Author: Halim, Mohammad Rabiul; Saha, Shuvajit; Haque, Injamam Ull; Jesmin, Sadia; Nishat, Rahatul Jannat; Islam, A S M D Ashraful; Roy, Seema; Haque, Miah Md Akiful; Islam, Md Motiul; Hamid, Tarikul; Ahmed, Kazi Nuruddin; Talukder, Md Azharul Islam; Ahmed, Arif; Hasan, Emran; Ananna, Nurjahan; Mohsin, Faroque Md; Hawlader, Mohammad Delwer Hossain
Title: ABO Blood Group and Outcomes in Patients with COVID-19 Admitted in the Intensive Care Unit (ICU): A Retrospective Study in a Tertiary-Level Hospital in Bangladesh Cord-id: pb6achty Document date: 2021_9_2
ID: pb6achty
Snippet: PURPOSE: The world is heavily suffering from the COVID-19 pandemic for more than a year, with over 191 million confirmed cases and more than 4.1 million deaths to date. Previous studies have explored several risk factors for coronavirus disease 2019 (COVID-19), but there is still a lack of association with ABO blood type. This study aimed to find out the relationship between the ABO blood group and COVID-19 outcomes in Bangladesh. SUBJECTS AND METHODS: This retrospective cross-sectional study wa
Document: PURPOSE: The world is heavily suffering from the COVID-19 pandemic for more than a year, with over 191 million confirmed cases and more than 4.1 million deaths to date. Previous studies have explored several risk factors for coronavirus disease 2019 (COVID-19), but there is still a lack of association with ABO blood type. This study aimed to find out the relationship between the ABO blood group and COVID-19 outcomes in Bangladesh. SUBJECTS AND METHODS: This retrospective cross-sectional study was conducted in the intensive care unit (ICU) of a tertiary-level COVID-dedicated hospital in Dhaka city, Bangladesh, between April 2020 and November 2020. Records from 771 critically ill patients were extracted who were confirmed for COVID-19 by reverse transcriptase-polymerase chain reaction (RT-PCR) assay, and blood grouping records were available in the health records. RESULTS: The blood groups were 37.35%, 17.38%, 26.46%, and 18.81% for A, B, AB, and O type, respectively. Clinical symptoms were significantly more common in patients with blood type A (p < 0.05). Patients with blood type A had higher WBC counts and peak serum ferritin levels and both were statistically significant (p < 0.001). Patients with blood type A had a greater need for supplemental oxygen, and they were more likely to die in comparison to the patients with other blood types (p < 0.05). In multivariable analysis, our primary outcome death was significantly associated with blood type A (AOR: 3.49, 95% CI: 1.57–7.73) while adjusting for age, male gender, and non-communicable diseases. CONCLUSION: Based on this study results, it can be concluded that the COVID-19 patients with blood type A have a higher chance of death and other complications. The authors recommend blood grouping before treating the COVID-19 patients, and healthcare workers should prioritize treating the patients based on that result.
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