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HAEMATOLOGY


Anaemia and thrombosis in COVID patients


The global healthcare community recently came together to discuss the latest findings from the Coronavirus pandemic – through a new experience delivered entirely online, Omnia Health Live. COVID-19’s effect on haemoglobin and oxygen carrying capacity, as well as coagulation and thrombosis management, were among the many areas of investigation. Louise Frampton reports.


The Coronavirus pandemic dominated discussion at Omnia Health Live, with experts across the world sharing the latest findings on COVID-19 – from optimum management of patients, developments in diagnostics, and the impact of low quality PPE, to the key role of digital technologies and telehealth in keeping both patients and staff safe during these unprecedented times. Dr. Tedros, the Director-General at the


World Health Organization, gave a powerful address on the global impact of the ‘defining health crisis of our time’, pointing out that the COVID-19 pandemic has disrupted health systems, societies, businesses and economies. “The health sector has never been so


important. It is needed to save lives as well as support the global recovery. The pandemic has told us that health is not a luxury item, but a human right and the foundation of social and economic development. We have learned the hard way, that health is central to everything. In the future, the healthcare sector will play an important role in creating the healthier, safer, fairer world that we want. We should all be in this together,” he commented.


COVID-19 and anaemia The online event covered a wide range of


discussion areas including new insights into the incidence of anaemia and thrombosis among patients admitted to ICU. During the five-day, online event, Masimo hosted a webinar titled: ‘Haemoglobin, Coagulation & Oxygenation in COVID-19 Patients’. Featuring a panel of experts, topics for discussion included COVID-19’s effect on haemoglobin and oxygen carrying capacity,


Anaemia is a common finding in patients with a COVID-19 diagnosis. The pathology for anaemia will be variable, but hyperinflammation and anaemia of chronic disease is highly likely to be the underlying mechanism.


OCTOBER 2020


as well as insights into coagulation and thrombosis management. Dr. Mark Robinson, a consultant haematologist at Cambridge University, gave an insight into haemoglobin changes in patients with COVID-19. He explained that Addenbrooke’s Hospital have examined red blood cell concentration in COVID patients admitted to ICU, to establish whether these hospitalised patients are more likely to be anaemic. He reported that the majority of patients with the virus, presenting on ICU, demonstrated a degree of anaemia (on average, 100g per litre). “The nature of this anaemia is that it appears to be normocytic and normochromic, but what we don’t know is whether it is COVID itself that causes the anaemia or whether patients with anaemia are more likely to be hospitalised with


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