi, Zita; Çolak, Gökçe Melis; Nordlander, Anna; Dragonetti, Giulia; Maraglino, Alessio Maria Edoardo; Rinaldi, Amelia; De Ramón-Sánchez, Cristina; Cornely, Oliver A.; Finizio, Olimpia; Fazzi, Rita; Sapienza, Giuseppe; Chauchet, Adrien; Van Praet, Jens; Prattes, Juergen; Dargenio, Michelina; Rossi, Cédric; Shirinova, Ayten; Malak, Sandra; Tafuri, Agostino; Ommen, Hans-Beier; Bologna, Serge; Khedr, Reham Abdelaziz; Choquet, Sylvain; Joly, Bertrand; Ceesay, M. Mansour; Philippe, Laure; Kho, Chi Shan; Desole, Maximilian; Tsirigotis, Panagiotis; OtaÅ¡eviÄ, Vladimir; Borducchi, Davimar M. M.; Antoniadou, Anastasia; Gaziev, Javid; Almaslamani, Muna A.; García-Poutón, Nicole; Paterno, Giovangiacinto; Torres-López, Andrea; Tarantini, Giuseppe; Mellinghoff, Sibylle; Gräfe, Stefanie; Börschel, Niklas; Passweg, Jakob; Merelli, Maria; BaraÄ, Aleksandra; Wolf, Dominik; Shaikh, Mohammad Usman; Thiéblemont, Catherine; Bernard, Sophie; Funke, Vaneuza Araújo Moreira; Daguindau, Etienne; Khostelidi, Sofya; Nucci, Fabio Moore; Martín-González, Juan-Alberto; Landau, Marianne; Soussain, Carole; Laureana, Cécile; Lacombe, Karine; Kohn, Milena; Aliyeva, Gunay; Piedimonte, Monica; Fouquet, Guillemette; Rêgo, Mayara; Hoell-Neugebauer, Baerbel; Cartron, Guillaume; Pinto, Fernando; Alburquerque, Ana Munhoz; Passos, Juliana; Yilmaz, Asu Fergun; Redondo-Izal, Ana-Margarita; AltuntaÅ, Fevzi; Heath, Christopher; Kolditz, Martin; Schalk, Enrico; Guolo, Fabio; Karthaus, Meinolf; Della Pepa, Roberta; Vinh, Donald; Noël, Nicolas; Deau Fischer, Bénédicte; Drenou, Bernard; Mitra, Maria Enza; Meletiadis, Joseph; Bilgin, Yavuz M.; Jindra, Pavel; Espigado, Ildefonso; DrgoÅa, ĽuboÅ¡; Serris, Alexandra; Di Blasi, Roberta; Ali, Natasha
Source
Journal of Hematology & Oncology. October 14, 2021, Vol. 14 Issue 1
Subject
Language
English
ISSN
1756-8722
Abstract
Background Patients with hematological malignancies (HM) are at high risk of mortality from SARS-CoV-2 disease 2019 (COVID-19). A better understanding of risk factors for adverse outcomes may improve clinical management in these patients. We therefore studied baseline characteristics of HM patients developing COVID-19 and analyzed predictors of mortality. Methods The survey was supported by the Scientific Working Group Infection in Hematology of the European Hematology Association (EHA). Eligible for the analysis were adult patients with HM and laboratory-confirmed COVID-19 observed between March and December 2020. Results The study sample includes 3801 cases, represented by lymphoproliferative (mainly non-Hodgkin lymphoma n = 1084, myeloma n = 684 and chronic lymphoid leukemia n = 474) and myeloproliferative malignancies (mainly acute myeloid leukemia n = 497 and myelodysplastic syndromes n = 279). Severe/critical COVID-19 was observed in 63.8% of patients (n = 2425). Overall, 2778 (73.1%) of the patients were hospitalized, 689 (18.1%) of whom were admitted to intensive care units (ICUs). Overall, 1185 patients (31.2%) died. The primary cause of death was COVID-19 in 688 patients (58.1%), HM in 173 patients (14.6%), and a combination of both COVID-19 and progressing HM in 155 patients (13.1%). Highest mortality was observed in acute myeloid leukemia (199/497, 40%) and myelodysplastic syndromes (118/279, 42.3%). The mortality rate significantly decreased between the first COVID-19 wave (March-May 2020) and the second wave (October-December 2020) (581/1427, 40.7% vs. 439/1773, 24.8%, p value < 0.0001). In the multivariable analysis, age, active malignancy, chronic cardiac disease, liver disease, renal impairment, smoking history, and ICU stay correlated with mortality. Acute myeloid leukemia was a higher mortality risk than lymphoproliferative diseases. Conclusions This survey confirms that COVID-19 patients with HM are at high risk of lethal complications. However, improved COVID-19 prevention has reduced mortality despite an increase in the number of reported cases. Keywords: COVID-19, Pandemic, Hematological malignancies, Epidemiology, EHA
Author(s): Livio Pagano[sup.1,2], Jon Salmanton-García[sup.3,4], Francesco Marchesi[sup.5], Alessandro Busca[sup.6], Paolo Corradini[sup.7], Martin Hoenigl[sup.8,9,10], Nikolai Klimko[sup.11], Philipp Koehler[sup.3,4], Antonio Pagliuca[sup.12], Francesco Passamonti[sup.13], Luisa Verga[sup.14,15], Benjamin VíÅ¡ek[sup.16], Osman Ilhan[sup.17], Gianpaolo Nadali[sup.18], Barbora [...]
Author(s): Livio Pagano[sup.1,2], Jon Salmanton-García[sup.3,4], Francesco Marchesi[sup.5], Alessandro Busca[sup.6], Paolo Corradini[sup.7], Martin Hoenigl[sup.8,9,10], Nikolai Klimko[sup.11], Philipp Koehler[sup.3,4], Antonio Pagliuca[sup.12], Francesco Passamonti[sup.13], Luisa Verga[sup.14,15], Benjamin VíÅ¡ek[sup.16], Osman Ilhan[sup.17], Gianpaolo Nadali[sup.18], Barbora [...]