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  • Koozi, HazemLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Central Hospital Kristianstad (author)

Blood group O is associated with ARDS development but exhibits lower mortality in the intensive care unit–A retrospective multicentre study

  • Article/chapterEnglish2024

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  • 2024

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  • LIBRIS-ID:oai:lup.lub.lu.se:68a5f2eb-b36a-491e-9529-498246962191
  • https://lup.lub.lu.se/record/68a5f2eb-b36a-491e-9529-498246962191URI
  • https://doi.org/10.1080/20018525.2024.2327177DOI

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  • Language:English
  • Summary in:English

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  • Subject category:art swepub-publicationtype
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  • Background: Acute respiratory distress syndrome (ARDS) is a common cause of respiratory failure in the intensive care unit (ICU). Previous studies have suggested that blood group A increases the risk of developing ARDS following sepsis and major trauma. This study investigated the association between ABO and Rh blood groups and ARDS development and mortality in ARDS. Methods: Patients admitted to the ICUs at Skåne University Hospital in Lund and Malmö, Sweden, in 2016 were retrospectively screened for ARDS according to the Berlin definition. Clinical data, patient characteristics, lab results, and survival data were collected from medical records and registry data. In addition, chest radiographs were reviewed by radiologists. ARDS development and 30-day mortality were analysed using multivariable logistic regression. Results: A total of 1439 ICU patients were included. Of these, 10% had ARDS. Blood group O was associated with an increased risk of having or developing ARDS compared to blood group A (odds ratio [OR] 1.79, 95% confidence interval [CI] 1.13–2.84, p = 0.014). Among ARDS patients, blood group O had decreased 30-day mortality compared to blood group A (OR 0.25, 95% CI 0.09–0.67, p = 0.007). The Rh blood group was not associated with ARDS development or mortality. Conclusion: In this study of ICU patients, blood group O was associated with an increased risk of having or developing ARDS but a decreased mortality in ARDS compared to blood group A. Further studies are needed to clarify the relationship and underlying mechanisms of the ABO blood group and ARDS.

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  • Dannäs, AlmaLund University (author)
  • Johnsson, PatrikLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Forskargrupper vid Lunds universitet,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Anaesthesiology and Intensive Care Medicine,Lund University Research Groups,Skåne University Hospital(Swepub:lu)pa7051jo (author)
  • Frigyesi, AttilaLund University,Lunds universitet,Anestesiologi och intensivvård,Sektion II,Institutionen för kliniska vetenskaper, Lund,Medicinska fakulteten,Intensivvårdsepidemiologi,Forskargrupper vid Lunds universitet,Anesthesiology and Intensive Care,Section II,Department of Clinical Sciences, Lund,Faculty of Medicine,Intensive Care Epidemiology,Lund University Research Groups,Skåne University Hospital(Swepub:lu)mats-afr (author)
  • Anestesiologi och intensivvårdSektion II (creator_code:org_t)

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  • In:European clinical respiratory journal11:12001-8525

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Koozi, Hazem
Dannäs, Alma
Johnsson, Patrik
Frigyesi, Attila
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MEDICAL AND HEALTH SCIENCES
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