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Table 4 Comparison between survivors and non-survivors in general population and in CAPA cohort

From: Risk factors for COVID-19 associated pulmonary aspergillosis and outcomes in patients with acute respiratory failure in a respiratory sub-intensive care unit

General Population

Survivors

n = 249 (71.2%)

Non survivors

n = 101 (28.8%)

p-value

CAPA, n (%)

21 (8.4)

34 (33.7)

 < 0.0001

Age, median (IQR), years

70 (59–78)

83 (73–87)

 < 0.0001

Sex (M), n (%)

158 (63.4)

67 (66.3)

0.62

Demographics

 Diabetes, n (%)

55 (22.1)

24 (23.8)

0.77

 Cardiovascular diseases, n (%)

61 (24.5)

44 (43.5)

0.0008

 Hypertension, n (%)

138 (55.4)

70 (69.3)

0.01

 Chronic respiratory failure, n (%)

18 (7.2)

10 (9.9)

0.39

 Pulmonary fibrosis, n (%)

9 (3.6)

6 (5.9)

0.38

 Asthma n (%)

11 (4.4)

1 (0.9)

0.19

 COPD, n (%)

50 (20.1)

31 (30.7)

0.03

 Bronchiectasis, n (%)

9 (3.6)

6 (5.9)

0.38

 Chronic hepatopathy, n (%)

4 (1.6)

1 (0.9)

 > 0.99

 Hematological malignancy, n (%)

17 (6.8)

17 (16.8)

0.0085

 Chronic kidney disease, n (%)

29 (11.6)

21 (20.8)

0.04

 Renal replacement, n (%)

11 (4.4)

6 (5.9)

0.58

 Obesity (BMI > 30), n (%)

33 (9.4)

11 (10.9)

0.60

 Autoimmune disease, n (%)

14 (5.6)

2 (1.9)

0.17

 Immunodeficiency, n (%)

24 (9.6)

13 (12.8)

0.44

 Hematopoietic stem cells transplant, n (%)

1 (0.4)

0 (0)

 > 0.99

 Solid organ transplant, n (%)

6 (2.41)

1 (0.9)

0.68

 CCI, median (IQR)

4 (2–6)

6 (5–8)

 < 0.0001

 Apache II, median (IQR)

8 (5–11)

12 (10–17)

 < 0.0001

 Prior (30-d) infections, n (%)

16 (6.4)

22 (21.8)

 < 0.0001

 Prior (30-d) chemotherapy, n (%)

14 (5.6)

15 (14.8)

0.0088

 Prior (30-d) antibiotic therapy, n (%)

69 (27.7)

45 (44.5)

0.0036

 Chronic steroid, n (%)

34 (13.6)

17 (16.8)

0.50

 Anti-CD20 therapy, n (%)

5 (2.0)

4 (3.9)

0.28

 Lymphocytopeniaa at admission, n (%)

107 (43.0)

77 (76.2)

 < 0.0001

 Lymphocytes at admission (× 103/mm3), median (IQR)

930 (610–1265)

570 (390–795)

 < 0.0001

 Severe or critical COVID-19**

171 (68.7)

91 (90.1)

 < 0.0001

 PaO2/FiO2 ratio at admission, median (IQR)

250 (183–334)

153 (108–265.5)

 < 0.0001

 PaO2 at admission, median (IQR)

91 (76.5–108)

80 (67.5–102)

0.0011

 FiO2 at admission, median (IQR)

35 (24–60)

60 (40–65)

 < 0.0001

 Length of in-hospital stay, median (IQR), days

18 (12–27)

17 (9.5–30)

0.31

 Transfer to ICU for need to IMV, n (%)

4 (1.6)

9 (8.9)

0.0025

Respiratory failure treatment at admission

 HFNC, n (%)

11 (4.4)

6 (5.9)

0.58

 Venturi mask, n (%)

160 (64.2)

65 (64.4)

 > 0.99

 Helmet CPAP, n (%)

22 (8.8)

19 (18.8)

0.016

 NIV, n (%)

3 (1.2)

5 (4.9)

0.047

COVID-19 therapy

 Remdesivir, n (%)

161 (64.6)

52 (51.5)

0.03

 Anti-IL6, n (%)

7 (2.8)

4 (3.9)

0.73

 Monoclonal antibody, n (%)

19 (63.3)

11 (10.9)

0.39

CAPA Cohort

Survivors

n = 21 (38.2%)

Non survivors

n = 34 (61.8%)

p-value

Age, median (IQR), years

72 (62–80)

78 (72–85)

0.03

Sex (M), n (%)

15 (71.4)

26 (76.5)

0.75

Demographics

 Diabetes, n (%)

9 (42.9)

7 (20.6)

0.12

 Cardiovascular diseases, n (%)

7 (35)

16 (47)

0.41

 Hypertension, n (%)

16 (76.2)

24 (70.6)

0.76

 Chronic respiratory failure, n (%)

3 (14.3)

6 (17.6)

 > 0.99

 Pulmonary fibrosis, n (%)

2 (9.5)

2 (5.9)

0.63

 Asthma n (%)

1 (4.8)

0 (0)

0.38

 COPD, n (%)

7 (33.3)

14 (41.2)

0.77

 Bronchiectasis, n (%)

2 (9.5)

3 (8.8)

 > 0.99

 Chronic hepatopathy, n (%)

0 (0)

0 (0)

 > 0.99

 Hematological malignancy, n (%)

7 (33.3)

13 (38.2)

0.78

 Chronic kidney disease, n (%)

7 (33.3)

8 (23.5)

0.53

 Renal replacement, n (%)

1 (4.8)

3 (8.8)

 > 0.99

 Obesity (BMI > 30), n (%)

4 (19)

5 (14.7)

0.72

 Autoimmune disease, n (%)

2 (9.5)

0 (0)

0.14

 Immunodeficiency, n (%)

8 (38.1)

10 (29.4)

0.56

 Hematopoietic stem cells transplant, n (%)

0 (0)

0 (0)

 > 0.99

 Solid organ transplant, n (%)

1 (4.8)

1 (2.9)

 > 0.99

 CCI, median (IQR)

6 (5–8)

6 (5–8)

0.71

 Apache II, median (IQR)

11.6 (6–14)

15 (10–19)

0.04

 Prior (30-d) infections, n (%)

3 (14.3)

6 (17.6)

 > 0.99

 Prior (30-d) chemotherapy, n (%)

6 (28.6)

10 (29.4)

 > 0.99

 Prior (30-d) antibiotic therapy, n (%)

6 (28.6)

14 (41.2)

0.39

 Chronic steroid, n (%)

8 (38.1)

10 (29.4)

0.56

 Anti-CD20 therapy, n (%)

5 (23.8)

4 (11.8)

0.28

 Lymphocytopeniaa at admission, n (%)

15 (71.4)

25 (73.5)

 > 0.99

 Lymphocytic count, median (IQR)

668 (425–999)

661 (352–820)

0.79

 Severe or critical COVID-19b

16 (76.2)

32 (94.1)

0.09

 PaO2/FiO2 ratio at admission, median (IQR)

253 (164–345)

233 (138–304)

0.45

 paO2 at admission, median (IQR)

88 (68–106)

91 (67–106)

0.82

 FiO2 at admission, median (IQR)

41 (21–60)

47 (28–60)

0.36

 Length of in-hospital stay, median (IQR), days

52 (28–68)

29 (13–42)

0.0006

 Transfer to ICU for need of IMV, n (%)

1 (4.8)

5 (14.7)

0.39

Respiratory failure treatment at admission

 HFNC, n (%)

3 (14.3)

3 (8.8)

0.66

 Venturi mask, n (%)

14 (66.7)

22 (64.7)

 > 0.99

 Helmet CPAP, n (%)

0 (0)

3 (8.8)

0.28

 NIV, n (%)

0 (0)

4 (11.8)

0.28

COVID-19 therapy

 Remdesivir, n (%)

16 (76.2)

19 (55.9)

0.15

 Anti-IL6, n (%)

4 (19)

1 (2.9)

0.06

 Monoclonal antibody, n (%)

8 (38.1)

7 (20.6)

0.21

  1. COPD chronic obstructive pulmonary disease, BMI body mass index, CCI Charlson Comorbidity Index, paO2 arterial oxygen tension, FiO2 fraction of inspired oxygen, ICU intensive care unit, IMV invasive mechanical ventilation, HFNC high flow nasal cannula, CPAP continuous positive airways pressure, NIV non-invasive mechanical ventilation
  2. aLymphocytopenia is defined as lymphocytes count inferior to 750 cells × 103/mm3
  3. bSever or critical COVID-19 was defined according to WHO definitions [23]