Evidence map›Paper›PMID 33057633›Full record

Observational studyBlood advances2020

The association of ABO blood group with indices of disease severity and multiorgan dysfunction in COVID-19.

Ryan L Hoiland, Nicholas A Fergusson, Anish R Mitra, Donald E G Griesdale, Dana V Devine, Sophie Stukas, Jennifer Cooper, Sonny Thiara, Denise Foster, Luke Y C Chen and 4 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 92 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 1 pooled it
20.1field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 1 synthesis or guideline pooled it, 173 citations in OpenAlex.

  1. Pooled it
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  11. Is ABO blood type a risk factor for adjacent segment degeneration after lumbar spine fusion?European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2025
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  12. Review
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  14. Coronavirus infection and ABO blood grouping: Correlation or coincidence?Journal of family medicine and primary care · 2023
    Article
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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 2 institutions in 1 country.

Ryan L HoilandDepartment of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver, BC, Canada.
Nicholas A FergussonMD Undergraduate Program, University of British Columbia, Vancouver, BC, Canada.
Anish R MitraDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Donald E G GriesdaleDepartment of Anesthesiology, Pharmacology, and Therapeutics, University of British Columbia, Vancouver, BC, Canada.
Dana V DevineDepartment of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Sophie StukasDepartment of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Jennifer CooperDepartment of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Sonny ThiaraDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Denise FosterDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
Luke Y C ChenDivision of Hematology, Department of Medicine.
Agnes Y Y LeeDivision of Hematology, Department of Medicine.
Edward M ConwayCentre for Blood Research, Life Sciences Institute.
Cheryl L WellingtonDepartment of Pathology and Laboratory Medicine, Faculty of Medicine, University of British Columbia, Vancouver, BC, Canada.
Mypinder S SekhonDivision of Critical Care Medicine, Department of Medicine, University of British Columbia, Vancouver, BC, Canada.
University of British Columbia · CAVancouver Coastal Health · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies on severe acute respiratory syndrome coronavirus 1 (SARS-CoV-1) suggest a protective effect of anti-A antibodies against viral cell entry that may hold relevance for SARS-CoV-2 infection. Therefore, we aimed to determine whether ABO blood groups are associated with different severities of COVID-19. We conducted a multicenter retrospective analysis and nested prospective observational substudy of critically ill patients with COVID-19. We collected data pertaining to age, sex, comorbidities, dates of symptom onset, hospital admission, intensive care unit (ICU) admission, mechanical ventilation, continuous renal replacement therapy (CRRT), standard laboratory parameters, and serum inflammatory cytokines. National (N = 398 671; P = .38) and provincial (n = 62 246; P = .60) ABO blood group distributions did not differ from our cohort (n = 95). A higher proportion of COVID-19 patients with blood group A or AB required mechanical ventilation (P = .02) and CRRT (P = .004) and had a longer ICU stay (P = .03) compared with patients with blood group O or B. Blood group A or AB also had an increased probability of requiring mechanical ventilation and CRRT after adjusting for age, sex, and presence of ≥1 comorbidity. Inflammatory cytokines did not differ between patients with blood group A or AB (n = 11) vs O or B (n = 14; P > .10 for all cytokines). Collectively, our data indicate that critically ill COVID-19 patients with blood group A or AB are at increased risk for requiring mechanical ventilation, CRRT, and prolonged ICU admission compared with patients with blood group O or B. Further work is needed to understand the underlying mechanisms.

Indexed as

ABO Blood-Group SystemAgedBetacoronavirusCoronavirus InfectionsCOVID-19Critical IllnessCytokinesFemaleHumansMaleMiddle AgedPandemicsPneumonia, ViralProspective StudiesRespiration, ArtificialRetrospective StudiesABO Blood-Group SystemCytokines

Identifiers

PMID33057633
PMCPMC7594392
OpenAlexW3093284859

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.