A population‐based, retrospective cohort study of the association between ABO blood group and risk of COVID‐19

Background Several studies have investigated associations between ABO blood group and risk of COVID‐19, with inconsistent results. Objective To study associations between ABO blood group and risk of different stages of COVID‐19. Methods The study was based on nationwide registers encompassing all bl...

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Veröffentlicht in:Journal of internal medicine 2023-03, Vol.293 (3), p.398-402
Hauptverfasser: Dahlén, Torsten, Li, Huiqi, Nyberg, Fredrik, Edgren, Gustaf
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Li, Huiqi
Nyberg, Fredrik
Edgren, Gustaf
description Background Several studies have investigated associations between ABO blood group and risk of COVID‐19, with inconsistent results. Objective To study associations between ABO blood group and risk of different stages of COVID‐19. Methods The study was based on nationwide registers encompassing all blood‐grouped persons in Sweden, and all of their COVID‐19‐related outcomes. Associations between ABO blood group and COVID‐19 outcomes were estimated using Poisson regression models. Analyses were conducted overall and stratified by vaccination status. Results A total of 4,986,878 individuals were included. The incidence rate ratios of testing positive for COVID‐19 were 1.08 (95% confidence interval [CI], 1.07–1.08), 1.06 (95% CI, 1.05–1.07), and 1.01 (95% CI, 1.00–1.01) for blood groups A, AB, and B, respectively, as compared to O. Similar associations were seen for risk of hospital admissions, intensive care unit admissions, and risk of death. For most outcomes, associations with ABO blood group were much attenuated or even reversed in vaccinated individuals. Conclusions Individuals with blood groups A, AB, and B are at increased risk of contracting COVID‐19 as well as developing more severe forms of the disease.
doi_str_mv 10.1111/joim.13588
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Objective To study associations between ABO blood group and risk of different stages of COVID‐19. Methods The study was based on nationwide registers encompassing all blood‐grouped persons in Sweden, and all of their COVID‐19‐related outcomes. Associations between ABO blood group and COVID‐19 outcomes were estimated using Poisson regression models. Analyses were conducted overall and stratified by vaccination status. Results A total of 4,986,878 individuals were included. The incidence rate ratios of testing positive for COVID‐19 were 1.08 (95% confidence interval [CI], 1.07–1.08), 1.06 (95% CI, 1.05–1.07), and 1.01 (95% CI, 1.00–1.01) for blood groups A, AB, and B, respectively, as compared to O. Similar associations were seen for risk of hospital admissions, intensive care unit admissions, and risk of death. For most outcomes, associations with ABO blood group were much attenuated or even reversed in vaccinated individuals. Conclusions Individuals with blood groups A, AB, and B are at increased risk of contracting COVID‐19 as well as developing more severe forms of the disease.</description><identifier>ISSN: 0954-6820</identifier><identifier>ISSN: 1365-2796</identifier><identifier>EISSN: 1365-2796</identifier><identifier>DOI: 10.1111/joim.13588</identifier><identifier>PMID: 36372955</identifier><language>eng</language><publisher>England: Blackwell Publishing Ltd</publisher><subject>ABO blood group ; ABO Blood-Group System ; ABO system ; Blood groups ; Brief Report ; cause of death ; Cohort analysis ; Confidence intervals ; COVID-19 ; COVID-19 - epidemiology ; Folkhälsovetenskap, global hälsa och socialmedicin ; Humans ; Incidence ; Infectious Medicine ; Infektionsmedicin ; intensive care ; Population studies ; Population-based studies ; Public Health, Global Health and Social Medicine ; Regression analysis ; Regression models ; Retrospective Studies ; Risk ; Statistical analysis ; Sweden - epidemiology ; Vaccination</subject><ispartof>Journal of internal medicine, 2023-03, Vol.293 (3), p.398-402</ispartof><rights>2022 The Authors. published by John Wiley &amp; Sons Ltd on behalf of Association for Publication of The Journal of Internal Medicine.</rights><rights>2022 The Authors. Journal of Internal Medicine published by John Wiley &amp; Sons Ltd on behalf of Association for Publication of The Journal of Internal Medicine.</rights><rights>2022. This article is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). 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Objective To study associations between ABO blood group and risk of different stages of COVID‐19. Methods The study was based on nationwide registers encompassing all blood‐grouped persons in Sweden, and all of their COVID‐19‐related outcomes. Associations between ABO blood group and COVID‐19 outcomes were estimated using Poisson regression models. Analyses were conducted overall and stratified by vaccination status. Results A total of 4,986,878 individuals were included. The incidence rate ratios of testing positive for COVID‐19 were 1.08 (95% confidence interval [CI], 1.07–1.08), 1.06 (95% CI, 1.05–1.07), and 1.01 (95% CI, 1.00–1.01) for blood groups A, AB, and B, respectively, as compared to O. Similar associations were seen for risk of hospital admissions, intensive care unit admissions, and risk of death. For most outcomes, associations with ABO blood group were much attenuated or even reversed in vaccinated individuals. 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Li, Huiqi ; Nyberg, Fredrik ; Edgren, Gustaf</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5248-96d3f41cacb81100bf7214e4791e668b5b9405f0206dfa70bdcd5d133a4d62af3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>ABO blood group</topic><topic>ABO Blood-Group System</topic><topic>ABO system</topic><topic>Blood groups</topic><topic>Brief Report</topic><topic>cause of death</topic><topic>Cohort analysis</topic><topic>Confidence intervals</topic><topic>COVID-19</topic><topic>COVID-19 - epidemiology</topic><topic>Folkhälsovetenskap, global hälsa och socialmedicin</topic><topic>Humans</topic><topic>Incidence</topic><topic>Infectious Medicine</topic><topic>Infektionsmedicin</topic><topic>intensive care</topic><topic>Population studies</topic><topic>Population-based studies</topic><topic>Public Health, Global Health and Social Medicine</topic><topic>Regression analysis</topic><topic>Regression models</topic><topic>Retrospective Studies</topic><topic>Risk</topic><topic>Statistical analysis</topic><topic>Sweden - epidemiology</topic><topic>Vaccination</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dahlén, Torsten</creatorcontrib><creatorcontrib>Li, Huiqi</creatorcontrib><creatorcontrib>Nyberg, Fredrik</creatorcontrib><creatorcontrib>Edgren, Gustaf</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>SwePub</collection><collection>SwePub Articles</collection><collection>SWEPUB Göteborgs universitet</collection><collection>SWEPUB Freely available online</collection><collection>SwePub Articles full text</collection><jtitle>Journal of internal medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dahlén, Torsten</au><au>Li, Huiqi</au><au>Nyberg, Fredrik</au><au>Edgren, Gustaf</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A population‐based, retrospective cohort study of the association between ABO blood group and risk of COVID‐19</atitle><jtitle>Journal of internal medicine</jtitle><addtitle>J Intern Med</addtitle><date>2023-03</date><risdate>2023</risdate><volume>293</volume><issue>3</issue><spage>398</spage><epage>402</epage><pages>398-402</pages><issn>0954-6820</issn><issn>1365-2796</issn><eissn>1365-2796</eissn><abstract>Background Several studies have investigated associations between ABO blood group and risk of COVID‐19, with inconsistent results. Objective To study associations between ABO blood group and risk of different stages of COVID‐19. Methods The study was based on nationwide registers encompassing all blood‐grouped persons in Sweden, and all of their COVID‐19‐related outcomes. Associations between ABO blood group and COVID‐19 outcomes were estimated using Poisson regression models. Analyses were conducted overall and stratified by vaccination status. Results A total of 4,986,878 individuals were included. The incidence rate ratios of testing positive for COVID‐19 were 1.08 (95% confidence interval [CI], 1.07–1.08), 1.06 (95% CI, 1.05–1.07), and 1.01 (95% CI, 1.00–1.01) for blood groups A, AB, and B, respectively, as compared to O. Similar associations were seen for risk of hospital admissions, intensive care unit admissions, and risk of death. For most outcomes, associations with ABO blood group were much attenuated or even reversed in vaccinated individuals. Conclusions Individuals with blood groups A, AB, and B are at increased risk of contracting COVID‐19 as well as developing more severe forms of the disease.</abstract><cop>England</cop><pub>Blackwell Publishing Ltd</pub><pmid>36372955</pmid><doi>10.1111/joim.13588</doi><tpages>5</tpages><orcidid>https://orcid.org/0000-0002-2198-4745</orcidid><orcidid>https://orcid.org/0000-0002-3856-7227</orcidid><oa>free_for_read</oa></addata></record>
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source MEDLINE; Wiley Online Library Journals Frontfile Complete; SWEPUB Freely available online
subjects ABO blood group
ABO Blood-Group System
ABO system
Blood groups
Brief Report
cause of death
Cohort analysis
Confidence intervals
COVID-19
COVID-19 - epidemiology
Folkhälsovetenskap, global hälsa och socialmedicin
Humans
Incidence
Infectious Medicine
Infektionsmedicin
intensive care
Population studies
Population-based studies
Public Health, Global Health and Social Medicine
Regression analysis
Regression models
Retrospective Studies
Risk
Statistical analysis
Sweden - epidemiology
Vaccination
title A population‐based, retrospective cohort study of the association between ABO blood group and risk of COVID‐19
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