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Table 1 Characteristics of all 415 patients with severe COVID-19 and stratified into survivors and non-survivors

From: Risk factors for secondary hemophagocytic lymphohistiocytosis in severe coronavirus disease 2019 adult patients

 

All(n = 415)

Survivors(n = 195)

Nonsurvivors(n = 220)

P value

Gender, Male/Female, n (%)

244(58.80) /171(41.20)

106(54.36)/ 89(45.64)

138(62.73)/ 82(37.27)

0.0839

Age, years, Mean (SD)

62.63(13.49)

57.77(12.67)

66.93(12.74)

< 0.0001

age, years, n(%)

   

< 0.0001

 <40

23(5.54)

15(7.69)

8(3.64)

 

 40–60

137(33.01)

92(47.18)

45(20.45)

 

  ≥ 60

255(61.45)

88(45.13)

167(75.91)

 

ARDS, n(%)

258(62.93)/ 152(37.07)a;5

75(38.46) /120(61.54)

183(85.12)/ 32(14.88); 5

< 0.0001

DIC, n(%)

20(5.00) /380(95.00); 15

1(0.52) /193(99.48); 1

19(9.22) /187(90.78); 14

< 0.0001

Liver injury, n(%)

78(19.50) /322(80.50); 15

26(13.40) /168(86.60); 1

52(25.24)/ 154(74.76); 14

0.0028

Heart injury, n(%)

104(26.00) /296(74.00); 15

12(6.19) /182(93.81); 1

92(44.66)/ 114(55.34); 14

< 0.0001

Kidney injury, n(%)

60(15.00) /340(85.00); 15

5(2.58) /189(97.42); 1

55(26.70)/ 151(73.30); 14

< 0.0001

Shock, n (%)

87(21.75) /313(78.25); 15

2(1.03)/ 192(98.97); 1

85(41.26)/ 121(58.74); 14

< 0.0001

Smoking history, n(%)

20(4.84) /393(95.16); 2

15(7.69)/ 180(92.31)

5(2.29)/ 213(97.71); 2

0.0107

Alcohol history, n(%)

21(5.08)/ 392(94.92); 2

15(7.69)/ 180(92.31)

6(2.75)/ 212(97.25);2

0.0225

Comobidities

 Diabetes, n(%)

79(19.13) /334(80.87); 2

30(15.38)/ 165(84.62)

49(22.48) /169(77.52); 2

0.0673

 Hypertension, n(%)

147(35.59)/ 266(64.41); 2

64(32.82)/ 131(67.18)

83(38.07)/ 135(61.93); 2

0.2657

 Chronic heart failure, n(%)

39(9.44) /374(90.56); 2

12(6.15)/ 183(93.85)

27(12.39)/ 191(87.61); 2

0.0306

 COPD, n(%)

13(3.15) /400(96.85); 2

3(1.54)/ 192(98.46)

10(4.59)/ 208(95.41); 2

0.0765

 Stroke, n(%)

26(6.30)/ 387(93.70); 2

10(5.13)/ 185(94.87)

16(7.34)/ 202(92.66); 2

0.3557

 Malignant Tumor, n(%)

19(4.60) /394(95.40); 2

10(5.13)/ 185(94.87)

9(4.13)/ 209(95.87); 2

0.6283

 Chronic liver disease, n(%)

14(3.39)/ 399(96.61); 2

5(2.56)/ 190(97.44)

9(4.13)/ 209(95.87); 2

0.3805

 Chronic kidey disease, n(%)

11(2.66) /402(97.34); 2

3(1.54)/ 192(98.46)

8(3.67)/ 210(96.33); 2

0.1793

 Hepatitis B, n(%)

15(3.62) /399(96.38); 1

7(3.59)/ 188(96.41)

8(3.65)/ 211(96.35); 1

0.9726

 HIV, n (%)

0(0.00) /414(100.00); 1

0(0.00)/ 195(100.00)

0(0.00)/ 219(100.00); 1

1.0000

 Autoimmue disease, n(%)

17(4.12) /396(95.88); 2

7(3.59)/ 188(96.41)

10(4.59)/ 208(95.41); 2

0.6105

Respiratory support, n(%)

   

< 0.0001

 Intranasal oxygen inhalation

146(37.15)

122(63.21)

24(12.00)

 

 Mask oxygen Inhalation

18(4.58)

10(5.18)

8(4.00)

 

  High Flow

67(17.05)

24(12.44)

43(21.50)

 

  Non-invasive ventilation

75(19.08)

9(4.66)

66(33.00)

 

  Invasive ventilaiton

53(13.49)

3(1.55)

50(25.00)

 

  ECMO

4(1.02)

0(0.00)

4(2.00)

 

 CRRT, n(%)

79(19.13) /334(80.87); 2

30(15.38)/ 165(84.62)

49(22.48)/ 169(77.52); 2

0.0673

 Inotropic support, n(%)

87(20.96)/328(79.03)

2(1.03)/ 193(98.97)

85(38.64)/ 135(61.36)

< 0.0001

 Corticosteroid treatment, n(%)

226(54.45)/189(45.54)

85(43.59)/ 110(56.41)

141(64.09)/ 79(35.91)

< 0.0001

Co-infection, n(%)

 Influenza A

401(97.33)/ 6(1.46); 8

193(98.97)/ 2(1.03)

208(95.85)/ 4(1.84); 8

0.0799

 Influenza B

402(97.57)/ 5(1.21); 8

195(100.00)/ 0(0.00)

207(95.39)/ 5(2.30); 8

0.0101

 Tuberculosis

8(1.94)/ 405(98.06); 2

3(1.54)/ 192(98.46)

5(2.29)/ 213(97.71); 2

0.8428

Symptoms and signs, n(%)

 heart rate, (per minute)

   

0.0002

   ≤ 100

37(15.42)

28(26.17)

9(6.77)

 

  >100

200(83.33)

77(71.96)

123(92.48)

 

  Total

240(100.00)

107(100.00)

133(100.00)

 

 Nasal stuffiness

8(1.94)/ 405(98.06); 2

4(2.05) /191(97.95)

4(1.83) /214(98.17); 2

1.0000

 Nasal discharge

12(2.91) /401(97.09); 2

5(2.56)/ 190(97.44)

7(3.21)/ 211(96.79); 2

0.6960

 Sneezing

4(0.97) /408(99.03); 3

3(1.54)/ 192(98.46)

1(0.46)/ 216(99.54); 3

0.5414

 Sore throat

8(1.94) /405(98.06); 2

4(2.05)/ 191(97.95)

4(1.83)/ 214(98.17); 2

1.0000

 Cough

330(79.90) /83(20.10); 2

157(80.51)/ 38(19.49)

173(79.36)/ 45(20.64); 2

0.7700

 Sputum production

157(38.01)/ 256(61.99); 2

67(34.36)/ 128(65.64)

90(41.28)/ 128(58.72); 2

0.1478

 Chest tightness

264(63.92)/ 149(36.08); 2

113(57.95)/ 82(42.05)

151(69.27)/ 67(30.73); 2

0.0168

 Chest pain

12(2.91) /401(97.09); 2

6(3.08)/ 189(96.92)

6(2.75)/ 212(97.25); 2

0.8445

 Hemoptysis

7(1.69) /406(98.31); 2

4(2.05)/ 191(97.95)

3(1.38)/ 215(98.62); 2

0.8817

 Headache

13(3.15)/ 400(96.85); 2

10(5.13)/ 185(94.87)

3(1.38)/ 215(98.62); 2

0.0292

 Myalgia

49(11.86) /364(88.14); 2

29(14.87)/ 166(85.13)

20(9.17)/ 198(90.83); 2

0.0739

 Fatigue

165(40.05) /247(59.95); 3

78(40.21)/ 116(59.79)

87(39.91)/ 131(60.09); 2

0.9509

 Digestive symptoms

58(14.04)/ 355(85.96); 2

28(14.36)/ 167(85.64)

30(13.76)/ 188(86.24); 2

0.8615

 Discomfort of eye

1(0.24)/ 412(99.76); 2

1(0.51)/ 194(99.49)

0(0.00)/ 218(100.00); 2

0.4722

 Cyanosis

48(11.59) /366(88.41); 1

10(5.13)/ 185(94.87)

38(17.35)/ 181(82.65); 1

0.0001

 Rhonchial

26(6.30) /386(93.46); 3

13(6.67)/ 181(92.82)

13(5.96)/ 205(94.04); 2

1.0000

 Moist rales

76(18.40) /337(81.60); 2

33(16.92)/ 162(83.08)

43(19.72)/ 175(80.28); 2

0.4632

 SPO2(≤93%/>93%)

279(67.23)/ 136(32.77)

96(49.23)/ 99(50.77)

183(83.18)/ 37(16.82)

< 0.0001

 Length of hospitalization, d

12.00(7.00,18.00);

15.00 (11.00,20.00)

10.00(4.00,15.00)

< 0.0001

 Length of ICU, d

2.00(0.00,9.00);

0.00 (0.00,6.50);

3.00 (1.00,9.00);

< 0.0001

 Temperature, °C

38.50(38.00,39.00)

38.50 (38.00,39.00)

38.50 (38.00,39.00)

0.5281

 arterial pressure, mmHg

87.00(79.83,92.83); 21

86.00 (78.00,91.33);2

88.00 (82.00,93.67); 19

0.0005

 heart rate, per mimute

89.00(81.00,100.00); 2

90.00 (82.00,100.00)

88.50 (80.00,102.00); 2

0.9356

 respiratory rate

22.00(20.00,26.00); 1

22.00 (20.00,26.00)

22.00 (20.00,28.00)

0.7331

  <24, (per minute)

251(60.48)

122(62.56)

129(58.64)

0.3642

  24–30, (per minute)

87(20.96)

40(20.51)

47(21.36)

 

   ≥ 30, (per minute)

77(18.55)

33(16.92)

44(20.00)

 

  Total

415(100.00)

195(100.00)

220(100.00)

 

 SOFA

3.00(1.00,4.00); 4

2.00(1.00, 3.00)

3.00(2.00,5.00); 4

< 0.0001

 APACHEII

7.00(5.00,10.00); 4

6.00 (4.00,7.00)

9.00 (7.00,13.00); 4

< 0.0001

Laboratory Tests

 Lowest leukocyte, ×109/L

5.44(3.83, 8.50)b; 10

4.45 (3.43,5.91)

7.57 (4.63,11.60); 10

< 0.0001

 Lowest haemoglobin, g/L

109.00(88.00,123.00); 10

110.00 (91.00,124.00)

108.00 (86.00,122.00); 10

0.5267

 Lowest patelets, ×109/L

125.50(53.00,188.00);9

152.00 (86.00,217.00)

91.00 (42.00,165.00); 9

< 0.0001

 Lowest neutrophils, ×109/L

5.38(3.00,11.36); 14

3.55 (2.55,8.59)

6.99 (4.30,11.63); 14

< 0.0001

 Lowest lymphocyte, ×109/L

0.55(0.35,1.06); 11

0.86 (0.49,1.44)

0.44 (0.28,0.64); 11

< 0.0001

 Lowest fibrinogen, g/L

4.10(2.70,5.90); 22

4.50 (3.40,6.50);6

3.60 (2.20,5.30); 16

< 0.0001

 Lowest prealbumin, g/L

83.00(45.00,117.00); 10

104.00 (67.00,145.00); 1

64.00 (33.00,98.00); 9

< 0.0001

 Lowest albumin, g/L

28.00(25.10,31.40); 8

30.10 (27.60,34.40)

26.00 (23.45,28.70); 8

< 0.0001

 Peak D-Dimer, mg/L

10.06(1.15,42.82)

1.58 (0.63,14.04)

27.31 (7.60,58.76)

< 0.0001

 Peak total bilirubin, μg/L

18.95(13.00,32.30); 13

15.40 (11.70,30.00); 2

22.50 (15.39,32.76); 11

0.0019

 Peak alanine aminotransferase, U/L

49.00(31.00,77.00); 12

48.00 (30.00,68.00)

50.50 (31.50,87.00); 12

0.1652

 Peak aspartate aminotransferase, U/L

43.00(29.00,72.00); 11

34.00 (24.00,50.00)

57.00 (36.00,108.00); 11

< 0.0001

 Peak blood urea nitrogen, mmol/L

9.20(5.97,18.00); 14

6.66 (5.03,9.79); 1

14.90 (8.10,24.30); 13

< 0.0001

 Peak serum creatinine, μg/L

82.00(59.40,139.80); 13

70.70 (53.70,89.30)

120.70 (69.30,276.80); 13

< 0.0001

 Peak triglycerides, mmol/L

2.15(1.42,3.43); 14

2.16 (1.42,4.53);1

2.10 (1.41,3.27); 13

0.5062

 Peak ferritin, μg/L

927.22(492.02,2000.00); 18

600.08 (356.00,987.50);6

1675.09 (837.84,2000.00);12

< 0.0001

 Peak Interleukin −6, pg/mL

11.18(7.92,19.57); 26

9.32 (6.90,13.50); 9

13.89 (9.99,27.90); 17

< 0.0001

 Peak erythrocyte sedimentation rate, mm/h

60.00(43.00,79.00); 22

61.00 (45.30,88.00); 4

59.35 (40.00,73.00); 18

0.0527

 Peak C-reactive protein, mg/L

122.60(30.50,160.00); 12

49.40 (8.70,121.90); 3

160.00 (111.00,160.40); 9

< 0.0001

 Peak procalcitonin, ng/mL

0.20(0.06,2.87); 17

0.07 (0.05,0.23); 4

1.08 (0.16,6.40); 13

< 0.0001

 Peak lactate dehydrogenase, U/L

429.00(274.00,699.00); 10

300.50 (221.00,403.00); 1

675.00 (464.00,1095.00); 9

< 0.0001

 Peak creatine kinase isoenzyme, U/L

27.00(17.00,66.00); 16

19.50 (14.00,51.00); 1

34.00 (20.00,84.00); 15

< 0.0001

 Peak Troponin, pg/mL

10.85(3.50,99.00); 13

4.40 (1.70,9.10); 1

70.50 (11.20,823.05); 12

< 0.0001

  1. Abbreviations: ARDS Acute Respiratory Distress Syndrome, DIC Disseminated Intravascular Coagulation, COPD Chronic Obstructive Pulmonary Disease, ECMO Extracorporeal Membrane Oxygenation, CRRT Continuous Renal Replacement Therapy, ICU Intensive Care Unit, SOFA Sequential Organ Failure Assessment, APACHE Acute Physiology, Age, Chronic Health Evaluation
  2. Data are expressee as: aNo. (%) yes/no; no. missing (if applicable); bMedian (range); no. missing (if applicable)
  3. P value compare between survivor group vs non-survivor group, P < 0.05 means had significantly different