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Yassin MA, Soliman AT, Hmissi SM, Abdulla MA, Itani M, Alamami AA, Aldapt MB, Suliman AM, Ibrahim EA, Mohamed MF, Rozi W, Mohamed SF, Chandra P, Nashwan AJ. Prevalence of neutropenia among adult Arabs in Qatar: Relation to other hematological parameters and anthropometric data. Medicine (Baltimore) 2022; 101:e30431. [PMID: 36086749 PMCID: PMC10980397 DOI: 10.1097/md.0000000000030431] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/02/2021] [Accepted: 07/27/2022] [Indexed: 11/26/2022] Open
Abstract
Neutropenia ranges from a normal variant to life-threatening acquired and congenital disorders. This study aims at providing baseline information regarding the prevalence and spectrum of neutropenia in the Arab blood donors who are living in Qatar. This retrospective cohort study was conducted to review the data of healthy Arab individuals (≥18 years) who donated blood between January 1, 2015 to May 15, 2019. A complete blood count was performed using automated analyzers. The prevalence of neutropenia was 10.7%. The prevalence in females was 32% and in males, it was 6%. Absolute neutrophil count (ANC) below 1 × 109/L was detected in 10% of Arab females and 1.8 % of Arab males. In females, the neutropenic group had significantly lower hemoglobin (Hb) levels and higher red cell distribution width, and lower total white blood cells and lymphocyte counts (P < .001) compared to the group with ANC > 1.5 × 109/L. Significant correlations were found between the ANC and Hb (r = 0.33, P < .05) and ANC and total white blood cells (r = 0.45, P < .01). The prevalence of neutropenia is considerably high in Arab adult females compared to other ethnic groups. Besides the genetic constitution of Arabs, the lower Hb and higher red cell distribution width in females suggest that iron deficiency could contribute to the development of neutropenia.
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Affiliation(s)
- Mohamed A. Yassin
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ashraf T. Soliman
- Division of Endocrinology, Department of Pediatrics, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Saloua M. Hmissi
- Blood Transfusion Center, Hamad Medical Corporation (HMC), Doha, Qatar
| | - Mohammad A.J. Abdulla
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Maya Itani
- Department of Dietetics and Nutrition, Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ans A. Alamami
- Department of Critical Care Medicine, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Mahmood B. Aldapt
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Aasir M. Suliman
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ezzeddin A. Ibrahim
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | | | - Waail Rozi
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Shehab F. Mohamed
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Prem Chandra
- Medical Research Center, Hamad Medical Corporation (HMC), Doha, Qatar
| | - Abdulqadir J. Nashwan
- Department of Nursing, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar
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Yassin MA, Soliman AT, Nashwan AJ, Alamami AA, Abdulla MAJ, Hmissi SM, Aldapt MB, Chandra P, Suliman AM, Ibrahim EA, Yassin KS, Allahverdi N, Mohamed SF. Hematological indices reference intervals for a healthy Arab population in Qatar: Effect of age, gender, and geographic location. Medicine (Baltimore) 2022; 101:e29271. [PMID: 35713431 PMCID: PMC9276203 DOI: 10.1097/md.0000000000029271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2021] [Accepted: 04/29/2022] [Indexed: 11/26/2022] Open
Abstract
Hematologic reference intervals vary with gender, age, ethnicity, and geographic area. Therefore, local or national laboratory reference ranges are essential to enhance the accuracy when diagnosing health conditions. Still, no comprehensive list of reference ranges tailored to the Arab population living in Qatar. Accordingly, this study aims at establishing a hematology reference guide for Arabs in Qatar.This is a retrospective study where 750 healthy volunteers (18-69 years) from 2015 to 2019 were included, analyzed by an automated hematology analyzer. Arab adults were divided into African (Egypt, Libya, Tunisia, Morocco) and Asian (Syria, Lebanon, Jordon, Palestine, Qatar). The Cell-Dyn and Sysmex were used for measuring hematological parameters.The mean +/- 2SD were established for all the study groups. Arab males had significantly higher Hb, Hct, red cell distribution width, absolute neutrophil count, lymphocytes, and monocyte counts than females. Asian-Arab males had significantly higher Hb concentration and higher WBC, lymphocytes, and eosinophils than African Arabs. Asian-Arab young (>18: < 40 years) males had significantly higher Hb and lymphocytes and lower monocytes than older males (>40 years). African-Arab young males had significantly higher lymphocytes and lower monocytes than older males. Asian-Arab young females had higher WBC and absolute neutrophil count than older Asian Arabs.The findings of this study will help in establishing specific reference intervals in the Arab world. The differences in hematology reference intervals considering age, gender, and geographical location highlight the importance of establishing blood reference intervals in each country considering the ethnic diversity of each country.
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Affiliation(s)
- Mohamed A. Yassin
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ashraf T. Soliman
- Department of Pediatrics, Division of Endocrinology, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Abdulqadir J. Nashwan
- Department of Nursing, Hazm Mebaireek General Hospital (HMGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ans A. Alamami
- Department of Critical Care Medicine, Hamad General Hospital (HGH), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Mohammad A. J. Abdulla
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Saloua M. Hmissi
- Blood Transfusion Center, Hamad Medical Corporation (HMC), Doha, Qatar
| | - Mahmood B. Aldapt
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Prem Chandra
- Medical Research Center, Hamad Medical Corporation (HMC), Doha, Qatar
| | - Aasir M. Suliman
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Ezzeddin A. Ibrahim
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Khadra S. Yassin
- Department of Nursing, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Niloofar Allahverdi
- Cancer Services, National Center for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
| | - Shehab F. Mohamed
- Department of Medical Oncology/Hematology, National Centre for Cancer Care and Research (NCCCR), Hamad Medical Corporation (HMC), Doha, Qatar
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Omrani AS, Zaqout A, Baiou A, Daghfal J, Elkum N, Alattar RA, Bakdach D, Abusriwil H, Mostafa AM, Alhariri B, Ambra N, Khatib M, Eldeeb AM, Merenkov Z, Fawzi Z, Hmissi SM, Hssain AA, Coyle PV, Alsoub H, Almaslamani MA, Alkhal A. Convalescent plasma for the treatment of patients with severe coronavirus disease 2019: A preliminary report. J Med Virol 2020; 93:1678-1686. [PMID: 32965715 PMCID: PMC7537323 DOI: 10.1002/jmv.26537] [Citation(s) in RCA: 26] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Revised: 08/10/2020] [Accepted: 09/16/2020] [Indexed: 12/25/2022]
Abstract
BACKGROUND The role of convalescent plasma therapy for patients with coronavirus disease 2019 (COVID-19) is unclear. METHODS We retrospectively compared outcomes in a cohort of critical COVID-19 patients who received standard care (SC Group) and those who, in addition, received convalescent plasma (CP Group). RESULTS In total, 40 patients were included in each group. The median patient age was 53.5 years (interquartile range [IQR] 42-60.5), and the majority of patients required invasive ventilation (69, 86.2%). Plasma was harvested from donors after a median of 37 days (IQR 31-46) from the first positive severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) polymerase chain reaction (PCR) result and 26 days (IQR 21-32) after documented viral clearance; it was administered after a median of 10 days (IQR 9-10) from the onset of symptoms and 2.5 days (IQR 2-4) from admission to intensive care unit. The primary endpoint of improvement in respiratory support status within 28 days was achieved in 26 patients (65%) in the SC Group and 31 patients (77.5%) in the CP Group (p = .32). The 28-day all-cause mortality (12.5% vs. 2.5%; p = .22) and viral clearance (65% vs. 55%; p = .49) were not significantly different between the two groups. Convalescent plasma was not significantly associated with the primary endpoint (adjusted hazard ratio 0.87; 95% confidence interval 0.51-1.49; p = .62). Adverse events were balanced between the two study groups. CONCLUSION In severe COVID-19, convalescent plasma therapy was not associated with clinical benefits. Randomized trials are required to confirm our findings.
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Affiliation(s)
- Ali S Omrani
- Division of Infectious Diseases, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.,Communicable Diseases Center, Hamad Medical Corporation, Doha, Qatar
| | - Ahmed Zaqout
- Division of Infectious Diseases, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.,Communicable Diseases Center, Hamad Medical Corporation, Doha, Qatar
| | - Anas Baiou
- Division of Critical Care, Department of Medicine, Hamad Medical Corporation, Doha, Qatar
| | - Joanne Daghfal
- Communicable Diseases Center, Hamad Medical Corporation, Doha, Qatar
| | - Naser Elkum
- Research Department, Sidra Medical, Doha, Qatar
| | - Rand A Alattar
- Communicable Diseases Center, Hamad Medical Corporation, Doha, Qatar
| | - Dana Bakdach
- Medical Intensive Care Unit, Hamad Medical Corporation, Doha, Qatar
| | - Hatem Abusriwil
- Department of Internal Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar
| | - Abdalrahman M Mostafa
- Department of Internal Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar
| | - Bassem Alhariri
- Department of Internal Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar
| | - Naseem Ambra
- Department of Internal Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar
| | - Mohamed Khatib
- Critical Care and Pulmonary Medicine, Hazm Mebaireek General Hospital, Hamad Medical Corporation, Doha, Qatar
| | - Ali M Eldeeb
- Department of Clinical Imaging, Hamad Medical Corporation, Doha, Qatar
| | - Zeyd Merenkov
- Transfusion Medicine, Department of Pathology and Laboratory Medicine, Hamad Medical Corporation, Doha, Qatar
| | - Zeinab Fawzi
- Transfusion Medicine, Department of Pathology and Laboratory Medicine, Hamad Medical Corporation, Doha, Qatar
| | - Saloua M Hmissi
- Transfusion Medicine, Department of Pathology and Laboratory Medicine, Hamad Medical Corporation, Doha, Qatar
| | - Ali A Hssain
- Medical Intensive Care Unit, Hamad Medical Corporation, Doha, Qatar
| | - Peter V Coyle
- Division of Virology, Department of Pathology and Laboratory Medicine, Hamad Medical Corporation, Doha, Qatar
| | - Hussam Alsoub
- Division of Infectious Diseases, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.,Communicable Diseases Center, Hamad Medical Corporation, Doha, Qatar
| | - Muna A Almaslamani
- Division of Infectious Diseases, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.,Communicable Diseases Center, Hamad Medical Corporation, Doha, Qatar
| | - Abdullatif Alkhal
- Division of Infectious Diseases, Department of Medicine, Hamad Medical Corporation, Doha, Qatar.,Communicable Diseases Center, Hamad Medical Corporation, Doha, Qatar
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Yassin MA, Soliman A, De Sanctis V, Hmissi SM, Abdulla MAJ, Ekeibed Y, Ismail O, Nashwan A, Soliman D, Almusharaf M, Hussein R. The Impact of Iron Overload in Patients with Acute Leukemia and Myelodysplastic Syndrome on Hepatic and Endocrine functions. Acta Biomed 2018; 89:18-22. [PMID: 29633728 PMCID: PMC6179097 DOI: 10.23750/abm.v89i3-s.7213] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Indexed: 01/19/2023]
Abstract
Patients with hematologic malignancies undergoing chemotherapy and requiring blood transfusion usually have an elevated serum ferritin. These findings have led to the suggestion that iron overload is common and may have deleterious effects in these patients. However, the relationship between serum ferritin and parenchymal iron overload in such patients is unknown. Therefore, we measured the liver iron content (LIC) by the FerriScan® method and investigated the liver function and some endocrine tests in 27 patients with acute leukemia (AL) or myelodysplastic syndromes (MDS). Using FerriScan® method, the normal mean LIC levels are: 4.3±2.9 mg Fe/g dry weight (d.w.). In our patients, the mean serum ferritin level was 1965±2428 ng/mL. In our patients, the mean total iron in the blood received by them was 7177±5009 mg. In 6 out of 27 patients LIC was >7 mg Fe/g d.w. and in 11/27 serum ferritin was >1000 ng/ml. Measuring fasting blood glucose revealed 3/27 with diabetes mellitus and 4/27 with impaired fasting glucose (IFG). All patients had normal serum concentrations of calcium, parathormone (PTH), free thyroxine (FT4) and thyrotropin (TSH). Four patients had elevated serum alanine transferase (ALT). LIC was correlated significantly with ferritin level (r=0.5666; P<0.001) and the cumulative amount of iron in the transfused blood (r=0.523; P<0.001). LIC was correlated significantly with ALT (r=0.277; P = 0.04) and fasting blood glucose (FBG) was correlated significantly with the amount of iron transfused (r=0.52, p<0.01) and ALT level (r=0.44; P<0.01). The age of patients did not correlate with LIC, FBG or ALT. In conclusions, these results contribute to our understanding of the prevalence of dysglycemia and hepatic dysfunction in relation to parenchymal iron overload in patients with hematologic malignancies undergoing chemotherapy and requiring blood transfusions. (www.actabiomedica.it)
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Affiliation(s)
- Mohamed A Yassin
- Hematology Section Medical Oncology NCCCR, Hamad Medical Corporation (HMC) Doha, Qatar.
| | - Ashraf Soliman
- Department of Pediatrics, Hamad Medical Corporation (HMC), Doha, Qatar.
| | - Vincenzo De Sanctis
- Pediatric and Adolescent Outpatient Clinic, Quisisana Hospital, Ferrara, Italy.
| | | | | | - Yeslem Ekeibed
- Department of Pediatrics, Hamad Medical Corporation (HMC), Doha, Qatar.
| | - Omer Ismail
- Department of Pediatrics, Hamad Medical Corporation (HMC), Doha, Qatar.
| | - Abdulqadir Nashwan
- Hematology Section Medical Oncology NCCCR, Hamad Medical Corporation (HMC) Doha, Qatar.
| | - Dina Soliman
- Department of Laboratory Medicine and Pathology, National Center for Cancer Care and Research, Hamad Medical Corporation (HMC) Doha, Qatar.
| | | | - Redwa Hussein
- Department of Pharmacy NCCCR, Hamad Medical Corporation (HMC) Doha, Qatar.
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