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The Impact of ABO Blood Grouping on COVID-19 Vulnerability and Seriousness: A Retrospective Cross-Sectional Controlled Study among the Arab Community

Nagla A. El‐Shitany, Manal El‐Hamamsy, Ahlam A. Alahmadi, Basma G. Eid, Thikryat Neamatallah, Haifa Almukadi, Rana A. Arab, Khadija Abdul Jalil Faddladdeen, Khayria A. Al-Sulami, Safia M.A. Bahshwan, Soad Shaker Ali, Steve Harakeh, Shaimaa M. Badr-Eldin

2021International Journal of Environmental Research and Public Health33 citationsDOIOpen Access PDF

Abstract

Background and Objectives: Studies have noted that some ABO blood types are more susceptible to COVID-19 virus infection. This study aimed to further confirm the relationship between different blood groups on the vulnerability, symptoms, cure period, and severity among COVID-19 recovered patients. Subjects and Methods: This cross-sectional study approached the participants from the Arab community via social media (mainly Facebook and WhatsApp). The data were collected through two Google Form questionnaires, one for COVID-19 recovered patients (COVID-19 group, n = 726), and the other for the healthy people (Control group, n = 707). Results: The subjects with blood group O were the least likely to be infected with the COVID-19 virus, while those with blood group A were not likely to be the most susceptible. There were significant differences among different ABO blood groups regarding the distribution of oxygen saturation percentage, myalgia, and recovery time after COVID-19 infection (p < 0.01, 0.01, and 0.05, respectively). The blood group A showed the highest percentage of patients who experienced an oxygen saturation range of 90–100%, whereas the blood group O showed the highest percentage of patients who experienced an oxygen saturation range of 70–80%. The blood group A showed the lowest percentage of patients who required artificial respiration, whereas the blood group O showed the highest percentage of patients who required artificial respiration. The blood group B showed the lowest percentage of patients who experienced myalgia and exhibited the lowest percentage of patients who needed 3 weeks or more to recover. Conclusion: The people of blood group O may be the least likely to be infected with COVID-19, however, they may be the more in need of treatment in hospital and artificial respiration compared to the other blood groups.

Topics & Concepts

ABO blood group systemMedicineOxygen saturationInternal medicinemyalgiaCross-sectional studyCoronavirus disease 2019 (COVID-19)OxygenPathologyInfectious disease (medical specialty)Organic chemistryDiseaseChemistryBlood groups and transfusionCOVID-19 Clinical Research StudiesCOVID-19 diagnosis using AI