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从 COVID-19 大流行中汲取的经验教训:造血细胞移植和细胞治疗受者感染 SARS-CoV-2 后的结局

英文原题:Lessons learned from COVID-19 pandemic: outcomes after SARS-CoV-2 infection in hematopoietic cell transplant and cell therapy recipients.

查看英文原题

Lessons learned from COVID-19 pandemic: outcomes after SARS-CoV-2 infection in hematopoietic cell transplant and cell therapy recipients.

PubMed 2023/08/13(内容时间) Leuk Lymphoma Q3 · IF 2.1(JCR 2025)

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中文摘要

我们在一项单中心研究中调查了2019冠状病毒病(COVID)在造血细胞移植(HCT)或CAR-T 细胞治疗接受者中的结局,该研究纳入了所有(n = 261)HCT/CAR-T 接受者(异基因HCT 49%,自体HCT 40%,CAR-T 11%)。中位年龄为60(22-80)岁。COVID严重程度为轻度(74%)、中度(11%)和重度/危重(16%),死亡率为7%,中位感染持续时间为5.7周。COVID重症或死亡的显著预测因素包括合并感染(HR 14.9,95% CI 2.2-5.6)和免疫抑制治疗(OR 4.8,95% CI 1.2-3.4)。HCT/CAR-T 接受者因COVID死亡的风险更高,需要警惕性干预。

展开英文摘要原文

We investigated the outcomes after Coronavirus disease 2019 (COVID) in hematopoietic cell transplant (HCT) or chimeric antigen receptor-T cell (CART) therapy recipients in a single-centre study including all ( n = 261)HCT/CART recipients (allogeneic-HCT 49%, autologous-HCT 40%, CART 11%). The median age was 60 (22-80) years.

COVID severity was mild (74%), moderate (11%), and severe/critical (16%) with a mortality rate of 7% and a median duration of infection of 5. 7 weeks. Significant predictors of COVID severe disease or mortality included concurrent infection (HR 14. 9, 95% CI 2. 2-5. 6) and immunosuppressive therapy (OR 4. 8, 95% CI 1. 2-3. 4). HCT/CART recipients have a higher risk of mortality with COVID and warrant vigilant interventions.

论文信息

作者
Al-Ramahi JS、Shahzad M、Li K、DeJarnette S、Chaudhary SG、Lutfi F、Ahmed N、Balusu R
单位
Division of Hematologic Malignancies and Cellular Therapeutics, University of Kansas Medical Center, Kansas City, KS.United States
文献类型
非美国政府资助研究
期刊
Leukemia & lymphoma2023 Dec
原文标识
PubMed 37574842 · DOI 10.1080/10428194.2023.2243355