Outcomes for patients with hematologic malignancy infected with COVID-19 have not been aggregated. The objective of this study was to perform a systematic review and meta-analysis to estimate the risk of death and other important outcomes for these patients. We searched Pubmed and EMBASE up to August 20, 2020, to identify reports of patients with hematologic malignancy and COVID-19. The primary outcome was a pooled mortality estimate, considering all patients and only hospitalized patients. Secondary outcomes included risk of ICU admission and ventilation in hospitalized patients. Subgroup analyses included mortality stratified by age, treatment status, and malignancy subtype. Pooled prevalence, risk ratios (RR), and 95% confidence intervals (CI) were calculated using a random-effects model. 34 adult and 5 pediatric studies (3377 patients) from Asia, Europe, and North America were included (14/34 adult studies included only hospitalized patients). The risk of death amongst adult patients was 34% (95% CI 28-39, N=3240) in this sample of predominantly hospitalized patients. Patients aged >60 years had a significantly higher risk of death than patients 60 years have significantly higher mortality, and pediatric patients appear to be relatively spared. Recent cancer treatment does not appear to significantly increase the risk of death.Copyright © 2020 American Society of Hematology.
About The Expert
Abi Vijenthira
Inna Y Gong
Thomas A Fox
Stephen Booth
Gordon Cook
Bruno Fattizzo
Fernando Martin Moro
Jerome Razanamahery
John Charles Riches
Jeffrey I Zwicker
Rushad Patell
Marie-Christiane Mb Vekemans
Lydia Scarfo
Thomas Chatzikonstantinou
Halil Yildiz
Raphaël Lattenist
Ioannis Mantzaris
William A Wood
Lisa K Hicks
References
PubMed