J 2023

Improved outcomes over time and higher mortality in CMV seropositive allogeneic stem cell transplantation patients with COVID-19; An infectious disease working party study from the European Society for Blood and Marrow Transplantation registry

LJUNGMAN, Per, Gloria TRIDELLO, Jose Luis PINANA, Fabio CICERI, Henrik SENGELOEV et. al.

Základní údaje

Originální název

Improved outcomes over time and higher mortality in CMV seropositive allogeneic stem cell transplantation patients with COVID-19; An infectious disease working party study from the European Society for Blood and Marrow Transplantation registry

Autoři

LJUNGMAN, Per (garant), Gloria TRIDELLO, Jose Luis PINANA, Fabio CICERI, Henrik SENGELOEV, Alexander KULAGIN, Stephan MIELKE, Zeynep Arzu YEGIN, Matthew COLLIN, Sigrun EINARDOTTIR, Sophie Ducastelle LEPRETRE, Johan MAERTENS, Antonio CAMPOS, Elisabetta METAFUNI, Herbert PICHLER, František FOLBER (203 Česká republika, domácí), Carlos SOLANO, Emma NICHOLSON, Meltem Kurt YUEKSEL, Kristina CARLSON, Beatriz AGUADO, Caroline BESLEY, Jenny BYRNE, Immaculada HERAS, Fiona DIGNAN, Nicolaus KROEGER, Christine ROBIN, Anjum KHAN, Stig LENHOFF, Anna GRASSI, Veronika DOBSINSKA, Nuno MIRANDA, Maria-Jose JIMENEZ, Ipek YONAL-HINDILERDEN, Keith WILSON, Dina AVERBUCH, Simone CESARO, Alienor XHAARD, Nina KNELANGE, Jan STYCZYNSKI, Malgorzata MIKULSKA a de la Camara RAFAEL

Vydání

Frontiers in immunology, LAUSANNE, Frontiers Media S.A. 2023, 1664-3224

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30205 Hematology

Stát vydavatele

Švýcarsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

Impakt faktor

Impact factor: 7.300 v roce 2022

Kód RIV

RIV/00216224:14110/23:00130694

Organizační jednotka

Lékařská fakulta

UT WoS

000953835700001

Klíčová slova anglicky

COVID-19; allogeneic; stem cell transplantation; CMV; risk factors

Štítky

Příznaky

Mezinárodní význam, Recenzováno
Změněno: 2. 5. 2023 10:02, Mgr. Tereza Miškechová

Anotace

V originále

IntroductionCOVID-19 has been associated with high morbidity and mortality in allogeneic hematopoietic stem cell transplant (allo-HCT) recipients. MethodsThis study reports on 986 patients reported to the EBMT registry during the first 29 months of the pandemic. ResultsThe median age was 50.3 years (min - max; 1.0 - 80.7). The median time from most recent HCT to diagnosis of COVID-19 was 20 months (min - max; 0.0 - 383.9). The median time was 19.3 (0.0 - 287.6) months during 2020, 21.2 (0.1 - 324.5) months during 2021, and 19.7 (0.1 - 383.9) months during 2022 (p = NS). 145/986 (14.7%) patients died; 124 (12.6%) due to COVID-19 and 21 of other causes. Only 2/204 (1%) fully vaccinated patients died from COVID-19. There was a successive improvement in overall survival over time. In multivariate analysis, increasing age (p<.0001), worse performance status (p<.0001), contracting COVID-19 within the first 30 days (p<.0001) or 30 - 100 days after HCT (p=.003), ongoing immunosuppression (p=.004), pre-existing lung disease (p=.003), and recipient CMV seropositivity (p=.004) had negative impact on overall survival while patients contracting COVID-19 in 2020 (p<.0001) or 2021 (p=.027) had worse overall survival than patients with COVID-19 diagnosed in 2022. DiscussionAlthough the outcome of COVID-19 has improved, patients having risk factors were still at risk for severe COVID-19 including death.