Outcomes of Cancer Patients Affected by COVID-19 in Different Settings: A Retrospective Study in Lebanon.

IF 1.5 Q4 ONCOLOGY Cancer reports Pub Date : 2024-11-01 DOI:10.1002/cnr2.70045
Ahmad El Mahmoud, Elie Jean Karam, Reine Abou Zeidane, Wafaa Khaled, Youssef Zougheib, Joe David Azzo, Hussein El Jebbawi, Ali Atoui, Razan Mohty, Tasnim Diab, Iman Abou Dalle, Maya Charafeddine, Hazem I Assi
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Abstract

Background: The diverse presentation of COVID-19 symptoms and outcomes has revealed a significant gap in understanding the specific risk factors and characteristics of the virus among immunocompromised cancer patients, particularly in the Middle East.

Aims: We our study aimed to address this gap by investigating the characteristics and outcomes of COVID-19 in cancer patients compared to non-cancer patients.

Methods and results: We carried out a retrospective analysis, collecting demographic, oncologic, and COVID-19-related data from electronic medical records of 248 patients admitted to our tertiary care center in Lebanon. Statistical analysis was conducted using SPSS to identify patterns. Patients with solid tumors were 3.433 times more likely to die than those who were cancer-free (p = 0.012). Moreover, patients with advancing disease were 2.805 times more likely to be admitted to the ICU (p = 0.03) and 14.7 times more likely to die (p < 0.001) compared with those in remission.

Conclusion: Our findings emphasize the critical need for tailored preventive measures and specialized care for immunocompromised cancer patients, given their heightened vulnerability to severe COVID-19 outcomes. These insights contribute to the development of specific strategies aimed at enhancing the protection and clinical management of this high-risk group.

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不同环境下受 COVID-19 影响的癌症患者的预后:黎巴嫩的一项回顾性研究
背景:COVID-19的症状和预后表现多种多样,这表明在了解免疫力低下的癌症患者(尤其是中东地区的癌症患者)的特定风险因素和病毒特征方面存在巨大差距。研究目的:我们的研究旨在通过调查癌症患者与非癌症患者相比的COVID-19特征和预后来弥补这一差距:我们进行了一项回顾性分析,从黎巴嫩三级医疗中心收治的 248 名患者的电子病历中收集了人口统计学、肿瘤学和 COVID-19 相关数据。我们使用 SPSS 进行了统计分析,以找出其中的规律。实体瘤患者的死亡几率是无癌症患者的 3.433 倍(P = 0.012)。此外,病情恶化的患者住进重症监护室的几率是普通患者的 2.805 倍(p = 0.03),死亡几率是普通患者的 14.7 倍(p 结论:我们的研究结果表明,治疗肿瘤的关键在于对患者的健康状况进行评估:我们的研究结果表明,由于免疫力低下的癌症患者更容易出现严重的 COVID-19 结果,因此亟需为他们提供量身定制的预防措施和专门护理。这些见解有助于制定具体策略,以加强对这一高风险人群的保护和临床管理。
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来源期刊
Cancer reports
Cancer reports Medicine-Oncology
CiteScore
2.70
自引率
5.90%
发文量
160
审稿时长
17 weeks
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