Clinical course and outcomes of COVID‐19 in hematopoietic cell transplant patients, a regional report from the Middle East - Summary - MDSpire

Clinical course and outcomes of COVID‐19 in hematopoietic cell transplant patients, a regional report from the Middle East

  • By

  • Riad El Fakih

  • Alfadil Haroon

  • Feras Alfraih

  • Murtadha K. Al-Khabori

  • Mohsen Alzahrani

  • Ahmad Alhuraiji

  • Abdulaziz Hamadah

  • Naif I. AlJohani

  • Bader Alahmari

  • Mohammed F. Essa

  • Ibraheem H. Motabi

  • Imran K. Tailor

  • Reem S. Almaghrabi

  • Khalil Al-Farsi

  • Ibraheem Abosoudah

  • Mouhab Ayas

  • Tusneem A. Elhassan

  • Ashraf M. Suhebeh

  • Syed Osman Ahmed

  • Saud Alhayli

  • Panayotis Kaloyannidis

  • Ahmad Alsaeed

  • Khalid Al Anezi

  • Sameer Alamoudi

  • Moussab Damlaj

  • Hani Al Hashmi

  • Mahmoud Aljurf

  • April 27, 2021

  • 0 min

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Objective:

To describe the outcomes and severity of COVID-19 in post-hematopoietic cell transplant (HCT) patients and analyze the impact of various risk factors, including age, sex, and comorbidities, on disease severity.

Key Findings:
  • Median age of patients was 35 years, with a median time from transplant to COVID-19 of 14.9 months.
  • 42% of patients were female, and 48% had prior comorbidities.
  • 86% of patients exhibited symptoms, with fever (56%) and cough (41%) being the most common.
  • 68% of patients had abnormal chest X-ray findings.
  • 52% of patients received COVID-19 directed therapies, indicating a significant treatment response.
Interpretation:

HCT patients are at significant risk for severe COVID-19, with a high rate of symptoms and abnormal clinical findings upon diagnosis, necessitating tailored clinical management.

Limitations:
  • Retrospective design may introduce bias, particularly in data collection.
  • Limited generalizability due to the specific regional focus and small sample size.
Conclusion:

COVID-19 poses a severe risk to HCT patients, highlighting the need for targeted management strategies, such as enhanced monitoring and early intervention in this vulnerable population.

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