Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and Mortality

Background: Since the first year of the COVID-19 global pandemic, a hypothesis concerning the possible protection/immunity of beta-thalassemia carriers has remained in abeyance. Methods: Three databases (Pubmed Central, Scopus, and Google Scholar) were screened and checked in order to extract all st...

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Main Authors: Edouard Lansiaux, Emmanuel Drouin, Carsten Bolm
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Thalassemia Reports
Subjects:
Online Access:https://www.mdpi.com/2039-4365/13/1/3
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author Edouard Lansiaux
Emmanuel Drouin
Carsten Bolm
author_facet Edouard Lansiaux
Emmanuel Drouin
Carsten Bolm
author_sort Edouard Lansiaux
collection DOAJ
description Background: Since the first year of the COVID-19 global pandemic, a hypothesis concerning the possible protection/immunity of beta-thalassemia carriers has remained in abeyance. Methods: Three databases (Pubmed Central, Scopus, and Google Scholar) were screened and checked in order to extract all studies about the incidence of confirmed COVID-19 cases, mortality rate, severity assessment, or ICU admission among patients with beta-thalassemia minor, were included in this analysis. The language was limited to English. Studies such as case reports, review studies, and studies that did not have complete data for calculating incidences were excluded. Results and discussion: a total of 3 studies out of 2265 were selected. According to our systematic-review meta-analysis, beta-thalassemia carriers could be less affected by COVID-19 than the general population [IRR = 0.9250 (0.5752; 1.4877)], affected by COVID-19 with a worst severity [OR = 1.5933 (0.4884; 5.1981)], less admissible into the ICU [IRR = 0.3620 (0.0025; 51.6821)], and more susceptible to die from COVID-19 or one of its consequences [IRR = 1.8542 (0.7819; 4.3970)]. However, all of those results remain insignificant with a bad <i>p</i>-value (respectively 0.7479, 0.4400, 0.6881, and 0.1610). Other large case-control or registry studies are needed to confirm these trends.
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spelling doaj.art-781cfc5911424b56be372c9c1e42bbfd2023-11-17T14:12:05ZengMDPI AGThalassemia Reports2039-43652023-01-01131213210.3390/thalassrep13010003Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and MortalityEdouard Lansiaux0Emmanuel Drouin1Carsten Bolm2Henry Warembourg School of Medicine, Lille University, 2 Avenue Eugène Avinée, 59120 Loos, FranceNeurology Service, Lille Catholic Institute Hospital Group, GHICL (Groupe Hospitalier de l’Institut Catholique de Lille), 115 Rue du Grand But, 59462 Lomme, FranceInstitute of Organic Chemistry, RWTH Aachen University, Landoltweg 1, D-52074 Aachen, GermanyBackground: Since the first year of the COVID-19 global pandemic, a hypothesis concerning the possible protection/immunity of beta-thalassemia carriers has remained in abeyance. Methods: Three databases (Pubmed Central, Scopus, and Google Scholar) were screened and checked in order to extract all studies about the incidence of confirmed COVID-19 cases, mortality rate, severity assessment, or ICU admission among patients with beta-thalassemia minor, were included in this analysis. The language was limited to English. Studies such as case reports, review studies, and studies that did not have complete data for calculating incidences were excluded. Results and discussion: a total of 3 studies out of 2265 were selected. According to our systematic-review meta-analysis, beta-thalassemia carriers could be less affected by COVID-19 than the general population [IRR = 0.9250 (0.5752; 1.4877)], affected by COVID-19 with a worst severity [OR = 1.5933 (0.4884; 5.1981)], less admissible into the ICU [IRR = 0.3620 (0.0025; 51.6821)], and more susceptible to die from COVID-19 or one of its consequences [IRR = 1.8542 (0.7819; 4.3970)]. However, all of those results remain insignificant with a bad <i>p</i>-value (respectively 0.7479, 0.4400, 0.6881, and 0.1610). Other large case-control or registry studies are needed to confirm these trends.https://www.mdpi.com/2039-4365/13/1/3COVID-19SARS-CoV-2respiratory distressbeta thalassemiaminorimmunization
spellingShingle Edouard Lansiaux
Emmanuel Drouin
Carsten Bolm
Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and Mortality
Thalassemia Reports
COVID-19
SARS-CoV-2
respiratory distress
beta thalassemia
minor
immunization
title Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and Mortality
title_full Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and Mortality
title_fullStr Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and Mortality
title_full_unstemmed Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and Mortality
title_short Beta-Thalassemia Minor and SARS-CoV-2: Physiopathology, Prevalence, Severity, Morbidity, and Mortality
title_sort beta thalassemia minor and sars cov 2 physiopathology prevalence severity morbidity and mortality
topic COVID-19
SARS-CoV-2
respiratory distress
beta thalassemia
minor
immunization
url https://www.mdpi.com/2039-4365/13/1/3
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