Previous studies have shown that patients with chronic lymphocytic leukemia (CLL) and corona virus disease 2019 (COVID-19) have high mortality rates. Infection with the omicron variant has been described as… Click to show full abstract
Previous studies have shown that patients with chronic lymphocytic leukemia (CLL) and corona virus disease 2019 (COVID-19) have high mortality rates. Infection with the omicron variant has been described as a milder disease course in the general population. However, the outcome for immunocompromised patients have not previously been reported. In a cohort of patients with CLL tested for severe adult respiratory syndrome coronavirus 2 (SARS-CoV-2) at hospital test sites in the time periods before and after dominance of the omicron variant, rates of hospitalizations and ICU-admissions declined significantly, whereas 30-day mortality remained as high as 23% in the period with dominance of the omicron sublineage BA.2 variant. However, for a larger population-based cohort of patients with CLL (including the hospital cohort), 30-day mortality was 2%. Thus, patients with CLL with close hospital contactss and in particular those above 70 years of age with one or more comorbidities should be considered for closer monitoring and pre-emptive antiviral therapy upon a positive SARS-CoV-2 test.
               
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