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Table 5 Comparison between hematological and non-hematological patients with CAPA

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

 

Hematologic patients with CAPA

n = 20

Non hematologic patients with CAPA

n = 35

p-value

Age, median (IQR), years

73.5 (66.5–81.75)

78 (71–85)

0.23

Sex (M), n (%)

15 (75)

26 (74.3)

 > 0.99

Demographics

 Diabetes, n (%)

2 (10)

14 (40)

0.03

 Cardiovascular diseases, n (%)

4 (20)

19 (54.3)

0.02

 Hypertension, n (%)

12 (60)

28 (80)

0.13

 Chronic respiratory failure, n (%)

2 (10)

7 (20)

0.46

 Pulmonary fibrosis, n (%)

2 (10)

2 (5.7)

0.61

 Asthma n (%)

0 (0)

1 (2.8)

 > 0.99

 COPD, n (%)

6 (30)

15 (42.8)

0.40

 Bronchiectasis, n (%)

2 (10)

3 (8.6)

 > 0.99

 Chronic hepatopathy, n (%)

0 (0)

0(0)

 > 0.99

 Chronic kidney disease, n (%)

1 (5)

14 (40)

0.005

 Renal replacement, n (%)

1 (5)

3 (8.6)

 > 0.99

 Obesity (BMI > 30), n (%)

2 (10)

7 (20)

0.46

 Autoimmune disease, n (%)

0 (0)

2 (5.7)

0.53

 Immunodeficiency, n (%)

13 (65)

5 (14.3)

0.0002

 Hematopoietic stem cells transplant, n (%)

0 (0)

0 (0)

 > 0.99

 Solid organ transplant, n (%)

0 (0)

2 (5.7)

0.53

 CCI, median (IQR)

5 (4.25–7.75)

6 (5–9)

0.22

 Apache II, median (IQR)

12 (9–14.75)

13 (10–19)

0.35

 Prior (30-d) infections, n (%)

1 (5)

8 (22.8)

0.13

 Prior (30-d) chemotherapy, n (%)

15 (75)

1 (2.9)

 < 0.0001

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

8 (40)

12 (34.3)

0.77

 Chronic steroid treatment, n (%)

8 (40)

10 (28.6)

0.55

 Anti-CD20 therapy, n (%)

8 (40)

1 (2.9)

0.0007

 Lymphocytopeniaa at admission, n (%)

15 (75)

25 (71.4)

 > 0.99

 Lymphocytic count, median (IQR)

500 (285–825)

660 (490–850)

0.17

 Severe or critical COVID-19b

17 (85)

31 (88.6)

0.70

 PaO2/FiO2 ratio at admission, median (IQR)

288.5 (217–336.5)

201 (143–300)

0.10

 paO2 at admission, median (IQR)

97.5 (76.25–106)

74 (66–99)

0.66

 FiO2 at admission, median (IQR)

35 (22.75–47.5)

50 (21–60)

0.31

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

29.5 (22.25–47.75)

33 (18–58)

0.91

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

3 (15)

3 (8.6)

0.66

 Mortality, n (%)

13 (65)

21 (60)

0.78

Respiratory failure treatment at admission

 HFNC, n (%)

2 (10)

4 (11.4)

 > 0.99

 Venturi mask, n (%)

14 (70)

22 (62.9)

0.77

 Helmet CPAP, n (%)

0 (0)

3 (8.6)

0.29

 NIV, n (%)

1 (5)

3 (8.6)

 > 0.99

COVID-19 therapy

 Remdesivir, n (%)

17 (85)

18 (51.4)

0.02

 Anti-IL6, n (%)

10 (50)

5 (14.3)

0.01

 Monoclonal antibody, n (%)

3 (15)

2 (5.7)

0.34

  1. COPD chronic obstructive pulmonary disease, BMI body mass index, CCI Charlson Comorbity 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 [76]