ICJIM

The Intercontinental Journal of Internal Medicine aims to publish issues related to all fields of internal medicine of the highest scientific and clinical value at an international level and accepts articles on these topics.

EndNote Style
Index
Original Article
Analysis of the correlation between COVID-19 infection frequency and disease severity and mortality in relation to ABO and RH blood groups
Aims: The etiology of the COVID-19 pandemic and the factors that predispose individuals to the disease remain little comprehended. Research indicates significant variability in outcomes related to blood types and COVID-19. These researches have examined ABO and Rhesus (Rh) blood types as different datasets. Our research is an unprecedented study that investigates the correlation between developing COVID-19 and/or disease severity/death by analyzing ABO and Rh blood groups concurrently.
Methods: This study retrospectively included 461 RT-PCR-diagnosed COVID-19 patients and 46 healthy volunteers aged 18 or older with known blood types from April 2020 to December 2020. All demographic and medical data came from electronic medical records (EMR). Rh and ABO blood types were established via card tests with microplates (forward and reverse grouping). Patients were grouped by clinical outcome and COVID-19 positivity. In SPSS 26, descriptive statistics, one-way ANOVA, Kruskal-Wallis, student’s T test, Mann-Whitney U test, and Chi-square test assessed regularly distributed and non-normally distributed characteristics.
Results: The age distribution of the patients (62±13) was comparable to that of the control group (64±14) (p=0.295). No significant differences were seen between the groups regarding sex and blood group distribution (p=0.204 and p=0.087, respectively). Analysis of individuals by blood types revealed no significant differences in the incidence of COVID-19, age, sex, and clinical course (p=0.603, p=0.244, p=0.272, and p=0.810, respectively).
Conclusion: Our investigation demonstrated that, contrary to the current literature, there is no correlation between developing COVID-19 and/or the severity of the disease or mortality across the eight blood groups classified by ABO and Rh combinations. This may signify a realistic consequence or could be linked to genetic profiles. We contend that, contrary to assertions in the literature, there is no link between ABO and Rh blood types and the incidence, severity, or mortality of COVID-19.


1. Zhao J, Yang Y, Huang H, et al. Relationship between the ABO blood group and the Coronavirus disease 2019 (COVID-19) susceptibility. Clin Infect Dis. 2021;73(2):328-331. doi:10.1093/cid/ciaa1150
2. Zietz M, Zucker J, Tatonetti NP. Associations between blood type and COVID-19 infection, intubation, and death. Nat Commun. 2020;11(1):5761. doi:10.1038/s41467-020-19623-x
3. Li J, Wang X, Chen J, Cai Y, Deng A, Yang M. Association between ABO blood groups and risk of SARS-CoV-2 pneumonia. Br J Haematol. 2020;190(1):24-27. doi:10.1111/bjh.16797
4. Göker H, Aladağ Karakulak E, Demiroğlu H, et al. The effects of blood group types on the risk of COVID-19 infection and its clinical outcome. Turk J Med Sci. 2020;50(4):679-683. doi:10.3906/sag-2005-395
5. Severe Covid-19 GWAS Group, Ellinghaus D, Degenhardt F, et al. Genomewide association study of severe Covid-19 with respiratory failure. N Engl J Med. 2020;383(16):1522-1534. doi:10.1056/NEJMoa 2020283
6. Wu Y, Feng Z, Li P, Yu Q. Relationship between ABO blood group distribution and clinical characteristics in patients with COVID-19. Clin Chim Acta. 2020;509:220-223. doi:10.1016/j.cca.2020.06.026
7. Leaf RK, Al-Samkari H, Brenner SK, Gupta S, Leaf DE. ABO phenotype and death in critically ill patients with COVID-19. Br J Haematol. 2020;190(4):e204-e208. doi:10.1111/bjh.16984
8. Fan Q, Zhang W, Li B, Li DJ, Zhang J, Zhao F. Association between ABO blood group system and COVID-19 susceptibility in Wuhan. Front Cell Infect Microbiol. 2020;10:404. doi:10.3389/fcimb.2020.00404
9. Golinelli D, Boetto E, Maietti E, Fantini MP. The association between ABO blood group and SARS-CoV-2 infection: a meta-analysis. PLoS One. 2020;15(9):e0239508. doi:10.1371/journal.pone.0239508
10. Wu BB, Gu DZ, Yu JN, Yang J, Shen WQ. Association between ABO blood groups and COVID-19 infection, severity and demise: a systematic review and meta-analysis. Infect Genet Evol. 2020;84:104485. doi:10.1016/j.meegid.2020.104485
11. Barnkob MB, Pottegård A, Støvring H, et al. Reduced prevalence of SARS-CoV-2 infection in ABO blood group O. Blood Adv. 2020;4(20):4990-4993. doi:10.1182/bloodadvances.2020002657
12. Latz CA, DeCarlo C, Boitano L, et al. Blood type and outcomes in patients with COVID-19. Ann Hematol. 2020;99(9):2113-2118. doi:10.1007/s00277-020-04169-1
13. Zietz M, Zucker J, Tatonetti NP. Associations between blood type and COVID-19 infection, intubation, and death. Nat Commun. 2020;11(1):5761. doi:10.1038/s41467-020-19623-x
14. Padhi S, Suvankar S, Dash D, et al. ABO blood group system is associated with COVID-19 mortality: an epidemiological investigation in the Indian population. Transfus Clin Biol. 2020;27(4):253-258. doi:10.1016/j.tracli.2020.08.009
15. Hoiland RL, Fergusson NA, Mitra AR, et al. The association of ABO blood group with indices of disease severity and multiorgan dysfunction in COVID-19. Blood Adv. 2020;4(20):4981-4989. doi:10.1182/blood advances.2020002623
16. Ray JG, Schull MJ, Vermeulen MJ, Park AL. Association between ABO and Rh blood groups and SARS-CoV-2 infection or severe COVID-19 illness: a population-based cohort study. Ann Intern Med. 2021;174(3):308-315. doi:10.7326/M20-4511
17. Taha SAH, Osman MEM, Abdoelkarim EAA, et al. Individuals with a Rh-positive but not Rh-negative blood group are more vulnerable to SARS-CoV-2 infection: demographics and trend study on COVID-19 cases in Sudan. New Microbes New Infect. 2020;38:100763. doi:10.1016/j.nmni.2020.100763
Volume 3, Issue 2, 2025
Page : 22-25
_Footer