Blood group O is associated with post-COVID-19 syndrome in outpatients with a low comorbidity index.


Journal

Infectious diseases (London, England)
ISSN: 2374-4243
Titre abrégé: Infect Dis (Lond)
Pays: England
ID NLM: 101650235

Informations de publication

Date de publication:
12 2022
Historique:
pubmed: 30 8 2022
medline: 21 10 2022
entrez: 29 8 2022
Statut: ppublish

Résumé

ABO blood group system modulates the inflammatory response and has been implicated in COVID-19. Group O protects against SARS-CoV-2 infection, but there are no data regarding post-COVID-19 syndrome (PCS). Our aim was to assess this possible association. Case-control study in a community setting, with subjects who had experienced mild COVID-19. Cases were PCS+, controls were PCS-, and the exposure variable, group O. We collected age, sex, BMI, smoking, comorbidities, inflammatory markers, anti-SARS-CoV-2 IgG antibodies, blood type and clinical data. Five composite inflammatory indices were developed. Multivariate analyses were performed. We analysed 121 subjects (56.2% women), mean age 45.7 ± 16 years. Blood group frequencies were 41.5%, 7.9%, 5.9%, and 44.5% for A, B, AB and O, respectively. Thirty-six patients were PCS+, without significant differences between cases and controls. Compared to non-O, a higher prevalence of PCS ( Group O has shown a consistent relationship with PCS, characterised by a more intense inflammatory burden than the other blood groups. Blood group O could be part of the immunological link between acute COVID-19 and PCS.

Sections du résumé

BACKGROUND
ABO blood group system modulates the inflammatory response and has been implicated in COVID-19. Group O protects against SARS-CoV-2 infection, but there are no data regarding post-COVID-19 syndrome (PCS). Our aim was to assess this possible association.
METHODS
Case-control study in a community setting, with subjects who had experienced mild COVID-19. Cases were PCS+, controls were PCS-, and the exposure variable, group O. We collected age, sex, BMI, smoking, comorbidities, inflammatory markers, anti-SARS-CoV-2 IgG antibodies, blood type and clinical data. Five composite inflammatory indices were developed. Multivariate analyses were performed.
RESULTS
We analysed 121 subjects (56.2% women), mean age 45.7 ± 16 years. Blood group frequencies were 41.5%, 7.9%, 5.9%, and 44.5% for A, B, AB and O, respectively. Thirty-six patients were PCS+, without significant differences between cases and controls. Compared to non-O, a higher prevalence of PCS (
CONCLUSIONS
Group O has shown a consistent relationship with PCS, characterised by a more intense inflammatory burden than the other blood groups. Blood group O could be part of the immunological link between acute COVID-19 and PCS.

Identifiants

pubmed: 36036090
doi: 10.1080/23744235.2022.2115548
doi:

Substances chimiques

ABO Blood-Group System 0
Antibodies, Viral 0
Immunoglobulin G 0
Biomarkers 0
Fibrinogen 9001-32-5
Albumins 0

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

897-908

Auteurs

Sara Díaz-Salazar (S)

Camargo Interior - Primary Care Center. Servicio Cántabro de Salud, Muriedas, Spain.

Raquel Navas (R)

Camargo Costa - Primary Care Center. Servicio Cántabro de Salud, Maliaño, Spain.

Laura Sainz-Maza (L)

Camargo Costa - Primary Care Center. Servicio Cántabro de Salud, Maliaño, Spain.

Patricia Fierro (P)

Camargo Interior - Primary Care Center. Servicio Cántabro de Salud, Muriedas, Spain.

Meryam Maamar (M)

Emergency Service. Osakidetza. Servicio Vasco de Salud, Bilbao, Spain.

Arancha Artime (A)

El Llano - Primary Care Center. SESPA- Servicio Asturiano de Salud, Gijón, Spain.

Héctor Basterrechea (H)

Camargo Interior - Primary Care Center. Servicio Cántabro de Salud, Muriedas, Spain.

Benedetta Petitta (B)

Camargo Interior - Primary Care Center. Servicio Cántabro de Salud, Muriedas, Spain.

Stefanie Pini (S)

Hospital at Home Department, Hospital Universitario Marqués de Valdecilla, Santander, Spain.

José Manuel Olmos (JM)

Depto. de Medicina y Psiquiatría, Universidad de Cantabria, Santander, Spain.
Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla. Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.

Carmen Ramos (C)

Camargo Costa - Primary Care Center. Servicio Cántabro de Salud, Maliaño, Spain.
Depto. de Medicina y Psiquiatría, Universidad de Cantabria, Santander, Spain.

Emilio Pariente (E)

Camargo Interior - Primary Care Center. Servicio Cántabro de Salud, Muriedas, Spain.
Depto. de Medicina y Psiquiatría, Universidad de Cantabria, Santander, Spain.

José Luis Hernández (JL)

Depto. de Medicina y Psiquiatría, Universidad de Cantabria, Santander, Spain.
Servicio de Medicina Interna, Hospital Universitario Marqués de Valdecilla. Instituto de Investigación Valdecilla (IDIVAL), Santander, Spain.

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Classifications MeSH