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

被引:20
作者
Booth, Stephen [1 ]
Willan, John [1 ,2 ]
Wong, Henna [1 ]
Khan, Dalia [1 ]
Farnell, Rachel [1 ]
Hunter, Alicia [3 ]
Eyre, Toby [1 ]
Katz, Harley [4 ]
Dungarwalla, Moez [5 ]
Chen, Lucia [5 ]
Browning, Joe [6 ]
Polzella, Paolo [6 ]
Gray, Nicola [2 ]
Neelakantan, Pratap [7 ]
Dhillon, Elissa K. [7 ]
Dutton, David [8 ]
Sternberg, Alex [8 ]
Prideaux, Steven [8 ]
Collins, Graham P. [1 ]
Peniket, Andy [1 ]
机构
[1] Oxford Univ Hosp NHS Fdn Trust, Dept Haematol, Oxford, England
[2] Frimley Hlth NHS Fdn Trust, Dept Haematol, Frimley, England
[3] Univ Oxford, Radcliffe Dept Med Sch Clin Med, Oxford, England
[4] Univ Oxford, Astrophys Dept, Oxford, England
[5] Milton Keynes Univ Hosp NHS Fdn Trust, Dept Haematol, Milton Keynes, Bucks, England
[6] Buckinghamshire Healthcare NHS Trust, Dept Haematol, High Wycombe, Bucks, England
[7] Royal Berkshire Hosp NHS Fdn Trust, Dept Haematol, Reading, Berks, England
[8] Great Western Hosp NHS Fdn Trust, Dept Haematol, Swindon, Wilts, England
关键词
haematological malignancy; SARS-CoV-2;
D O I
10.1111/ejh.13469
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
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 proportionsztest). 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.
引用
收藏
页码:476 / 483
页数:8
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