Rhesus Blood Group Research Articles

Association of ABO and Rhesus blood groups with symptom emergence in scabies: a cross-sectional study.

Scabies is a contagious skin condition caused by the Sarcoptes scabiei mite. It can lead to various clinical reactions, ranging from no symptoms at all to noticeable skin lesions and severe itching within the same household. We aimed to investigate the potential role of blood groups in the emergence of disease symptoms by comparing the scabies patients with asymptomatic co-residents. This study comprised 102 patients infected with scabies from index cases and 111 asymptomatic co-residents. The index cases where symptoms first appeared were excluded. Among patients with scabies, 34 individuals (33.3%) had type A blood group, 12 (11.8%) had type B, 27 (26.5%) had type AB, and 29 (28.4%) had type O. Of these patients, 101 (99%) were Rh+, while 1 (1%) was Rh-. In asymptomatic contacts, 61 individuals (55%) had type A, 9 (8.1%) had type B, 1 (0.9%) had type AB, and 40 (36%) had type O blood group. Of these, 102 (91.9%) were Rh+, and 9 (8.1%) were Rh-. A significant difference was observed between the two groups concerning the frequency of ABO, Rh, and ABO*Rh blood groups (p < 0.05). The prevalence of B + and AB + blood groups was higher in scabies patients compared to asymptomatic contacts. The study results showed a significant association between the emergence of scabies symptoms with blood groups. Our results highlight the importance of more research into the roles of blood group antigens in normal skin epithelium and their involvement in the etiopathogenesis of scabies.

Frequency of ABO and Rhesus (D) blood group among blood donors and blood requisition and utilization patterns: An insight towards optimal blood usage in a tertiary care hospital.

Objective: To determine the distribution and frequency of blood groups among the blood donors and assess the blood requisition and utilization patterns in order to strategize optimal blood utilization. Study Design: Cross-sectional Descriptive study. Setting: Fauji Foundation Hospital, Rawalpindi. Period: January 2021 to January 2024. Methods: Blood bank data including blood donor name, gender, blood groups, blood requisitions, blood issuance and blood utilization was retrieved from Fauji Foundation hospital’s management information system and blood requisition and collection forms. The quality indicators of blood utilization i.e. crossmatch/transfusion ratio and transfusion probability was calculated and analyzed using SPSS 21. Results: 22483 blood donors donated blood at our blood bank facility from January 2021-january 2024. Mean age 31±10.2 years (range: 18–56 years). Majority of the blood donors were males 96.4% (n=21682) while 3.5% (n=801) were females. A total of 21733 were replacement donors while 750 were voluntary donors. The highest blood requests were from obstetrics/gynecology department while the highest blood utilization was by the medicine department. The overall cross match to transfusion ratio was 1.3. The highest cross match to transfusion ratio of 2.5 was from obstetrics/gynecology department while the lowest was from pediatrics and oncology departments. Conclusion: The blood group O positive was the commonest blood group. Although, blood transfusion quality indicators show effective utilization however the pattern varies among different departments. Evidence-based blood utilization strategies need to be implemented for optimal utilization of blood.

ABO and Rhesus blood group variability and their associations with clinical malaria presentations

BackgroundPlasmodium falciparum infection is associated with the human ABO blood group. However, there is a paucity of data on the role that ABO and Rhesus blood groups play in malaria clinical presentations. Therefore, the objective of this study was to assess the association of human ABO blood groups and the Rhesus blood (Rh) types with the severity of malaria.MethodsThis cross-sectional study was carried out at the Suhum Government Hospital in the Eastern region of Ghana. Conveniently, study participants with malaria, diagnosed by microscopy, were selected into the study. Subsequently, their ABO and Rh blood groups were determined (Accucare ABO/Rh monoclonal antibodies, Chennai, India). Malaria severity was assessed using the criteria for assessing severe malarial anaemia published by the World Health Organization. According to the criteria, severe malarial anaemia was classified as having haemoglobin (Hb) < 5 g/dL for children < 12 years and in patients ≥ 12 years, Hb level < 7 g/dL, with parasitaemia > 10,000/µL in both cases. Severe malarial anaemia was also classified as having plasma bilirubin > 50 µmol/L with parasitaemia ≥ 100,000/µL, for all ages. Chi square statistical analysis was used to test the association between the blood groups and the clinical or laboratory findings, while multivariate analysis was performed to identify which blood groups were more vulnerable to develop severe malarial anaemia.ResultsOf the total number of the study participants (n = 328), most of the patients had blood group O Rh positive (35.7%) while few of them had blood group AB Rh negative (2.1%). The types of Rhesus did not associate with malaria. However, compared to blood group O, the odds of developing severe malarial anaemia, in children < 12 years and in patients ≥ 12 years, were 16 times and 17.8 times higher among patients with blood group A, respectively. Furthermore, the odds of having bilirubin level > 50 µmol/L with parasitaemia ≥ 100,000 /µL was 10 times higher among patients with blood groups A and 2.6 times higher in patients with blood group B, compared to blood group O. Finally, in patients with blood group A majority (71.6%) of them developed high temperature (> 37.5 °C) while 43.3% of them vomited and had diarrhoea. However, pallor (group B = 46.2% vs group A = 37.3%), fever (group B = 84.6% vs group A = 79.1%) and nausea (group B = 46.2% vs group A = 25.4%) were more frequent in patients with blood group B than A.ConclusionsThis study found that people with blood groups A and B were severely affected by malaria, with group A being the most vulnerable. It is recommended that blood group assessment be performed for all patients with malaria. Patients found to have blood group A or B must be promptly and efficiently managed to avoid the development of severe malaria anaemia.

Analysis of The Results of The Rhesus System Blood Group Phenotyping Examination in Routine Type O Blood Donors

The Rhesus (Rh) system is the second most important blood group system after ABO, has the highest immunogenicity and tends to produce alloantibodies that cause most transfusion reactions. In the Rh blood group system, there are more than 55 antigens, but the main ones are D, C, E, c, and e. Currently, only the D antigen is carried out without examining four other important Rh antigens. Still scarce, studies on the proportion of Rh antigens, except D, in Indonesia; in this study we have determined Rh antigens and phenotypes among a population of routine blood donors. The purpose of this study was to determine the phenotypic variation and frequency distribution of the main antigens of the Rhesus blood group system in routine blood type O blood donors at UDD PMI Depok City. This study was descriptive and observational with a cross-sectional design. Primary data are obtained from the Rhesus system antigen examination results on donor blood samples. The sample was 140 blood samples from 140 routine donors. A rhesus phenotyping examination was carried out using the gel method. The study was conducted on 140 routine donor blood samples at UDD PMI Depok City. The characteristics of the subjects were male (69.29%) and female (30.71%), with an average age of 38 years. Samples are analyzed for five major Rhesus antigens. Rhesus antigen test shows D antigen (100%), e antigen (97.14%), C antigen (95.71%), c antigen (36.43%) and E antigen (27.86%). Rhesus phenotype results were R1R1 (DCe/Dce) (62.86%), R1R2 (DCe/DcE) (22.86%), R1r (DCe/dce) (9.29%), R2R2 (DcE/DcE) (2.86%), R2r (DcE/dce) (1.43%), and R1RZ (DCe/DCE) (0.71%). In conclusion, the frequency of phenotypic changes in the Rh blood group system of regular blood donors at UDD PMI Depok City is classified as the most common types: DCe/DCe, DCe/DcE, DCe/dce, DcE/DcE, DcE/dce and DCe/DCE.

Pattern of ABO and Rhesus Blood Group Distribution among Second Year Medical Students of Arsi University, Southeast Ethiopia

Pattern of ABO and Rhesus Blood Group Distribution among Second Year Medical Students of Arsi University, Southeast Ethiopia

Dual Maternal Alloimmunization by Antibodies of Rhesus and MNSs Blood Group System: Case Series and Approach to Work Up in a Resource Limited Set Up

Dual Maternal Alloimmunization by Antibodies of Rhesus and MNSs Blood Group System: Case Series and Approach to Work Up in a Resource Limited Set Up

ABO and Rhesus blood groups and multiple health outcomes: an umbrella review of systematic reviews with meta-analyses of observational studies

BackgroundNumerous studies have been conducted to investigate the relationship between ABO and Rhesus (Rh) blood groups and various health outcomes. However, a comprehensive evaluation of the robustness of these associations is still lacking.MethodsWe searched PubMed, Web of Science, Embase, Scopus, Cochrane, and several regional databases from their inception until Feb 16, 2024, with the aim of identifying systematic reviews with meta-analyses of observational studies exploring associations between ABO and Rh blood groups and diverse health outcomes. For each association, we calculated the summary effect sizes, corresponding 95% confidence intervals, 95% prediction interval, heterogeneity, small-study effect, and evaluation of excess significance bias. The evidence was evaluated on a grading scale that ranged from convincing (Class I) to weak (Class IV). We assessed the certainty of evidence according to the Grading of Recommendations Assessment, Development, and Evaluation criteria (GRADE). We also evaluated the methodological quality of included studies using the A Measurement Tool to Assess Systematic Reviews (AMSTAR). AMSTAR contains 11 items, which were scored as high (8–11), moderate (4–7), and low (0–3) quality. We have gotten the registration for protocol on the PROSPERO database (CRD42023409547).ResultsThe current umbrella review included 51 systematic reviews with meta-analysis articles with 270 associations. We re-calculated each association and found only one convincing evidence (Class I) for an association between blood group B and type 2 diabetes mellitus risk compared with the non-B blood group. It had a summary odds ratio of 1.28 (95% confidence interval: 1.17, 1.40), was supported by 6870 cases with small heterogeneity (I2 = 13%) and 95% prediction intervals excluding the null value, and without hints of small-study effects (P for Egger’s test > 0.10, but the largest study effect was not more conservative than the summary effect size) or excess of significance (P < 0.10, but the value of observed less than expected). And the article was demonstrated with high methodological quality using AMSTAR (score = 9). According to AMSTAR, 18, 32, and 11 studies were categorized as high, moderate, and low quality, respectively. Nine statistically significant associations reached moderate quality based on GRADE.ConclusionsOur findings suggest a potential relationship between ABO and Rh blood groups and adverse health outcomes. Particularly the association between blood group B and type 2 diabetes mellitus risk.

Prevalence of principal abo and rhesus blood group systems over the entire Lebanese population

Prevalence of principal abo and rhesus blood group systems over the entire Lebanese population

The ABO and Rhesus (Rh) blood groups of the Purana population of Sigiriya, Sri Lanka, and the disease risk

The ABO and Rhesus (Rh) blood groups of the Purana population of Sigiriya, Sri Lanka, and the disease risk

Prevalence of ABO and Rhesus (D) Blood Group and Allelic Frequency at Blood Bank of Nigist Eleni Mohammed Hospital, Ethiopia.

The purpose of this cross-sectional study was to determine the pattern of the ABO and rhesus D (RhD) blood group distribution among voluntary blood donors attending five blood donation centers at Nigist Eleni Mohammed General Hospital in Hossana, Ethiopia. A total of 1,120 participants who fulfilled the "who can give blood" criteria of the World Health Organization were selected randomly. Blood samples were collected, transported to the laboratory, and analyzed for ABO and RhD typing. The data was analyzed using descriptive statistics and chi-square correlation analysis. The study found that the O blood group was the most prevalent (39.0%), followed by A (32.2%), B (22.5%), and AB (6.4%). When considering both the ABO and Rh blood groups together, 92.9% of blood donors were RhD positive, while only 7.1% were RhD negative. The distribution pattern of the ABO blood groups in Gurage Zone, Hadiya Zone, Kembata Zone, and Silte Zone showed that the O blood group was the most prevalent, followed by A, B, and AB, in that order. Conversely, the ABO blood group distribution pattern in Halaba Zone was A > O > B > AB. Civil servants from different occupational statuses were the most dominant voluntary blood donors, accounting for 53.2%, followed by students from different high schools and universities (41.9%), self-employed individuals (4.1%), and others (0.7%). The ABO blood group system had observed allele frequencies significantly different from the expected frequencies (p = 0.007), while the RhD system did not (p = 0.037). Allele frequencies for A, B, and O in the ABO system were 0.3531, 0.2576, and 0.3893, respectively. Observed frequencies for RhD-positive and RhD-negative alleles were 0.9647 and 0.0531, respectively. This study highlights the regional ABO and RhD blood group variations in Ethiopia, noting disparities from expected ABO allele frequencies, and identifies the O blood group predominance among donors with a high RhD-positive prevalence.

COVID-19 Susceptibility among ABO/RH Blood Groups in Tamil Nadu Population: A Retrospective Case–Control Study

Background: COVID-19 is a world pandemic with clinical manifestation from mild subclinical infection to severe illness. Literature suggests an evident correlation between the ABO blood group, Rhesus blood group, and COVID-19 in the recent past. The role of blood group in disease susceptibility and severity of COVID-19 varies in different geographical locations, as ABO blood group distribution varies among the human population with the impact of migration. Although various research have been done globally, scientific evidence with respect to the south Indian population remains limited, emphasizing the need for the present study to analyze the association of COVID-19 and blood groups in Tamil Nadu. Aim: The aim of this study was to analyze the potential susceptibility of COVID-19 among the blood groups (ABO and Rh type) in Tamil Nadu population. Materials and Methods: This was a noninterventional retrospective case–control study, with 500 patients who tested positive for COVID-19 being taken as the “cases,” while another 500 who tested negative were taken as the “controls.” The medical records, including the blood group and Rh factor, were collected from the government-recognized testing centers (Government Medical Hospital and Primary Health Centers, Tiruvallur, and Frontier Lifeline Hospital, Chennai) in Tamil Nadu, who came for COVID-19 screening by reverse transcriptase–polymerase chain reaction. The data were analyzed to associate its correlation with different blood groups. Results: Blood Group A showed significantly higher distribution among the cases (P = 0.030), and blood Groups O and B were significant among the controls (P = 0.026 and P = 0.000, respectively). Blood Group AB did not show any significant differences between the groups (P = 0.374). The odds ratio for AB, A, O, and B Groups for Rh (positive and negative) were shown to be 0.659, 0.591, 0.472, and 0.262, respectively, suggesting increased susceptibility toward Rh positive factor. Conclusion: In our study, blood Group A was found to be the most susceptible and blood Group O to be the least susceptible to COVID-19 in the Tamil Nadu population. In addition, the Rh positive factor showed more inclination toward COVID susceptibility than the Rh negative factor. ABO blood group may be considered a potential nonmodifiable and secondary risk factor for COVID-19 contributing to the disease pathobiology at immunological, biochemical, and physiological levels. Still, the intensity of their role and their exact mechanism in its association requires further exploration to validate the current findings.

Homologous blood transfusion and doping: Where are we now?

Homologous blood transfusion (HBT) is used for doping in endurance sports since the 1960s. The blood comes from a compatible donor, that is, someone with a compatible ABO and rhesus blood group. Despite been prohibited by the IOC in 1985, no detection method was available until 2003. Then came the idea to use red blood cells (RBC) minor blood groups antigens that constitute an "identity" card of someone's RBC to detect the presence of a second RBC population. The method validated for doping control samples uses flow cytometry after incubation of isolated RBC with eight to 12 primary antibodies against specific minor blood groups antigens. The presence of double populations of RBC is revealed by a major and a minor peak in a fluorescence histogram. The sensitivity was estimated sufficient to detect HBT for a few weeks. Despite the complexity and cost of the method, right after its application in 2004, several cases of HBT were identified but the number of cases dropped rapidly over the years. In the 2010s, other ways to detect HBT were developed and evaluated: indirect detection using the Athlete Biological Passport approach, and a few years later forensic DNA analysis to establish the presence of two different DNA in a blood sample after HBT. Despite the high specificity of the latter, the sensitivity was recently questioned in vivo. Nowadays, the flow cytometry method remains the method of choice for HBT detection and recent investigations helped to simplify the method and increase its specificity and sensitivity.

ABO and Rhesus Blood Group Frequency among Donors and Admitted Patients at Zawia Medical Center, AzZawya City, Libya

The identification and categorization of blood groups play a crucial role in transfusion medicine as it allows for safe and compatible transfusions. Among the various blood group systems, the ABO and Rhesus blood grouping systems have special clinical significance. Understanding the distribution and frequency of ABO and Rhesus blood groups within a specific community is essential for healthcare planning, especially when it comes to blood supply management and organ transplantation. Additionally, studies have also shown a relationship between ABO blood groups and the onset and spread of diseases. Therefore, this study was conducted to detect the distribution and frequency of ABO and Rhesus blood groups in AzZawya City, Libya. In this retrospective study, data from the blood bank at Zawia Medical Center were collected over three years to detect the distribution of ABO and Rh blood groups among 5187 donors and admitted patients. The result shows that blood group O is the dominant among all study subjects (45%), as well as, among males (48.2%), and females (42.2%). Blood group A is the second most common at 34.6% among total, 33% among males, and 36% among females. For Rhesus antigens 89.4% of study subjects were Rhesus positive, 87.3% for males and 80% for females. In addition, the results show a statistically significant association between gender and blood group distribution p&lt;0.001. Knowing the most common blood types helps maintain adequate blood bank supplies.

Distribution of ABO and Rhesus (D) blood group antigens among the Indian Kami population from the Sub-Himalayan region of West Bengal and Sikkim, India

Abstract BACKGROUND: Limited information is available regarding the distribution of ABO and Rhesus (Rh) blood groups among the populations from the sub-Himalayan regions. The present study was undertaken to understand the phenotypic, genotypic, and allelic frequencies of ABO and Rh antigens among the Kami population. METHODS: A total of 1420 Kami individuals were included in the study from the sub-Himalayan region of West Bengal and Sikkim. The ABO and RhD blood groups were determined among 158 individuals by standard slide agglutination method, and from 1262 individuals blood group, data were collected who had undergone routine blood group tests in diagnostic laboratories. RESULTS: The frequency of blood group O (31.06%) was found to be the highest followed by B (29.15%), A (27.54%), and AB (12.25%). A total of 97.89% individuals were Rh (D) positive and 2.11% were Rh (D) negative. The allele frequencies of ABO were found to be 0.200 for IA (p), 0.243 for IB (q), and 0.557 for IO (r). For Rh (D), the calculated gene frequencies were 0.855 for Rh positive (ID) and 0.145 for Rh negative (Id). Among the subcaste of Kami population, a significantly high frequency of blood group A was observed among Baraily and Lamgade, O among Sashankar, Dural, Diyali, and Dutraj, and B among Ramudamu, Koirala, and Silal. CONCLUSION: The study is the first of its kind to comprehensively describe the ABO blood group distribution among the Kami population which shows the same trend as the general Indian population.

Distribution and Frequency of ABO and Rhesus blood groups among donors at Chughtai Institute of Pathology, Lahore

Aim: To assess the demographic background of blood donors in a referral institution located in Lahore, as well as the distribution of blood groups among those who donate blood. Additionally, the study will investigate the distribution of blood groups among those who donate blood. Study design: A cross-sectional study Place of Study: Chughtai Institute of Pathology, Lahore Study duration: March to June 2023 Results: Among the participants, blood group O was most common 202(49.26%), followed by A 110(27.1%), B 82(20%) and AB 15(3.65%). Blood group O was most common. Blood group O was the least common among participants. The least common blood group was AB, with 3.65% of male participants and 1.7% of female participants. A statistical analysis found no significant difference between gender and blood type (χ2 = 2.9932, P value =0.912). All blood groups except AB had Rh-negative antigens. A comparison of blood types found no changes in RH (χ2 = 2.112, P value = 0.698). Conclusion: For the functioning of a national health service, it is crucial to possess current information on the prevalence of blood types in various local settings. Currently, there is a lack of information on this important subject. Our research provides detailed information on the blood type and demographic characteristics of donors. Additional research and mobilisation are needed nationwide to adhere to the World Health Organization's suggestions regarding voluntary blood donation. Keywords: Rhesus factor, ABO, blood donation, and transfusion medicine

Distribution pattern of abo and rhesus blood group among voluntary blood donors in Abakaliki

ABO and Rhesus (Rh) blood group antigens are hereditary characters and are useful in population genetic studies, in resolving medico-legal issues and more importantly in compatibility test in blood transfusion practice. The aim of this work is to determine the distribution pattern of ABO and Rh (D) blood group among voluntary blood donors in Abakaliki. Blood groups and rhesus were tested in 500 subjects comprising of 446 male donors and 54 female donors. Cell and serum grouping technique was carried out using standard procedures respectively. The overall distribution of ABO cell and serum grouping, and Rh (D) groups result shows that A, B, AB and O are 87(17%), 63(13%), 5(1%) and 345(69%) respectively. For the Rh group, 473 (95%) of the donors were Rh (D) positive and 27(5%) were Rh D negative. The reduction in number of female donors is due to religious belief of some, menstrual flow, fear of needle prick, Low PCV etc. In Conclusion, this work could help health institutions to identify where they can obtain blood products necessary for medical interventions. Moreover, this piece of information contributes to the knowledge of the genetic structure of the Abakaliki population which could have significant implications in different fields of biomedicine.

Distribution of ABO and RH Blood Groups among Blood Donors in Jiblah University Hospital in IBB Province, Yemen

Background: The ABO and Rhesus (Rh) blood group system are the most important blood group systems in Transfusion Medicine, genetic studies and in legal medicine study. The distribution of the ABO and Rhesus blood groups is vital for the effective operation and planning of blood banks and secure blood transfusion services. Objective: To determine the distribution of ABO Rh blood groups among blood donors in Jiblah University Hospital in Ibb province, Yemen. Methods: A retrospective study was conducted at Blood bank of Jiblah university hospital in Ibb city, Yemen from January 2021 to August 2023. Blood groups typing of 4853 blood donors was carried out using Slide Agglutination (antigenantibody) method with antisera anti-A, anti-B, and anti-D. Age and sex of participants were considered. SPSS version 20 was used for data analysis. Results: The most common blood group was O (55.54%) and AB was the least common (1.71%). The prevalence of Rhpositive and Rh-negative was 80% and 20% respectively. There were statistically significant association between ABO blood groups and Rh blood group (P = 0.000). Conclusion: The overall phenotypic frequencies of ABO blood groups were O&gt;A&gt;B&gt;AB and O+&gt;A+&gt;O-&gt;B+&gt;A- &gt;AB+&gt;B-&gt;AB- was found to be the order of blood group frequency in the current study. There was a statistical association between ABO blood group system and Rh system

Association between ABO and Rh blood groups and Toxoplasma gondii infection: A cross sectional study.

We aimed to determine the association between the seropositivity to Toxoplasma gondii and the ABO and Rh blood groups in 2,053 people. ABO and Rhesus blood groups and anti-T. gondii IgG and IgM antibodies were determined using commercially available assays. Of the 2,053 people studied, 171(8.3%) were positive for anti-T. gondii IgG antibodies. Sixty-five (38.0%) and 36 (21.1%) of these 171 individuals had high anti-T. gondii IgG antibody levels (≥150 IU mL-1) and anti-T. gondii IgM antibodies, respectively. We found the following prevalences of T. gondii infection among the ABO groups: 8.5% in group A, 4.3% in group B, 4.7% in group AB, and 8.9% in group O (P = 0.19). The prevalences of T. gondii infection among Rh groups were: 8.4% in the Rh-positive group and 7.1% in theRh-negative group (P = 0.58). Logistic regression analysis showed that the frequencies of ABO andRh blood groups were similar (P > 0.05) among people with positive and negative serology for anti-T. gondii IgG antibodies, with high (≥150 IU mL-1) and lower (<150 IU mL-1) levels of anti-T.gondii IgG antibodies, and with positive and negative serology for anti-T. gondii IgM antibodies. Results does not support an association between T. gondii infection and ABO and Rh blood groups.

Distribution of ABO, RhD Blood Group among Secondary School Students at Bishops Girls Secondary School Rushere Kiruhura Southwestern Uganda

ABO and Rhesus blood group antigens are inherited genetic markers in human blood. Haemoglobin is an efficient transporter of oxygen from the lungs to the tissues and carbon dioxide from tissues to the lungs for exhalation. The study was to determine the distribution of ABO and Rhesus blood groups among secondary school female students. The blood samples of 107 secondary school students at Bishops girls’ Secondary School Rushere kiruhura Southwestern Uganda between July to August, 2023 were collected and their haemoglobin genotypes were determined using HemoTypeSC™ rapid test kit and ABO and Rhesus blood groups were determined by a standard tube method. Results. The frequencies of ABO blood groups among the study population were 20 (18.5%), 24 (22.5%), 06 (5.4%) and 57 (53.6%) for blood group A, B, AB, and O respectively. Also, the distribution of Rhesus (D) positive and Rhesus (D) negative were reported as 98 (91.6%) and 9 (8.4%) each. There was no association between ABO, Rhesus (D) and Hb genotypes observed. Data revealed that Rhesus (D) positive students were statistically higher in number compared to the Rhesus (D) negative students (p=0.000). The sequence of ABO distribution among the rural population in southwestern Uganda is; O &gt; A &gt; B &gt; AB. The frequency of Rhesus (D) negative is very low among secondary school students at Bishops’ Girls Secondary School Rushere Kiruhura Southwestern Uganda Keywords: blood groups, ABO blood group, Rh group, Haemolytic Disease of the Newborn

Association Between Rhesus and ABO Blood Group Types and Their Impact on Clinical Outcomes in Critically Ill Patients with COVID-19: A Multi-Center Investigation.

There is increasing evidence suggesting that ABO blood type may play a role in the immunopathogenesis of COVID-19 infection. In addition to ABO blood type, the Rhesus (Rh) factor has also been implicated in various disease processes. Therefore, our study aimed to assess the association between both ABO and Rh blood types in critically ill patients with COVID-19 and their clinical outcomes. A multicenter retrospective cohort study conducted in Saudi Arabia between March 1, 2020, and July 31, 2021, involving adult COVID-19 patients admitted to Intensive Care Units, aimed to explore potential associations between rhesus blood group types (Positive versus Negative) and clinical outcomes. The primary endpoint assessed was the hospital length of stay (LOS). Other endpoints were considered secondary. After propensity score matching (3:1 ratio), 212 patients were included in the final analysis. The hospital length of stay was longer in a negative Rh blood group compared with patients in the Rh-positive group (beta coefficient 0.26 (0.02, 0.51), p = 0.03). However, neither 30-day mortality (HR 0.28; 95% CI 0.47, 1.25, p = 0.28) nor in-hospital mortality (HR 0.74; 95% CI 0.48, 1.14, p = 0.17) reached statistical significance. Additionally, among the different ABO types, the A+ blood group exhibited a higher proportion of thrombosis/infarction and in-hospital mortality (28.1% and 31.2%, respectively). This study highlights the potential impact of blood group type on the prognosis of critically ill patients with COVID-19. It has been observed that patients with a negative Rh blood group type tend to have a longer hospital stay, while their mortality rates and complications during ICU stay are similar to the patients with a Rh-positive group.