Patients with CLL have a lower risk of death from COVID-19 in the Omicron era
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Patients with CLL have a lower risk of death from COVID-19 in the Omicron era. / Niemann, Carsten U.; da Cunha-Bang, Caspar; Helleberg, Marie; Ostrowski, Sisse R.; Brieghel, Christian.
In: Blood, Vol. 140, No. 5, 2022, p. 445-450.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Patients with CLL have a lower risk of death from COVID-19 in the Omicron era
AU - Niemann, Carsten U.
AU - da Cunha-Bang, Caspar
AU - Helleberg, Marie
AU - Ostrowski, Sisse R.
AU - Brieghel, Christian
N1 - Publisher Copyright: © 2022 American Society of Hematology
PY - 2022
Y1 - 2022
N2 - Previous studies have shown that patients with chronic lymphocytic leukemia (CLL) and coronavirus disease 2019 (COVID-19) have high mortality rates. Infection with the Omicron variant has been described as a milder disease course in the general population. However, the outcome for immunocompromised patients has not previously been reported. In a cohort of patients with CLL tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at hospital test sites in the time periods before and after dominance of the Omicron variant, rates of hospitalizations and intensive care unit admissions declined significantly, whereas 30-day mortality remained as high as 23% in the period with dominance of the Omicron sublineage BA.2 variant. However, for a larger population-based cohort of patients with CLL (including the hospital cohort), 30-day mortality was 2%. Thus, patients with CLL with close hospital contacts and, in particular, those >70 years of age with 1 or more comorbidities should be considered for closer monitoring and preemptive antiviral therapy upon a positive SARS-CoV-2 test.
AB - Previous studies have shown that patients with chronic lymphocytic leukemia (CLL) and coronavirus disease 2019 (COVID-19) have high mortality rates. Infection with the Omicron variant has been described as a milder disease course in the general population. However, the outcome for immunocompromised patients has not previously been reported. In a cohort of patients with CLL tested for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) at hospital test sites in the time periods before and after dominance of the Omicron variant, rates of hospitalizations and intensive care unit admissions declined significantly, whereas 30-day mortality remained as high as 23% in the period with dominance of the Omicron sublineage BA.2 variant. However, for a larger population-based cohort of patients with CLL (including the hospital cohort), 30-day mortality was 2%. Thus, patients with CLL with close hospital contacts and, in particular, those >70 years of age with 1 or more comorbidities should be considered for closer monitoring and preemptive antiviral therapy upon a positive SARS-CoV-2 test.
U2 - 10.1182/blood.2022016147
DO - 10.1182/blood.2022016147
M3 - Journal article
C2 - 35588468
AN - SCOPUS:85134745055
VL - 140
SP - 445
EP - 450
JO - Blood
JF - Blood
SN - 0006-4971
IS - 5
ER -
ID: 323844906