Características y desenlace clínico de 30 pacientes con hemopatías malignas y COVID-19 en un hospital público regional



Título del documento: Características y desenlace clínico de 30 pacientes con hemopatías malignas y COVID-19 en un hospital público regional
Revue: Revista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000454993
ISSN: 0034-9887
Autores: 1
2
3
1
Instituciones: 1Hospital Guillermo Grant Benavente, Servicio de Hematología, Concepción. Chile
2Hospital Víctor Ríos Ruiz, Unidad de Cuidados Intensivos, Los Angeles, Biobío. Chile
3Hospital Guillermo Grant Benavente, Unidad de Cuidados Intensivos, Concepción. Chile
Año:
Periodo: May
Volumen: 150
Número: 5
Paginación: 625-633
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Analítico, descriptivo
Resumen en inglés Background: COVID-19 infection can be especially severe in certain risk populations such as patients with hematologic malignancies. Aim: To describe the characteristics and clinical outcomes of a population of patients with hematologic malignancies and COVID-19. Material and Methods: Review of medical records of patients with COVID-19 and hematologic malignancies, treated in Hematology Service of a regional hospital in Chile, between April 1 and October 30, 2020. Demographic characteristics, chronic comorbidities and clinical characteristics related to the underlying disease and COVID-19 infection were recorded. Results: Thirty adults aged 17 to 73 years (67% men) with COVID-19 confirmed by RT-PCR, were evaluated. Forty percent had comorbidities, mainly hypertension (30%), obesity (27%) and diabetes (10%). Two thirds of cases came from a nosocomial outbreak and 77% were symptomatic. Half of the cases had mild disease and 20% required mechanical ventilation. Five patients (17%) died from COVID 19. Female sex, the presence of comorbidities and obesity were more common among deceased patients. Only 1 of 5 deceased patients were in complete remission. No differences were found in the mean survival according to requirement for intubation or the presence of complete remission. Conclusions: This population with hematologic malignancies and COVID-19 had special characteristics leading to a greater fatality rate which, in this series, does not increase with the use of mechanical ventilation
Disciplinas: Medicina
Palabras clave: Hematología,
Neumología,
SARS-CoV-2,
Neoplasias hematológicas
Keyword: Hematology,
Pneumology,
Hematological neoplasms,
SARS-CoV-2
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