2021
Outcome of COVID-19 infection in 50 multiple myeloma patients treated with novel drugs: single-center experience
KREJČÍ, Marta; Luděk POUR; Zdeněk ADAM; Viera SANDECKÁ; Martin ŠTORK et al.Základní údaje
Originální název
Outcome of COVID-19 infection in 50 multiple myeloma patients treated with novel drugs: single-center experience
Autoři
KREJČÍ, Marta; Luděk POUR; Zdeněk ADAM; Viera SANDECKÁ; Martin ŠTORK; Sabina ŠEVČÍKOVÁ; Martin KREJČÍ; Zdeňka KNECHTOVÁ a Zdeněk KRÁL
Vydání
Annals of hematology, New York, Springer Verlag, 2021, 0939-5555
Další údaje
Jazyk
angličtina
Typ výsledku
Článek v odborném periodiku
Obor
30205 Hematology
Stát vydavatele
Spojené státy
Utajení
není předmětem státního či obchodního tajemství
Odkazy
Impakt faktor
Impact factor: 4.030
Označené pro přenos do RIV
Ano
Kód RIV
RIV/00216224:14110/21:00122810
Organizační jednotka
Lékařská fakulta
UT WoS
EID Scopus
Klíčová slova anglicky
Multiple myeloma; COVID-19; Novel drugs; Hospitalization; Mortality
Příznaky
Mezinárodní význam, Recenzováno
Změněno: 12. 10. 2022 17:53, Mgr. Tereza Miškechová
Anotace
V originále
Infections are the primary cause of morbidity and mortality in multiple myeloma (MM) patients (pts). The aim of our retrospective analysis was to evaluate incidence and course of COVID-19 infection in a cohort of 351 MM outpatients treated with novel drugs. COVID-19 disease was detected in 50/351 pts (14%); median age was 68 years. Gender, ISS stage, and last treatment lines were as follows: male 32, female 18; ISS-I 19, ISS-II 20, ISS-III 11; daratumumab-based 15, lenalidomide-based 12, bortezomib-based 17, other 6. Positive PCR test at COVID-19 diagnosis was present in all pts; anti-myeloma treatment was interrupted. Hospitalizations for COVID-19 pneumonia were necessary for 28/50 pts (56%), 18/50 pts (36%) in standard unit (SU) 10/50 pts (20%) in intensive care unit (ICU), and 9/50 pts (18%) died. The statistically significant parameters for COVID-19 hospitalization were as follows: responsive versus non-responsive disease (p = 0.027), ECOG performance status 0-2 versus >= 3 (p = 0.014), presence of comorbidities (0-1 versus >= 2, p = 0.043). The statistically significant factors for COVID-19 death were as follows: ECOG 0-2 versus >= 3 (p = 0.001), presence of comorbidities (0-1 versus >= 2, p = 0.007), serious course of COVID-19 disease with ICU hospitalization (SU versus ICU, p = 0.001). None of the other studied risk factors was associated with poor outcome (age, gender, ISS stage, immunoparesis, type of anti-myeloma treatment). Full recovery from COVID-19 infection was observed in 41/50 pts (82%) in median of 32 days. The course of COVID-19 disease in MM pts was mostly moderate or serious with 56% of hospitalizations and 18% of deaths.