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

Koozi, Hazem LU ; Dannäs, Alma ; Johnsson, Patrik LU and Frigyesi, Attila LU (2024) In European clinical respiratory journal 11(1).
Abstract

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... (More)

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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author
; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
ABO blood group system, acute respiratory distress syndrome, Intensive care, mortality, prognosis, Rh blood group system
in
European clinical respiratory journal
volume
11
issue
1
article number
2327177
publisher
Taylor & Francis
external identifiers
  • scopus:85188112992
ISSN
2001-8525
DOI
10.1080/20018525.2024.2327177
language
English
LU publication?
yes
id
68a5f2eb-b36a-491e-9529-498246962191
date added to LUP
2024-04-04 15:49:09
date last changed
2024-04-04 15:49:53
@article{68a5f2eb-b36a-491e-9529-498246962191,
  abstract     = {{<p>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.</p>}},
  author       = {{Koozi, Hazem and Dannäs, Alma and Johnsson, Patrik and Frigyesi, Attila}},
  issn         = {{2001-8525}},
  keywords     = {{ABO blood group system; acute respiratory distress syndrome; Intensive care; mortality; prognosis; Rh blood group system}},
  language     = {{eng}},
  number       = {{1}},
  publisher    = {{Taylor & Francis}},
  series       = {{European clinical respiratory journal}},
  title        = {{Blood group O is associated with ARDS development but exhibits lower mortality in the intensive care unit–A retrospective multicentre study}},
  url          = {{http://dx.doi.org/10.1080/20018525.2024.2327177}},
  doi          = {{10.1080/20018525.2024.2327177}},
  volume       = {{11}},
  year         = {{2024}},
}