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Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy

OBJECTIVES: We sought to characterise the outcomes of patients with haematological malignancy and severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in hospital in our regional network of 7 hospitals. METHODS: Consecutive hospitalised patients with haematological malignancy and S...

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Autores principales: Booth, Stephen, Willan, John, Wong, Henna, Khan, Dalia, Farnell, Rachel, Hunter, Alicia, Eyre, Toby, Katz, Harley, Dungarwalla, Moez, Chen, Lucia, Browning, Joe, Polzella, Paolo, Gray, Nicola, Neelakantan, Pratap, Dhillon, Elissa K., Dutton, David, Sternberg, Alex, Prideaux, Steven, Collins, Graham P., Peniket, Andy
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323336/
https://www.ncbi.nlm.nih.gov/pubmed/32544294
http://dx.doi.org/10.1111/ejh.13469
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author Booth, Stephen
Willan, John
Wong, Henna
Khan, Dalia
Farnell, Rachel
Hunter, Alicia
Eyre, Toby
Katz, Harley
Dungarwalla, Moez
Chen, Lucia
Browning, Joe
Polzella, Paolo
Gray, Nicola
Neelakantan, Pratap
Dhillon, Elissa K.
Dutton, David
Sternberg, Alex
Prideaux, Steven
Collins, Graham P.
Peniket, Andy
author_facet Booth, Stephen
Willan, John
Wong, Henna
Khan, Dalia
Farnell, Rachel
Hunter, Alicia
Eyre, Toby
Katz, Harley
Dungarwalla, Moez
Chen, Lucia
Browning, Joe
Polzella, Paolo
Gray, Nicola
Neelakantan, Pratap
Dhillon, Elissa K.
Dutton, David
Sternberg, Alex
Prideaux, Steven
Collins, Graham P.
Peniket, Andy
author_sort Booth, Stephen
collection PubMed
description OBJECTIVES: We sought to characterise the outcomes of patients with haematological malignancy and severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in hospital in our regional network of 7 hospitals. METHODS: Consecutive hospitalised patients with haematological malignancy and SARS‐CoV‐2 infection were identified from 01/03/2020 to 06/05/2020. Outcomes were categorised as death, resolved or ongoing. The primary outcome was preliminary case fatality rate (pCFR), defined as the number of cases resulting in death as a proportion of all diagnosed cases. Analysis was primarily descriptive. RESULTS: 66 Patients were included, overall pCFR was 51.5%. Patients ≥ 70 years accounted for the majority of hospitalised cases (42, 63%) and fatalities (25, 74%). Mortality was similar between females (52%) and males (51%). Immunosuppressive or cytotoxic treatment within 3 months of the diagnosis of SARS‐CoV‐2 infection was associated with a significantly higher pCFR of 70%, compared with 28% in those not on active treatment (P = .0013, 2 proportions z test). CONCLUSIONS: Mortality rates in patients with haematological malignancy and SARS‐CoV‐2 infection in hospital are high supporting measures to minimise the risk of infection in this population.
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spelling pubmed-73233362020-06-29 Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy Booth, Stephen Willan, John Wong, Henna Khan, Dalia Farnell, Rachel Hunter, Alicia Eyre, Toby Katz, Harley Dungarwalla, Moez Chen, Lucia Browning, Joe Polzella, Paolo Gray, Nicola Neelakantan, Pratap Dhillon, Elissa K. Dutton, David Sternberg, Alex Prideaux, Steven Collins, Graham P. Peniket, Andy Eur J Haematol Original Articles OBJECTIVES: We sought to characterise the outcomes of patients with haematological malignancy and severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) infection in hospital in our regional network of 7 hospitals. METHODS: Consecutive hospitalised patients with haematological malignancy and SARS‐CoV‐2 infection were identified from 01/03/2020 to 06/05/2020. Outcomes were categorised as death, resolved or ongoing. The primary outcome was preliminary case fatality rate (pCFR), defined as the number of cases resulting in death as a proportion of all diagnosed cases. Analysis was primarily descriptive. RESULTS: 66 Patients were included, overall pCFR was 51.5%. Patients ≥ 70 years accounted for the majority of hospitalised cases (42, 63%) and fatalities (25, 74%). Mortality was similar between females (52%) and males (51%). Immunosuppressive or cytotoxic treatment within 3 months of the diagnosis of SARS‐CoV‐2 infection was associated with a significantly higher pCFR of 70%, compared with 28% in those not on active treatment (P = .0013, 2 proportions z test). CONCLUSIONS: Mortality rates in patients with haematological malignancy and SARS‐CoV‐2 infection in hospital are high supporting measures to minimise the risk of infection in this population. John Wiley and Sons Inc. 2020-07-13 2020-10 /pmc/articles/PMC7323336/ /pubmed/32544294 http://dx.doi.org/10.1111/ejh.13469 Text en © 2020 The Authors. European Journal of Haematology published by John Wiley & Sons Ltd https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Booth, Stephen
Willan, John
Wong, Henna
Khan, Dalia
Farnell, Rachel
Hunter, Alicia
Eyre, Toby
Katz, Harley
Dungarwalla, Moez
Chen, Lucia
Browning, Joe
Polzella, Paolo
Gray, Nicola
Neelakantan, Pratap
Dhillon, Elissa K.
Dutton, David
Sternberg, Alex
Prideaux, Steven
Collins, Graham P.
Peniket, Andy
Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy
title Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy
title_full Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy
title_fullStr Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy
title_full_unstemmed Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy
title_short Regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy
title_sort regional outcomes of severe acute respiratory syndrome coronavirus 2 infection in hospitalised patients with haematological malignancy
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7323336/
https://www.ncbi.nlm.nih.gov/pubmed/32544294
http://dx.doi.org/10.1111/ejh.13469
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