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Table 2 Clinical Characteristics and Laboratory Findings of COVID-19 according to HScore (≤98 as sHLH negative, ≥169 as sHLH positive, 98–169 as uncertain)

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

 

≤98 (n = 279)

≥169(n = 41)

98–169(n = 88)

P valuec

outcome

   

< 0.0001

 Survivor, n(%)

182(65.23)

0(0.00)

13(14.77)

 

 Non-survivor, n(%)

97(34.77)

41(100.00)

75(85.23)

 

 Total

279(100.00)

41(100.00)

88(100.00)

 

Gender, Male/Female, n(%)

153(54.84)/ 126(45.16)

27(65.85)/14(34.15)

60(68.18)/28(31.82)

0.0537

Age, years, Mean (SD)

63.00(52.00,72.00)

63.00(52.00,71.00)

65.00(57.00,72.00)

0.2419

age, years, n(%)

   

0.1869

 <40

17(6.09)

3(7.32)

3(3.41)

 

 40–60

101(36.20)

11(26.83)

25(28.41)

 

  ≥ 60

161(57.71)

27(65.85)

60(68.18)

 

ARDS, n(%)

150(53.76)/129(46.24)a

34(85.00)/6(15.00); 1

68(80.95)/16(19.05); 4

< 0.0001

DIC, n(%)

6(2.17)/ 271(97.83); 2

4(10.53)/34(89.47);3

10(12.66)/69(87.34); 9

0.0004

Liver, n(%)

36(13.00)/241(87.00); 2

12(31.58)/26(68.42); 3

30(37.97)/49(62.03); 9

< 0.0001

Heart, n(%)

50(18.05)/227(81.95); 2

17(44.74)/21(55.26); 3

35(44.30)/44(55.70); 9

< 0.0001

Kidney, n(%)

17(6.14)/260(93.86); 2

16(42.11)/22(57.89); 3

26(32.91)/53(67.09); 9

< 0.0001

Shock, n(%)

31(11.19)/246(88.81); 2

20(52.63)/18(47.37); 3

34(43.04)/45(56.96); 9

< 0.0001

Smoking history, n(%)

14(5.04)/264(94.96); 1

2(4.88)/39(95.12)

4(4.60)/83(95.40); 1

0.9111

Alcohol history, n(%)

16(5.76)/262(94.24); 1

1(2.44)/40(97.56)

4(4.60)/83(95.40); 1

0.3577

Comobidities

 Diabetes,n(%), n(%)

50(17.99)/228(82.01); 1

9(21.95)/32(78.05)

20(22.73)/68(77.27)

0.5630

 Hypertension, n(%)

97(34.89)/181(65.11); 1

11(26.83)/30(73.17)

38(43.18)/50(56.82)

0.1639

 Chronic heart failure, n(%)

29(10.43)/249(89.57); 1

2(4.88)/39(95.12)

7(7.95)/81(92.05)

0.2138

 COPD, n(%)

5(1.80)/273(98.20); 1

2(4.88)/39(95.12)

6(6.82)/82(93.18)

0.0537

 Stroke, n(%)

18(6.47)/260(93.53); 1

0(0.00)/41(100.00)

8(9.09)/80(90.91)

0.3853

 Tumor, n(%)

11(3.96)/267(96.04); 1

2(4.88)/39(95.12)

5(5.68)/83(94.32)

0.5927

 Chronic liver disease, n(%)

6(2.16)/272(97.84); 1

2(4.88)/39(95.12)

6(6.82)/82(93.18)

0.0907

 Chronic kidey disease, n(%)

7(2.52)/271(97.48); 1

2(4.88)/39(95.12)

2(2.27)/86(97.73)

0.5200

 Hepatitis B,n(%)

11(3.94)/268(96.06)

3(7.32)/38(92.68)

1(1.15)/86(98.85); 1

0.7610

 HIV, n(%)

0(0.00)/279(100.00)

0(0.00)/41(100.00)

0(0.00)/87(100.00); 1

1.0000

 Autoimmue disease, n(%)

7(2.52)/271(97.48); 1

3(7.32)/38(92.68)

6(6.82)/82(93.18)

0.0422

Respiratory support, n(%)

   

< 0.0001

 Intranasal oxygen inhalation

129(47.43)

3(8.11)

13(16.46)

 

 Mask oxygen Inhalation

16(5.88)

1(2.70)

1(1.27)

 

  High Flow

48(17.65)

3(8.11)

14(17.72)

 

  Non-invasive ventilation

35(12.87)

12(32.43)

26(32.91)

 

  Invasive ventilaiton

17(6.25)

14(37.84)

22(27.85)

 

  ECMO

1(0.37)

3(8.11)

0(0.00)

 

CRRT, n(%)

50(17.99)/228(82.01); 1

9(21.95)/32(78.05)

20(22.73)/68(77.27)

0.5630

Inotropic support, n(%)

33(11.83)/ 246(88.17)

21(51.22)/ 20(48.78)

30(34.09)/ 58(65.91)

< 0.0001

Corticosteroid treatment, n(%)

133(47.67)/ 146(52.33)

35(85.37)/ 6(14.63)

55(62.50)/ 33(37.50)

< 0.0001

Co-infection, n(%)

 Influenza A

3(1.08)/ 273(98.56); 3

1(2.44)/ 38(92.68); 2

2(2.27) /84(95.45); 2

0.0924

 Influenza B

1(0.36)/275(99.28); 3

1(2.44)/ 38(92.68); 2

3(3.41) /83(94.32); 2

0.0127

 Tuberculosis

4(1.44) /274(98.56);1

1(2.44)/ 40(97.56)

3(3.41)/ 85(96.59)

1.0000

Symptoms and signs, n(%)

 heart rate, (per minute)

   

0.6759

   ≤ 100

32(21.77)

2(3.57)

4(6.67)

 

  >100

113(76.87)

26(92.86)

56(93.33)

 

  Total

147(100.00)

28(100.00)

60(100.00)

 

 Nasal stuffiness

5(1.80) /273(98.20); 1

2(4.88) /39(95.12)

1(1.14) 87(98.86)

1.0000

 Nasal discharge

6(2.16)/272(97.84); 1

5(12.20)/ 36(87.80)

1(1.14)/87(98.86)

0.0086

 Sneezing

3(1.08)/ 275(98.92); 1

0(0.00)/40(100.00); 1

1(1.14)/87(98.86)

1.0000

 Sore throat

4(1.44)/274(98.56); 1

1(2.44)/40(97.56)

3(3.41)/ 85(96.59)

1.0000

 Cough

226(81.29)/ 52(18.71); 1

30(73.17)/11(26.83)

69(78.41)/ 19(21.59)

0.4468

 Sputum production

104(37.41)/174(62.59); 1

16(39.02)/25(60.98)

33(37.50)/55(62.50)

0.9802

 Chest tightness

172(61.87)/106(38.13); 1

30(73.17) /11(26.83)

58(65.91) /30(34.09)

0.3367

 Chest pain

7(2.52) /271(97.48)

1(2.44) /40(97.56)

4(4.55)/ 84(95.45)

0.6647

 Hemoptysis

5(1.80) 273(98.20); 1

2(4.88) /39(95.12)

0(0.00) /88(100.00)

1.0000

 Headache

9(3.24)/ 269(96.76); 1

2(4.88) /39(95.12)

2(2.27)/ 86(97.73)

0.8098

 Myalgia

34(12.23) /244(87.77); 1

3(7.32) /38(92.68)

12(13.64) /76(86.36)

0.5736

 Acratia

102(36.82)/175(63.18);2

26(63.41) /15(36.59)

35(39.77)/ 53(60.23)

0.0052

 Digestive symptoms

36(12.95) /242(87.05)

9(21.95)/ 32(78.05)

13(14.77)/ 75(85.23)

0.3021

 Discomfort of eye

1(0.36)/ 277(99.64); 1

0(0.00)/ 41(100.00)

0(0.00)/ 88(100.00)

1.0000

 Cyanosis

27(9.71) /251(90.29); 1

10(24.39) /31(75.61)

7(7.95)/ 81(92.05)

0.0393

 Rhonchial

18(6.47) 259(93.17); 1

4(9.76) /37(90.24)

4(4.55)/ 84(95.45)

1.0000

 Moist rales

51(18.35)/ 227(81.65)

12(29.27) /29(70.73)

12(13.64) 76(86.36)

0.1028

 SPO2(≤93%/>93%)

173(62.01)/ 106(37.99)

32(78.05)/ 9(21.95)

67(76.14)/ 21(23.86)

0.0131

 Length of hospitalization, d

12.00(8.00,18.00)b

17.00(11.00,22.50)

12.00(7.00,16.00)

0.0029

 Length of ICU, d

0.00(0.00,6.00)

9.50(3.50,12.00)

3.00(0.50,12.00)

< 0.0001

 Temperature, °C

38.50(38.00,39.00)

38.50(38.00,38.90)

38.90(38.00,39.00)

0.4406

 Arterial pressure, mmHg

87.00(78.33,93.00)

86.58(81.50,91.33)

86.75(81.33,93.50)

0.1593

 Heart rate, per mimute

89.00(82.00,99.00); 1

90.0081.00,100.00

88.00(80.00,102.00)

0.5895

 Respiratory rate

   

0.5070

  <24, (per minute)

164(58.78)

26(63.41)

58(65.91)

 

  24–30, (per minute)

65(23.30)

5(12.20)

15(17.05)

 

   ≥ 30, (per minute)

50(17.92)

10(24.39)

15(17.05)

 

  Total

279(100.00)

41(100.00)

88(100.00)

 

 SOFA

2.00(1.00,3.00)

3.00(1.00,4.00)

3.00(2.00,5.00)

< 0.0001

 APACHEII

7.00(5.00,9.00)

8.00(6.00,11.00)

8.00(6.00,13.00)

0.0010

Laboratory Tests

 Lowest leukocyte, ×109/L

5.08(3.74,7.83)b; 4

6.97(4.38,9.31)

6.77(3.81,10.53); 1

0.0118

 Lowest haemoglobin, g/L

112.00(94.00,124.00); 4

95.00(77.00,106.00)

106.00(78.00,122.00); 1

0.0020

 Lowest patelets, ×109/L

151.00(81.00,197.00); 3

61.00(27.00,101.00)

83.00(26.00,144.00); 1

< 0.0001

 Lowest neutrophils, ×109/L

4.73(2.76,11.46); 8

5.10(3.32,7.39)

7.02(3.97,12.72); 1

0.0804

 Lowest lymphocyte, ×109/L

0.69(0.44,1.22); 5

0.33(0.18,0.53)

0.43(0.28,0.66); 1

< 0.0001

 Lowest fibrinogen, g/L

4.50(3.24,6.35); 15

2.40(1.60,3.46)

3.80(2.10,5.40); 2

< 0.0001

 Lowest prealbumin, g/L

93.00(59.00,127.00); 4

51.00(28.00,85.00)

55.00(29.00,89.00); 1

< 0.0001

 Lowest albumin, g/L

28.90(26.20,32.30); 2

24.40(22.30,27.60)

26.60(23.40,28.90); 1

< 0.0001

 Peak D-Dimer, mg/L

4.58(0.80,32.09); 5

47.82(20.06,80.00)

17.83(3.46,63.70); 1

< 0.0001

 Peak total bilirubin, μg/L

16.60(12.20,30.00); 6

23.98(17.38,37.80)

25.20(16.60,32.30); 1

0.0007

 Peak alanine aminotransferase, U/L

47.00(28.00,67.00); 6

57.00(36.00,122.00)

62.00(38.00,109.00); 1

0.0001

 Peak aspartate aminotransferase, U/L

38.00(26.00,55.00); 5

85.00(52.00,215.00)

65.00(40.00,121.00); 1

< 0.0001

 Peak blood urea nitrogen, mmol/L

7.50(5.30,11.00); 8

21.66(13.50,35.30)

14.90(8.50,24.00); 1

< 0.0001

 Peak serum creatinine, μg/L

72.95(55.60,99.00); 7

246.10(146.00,413.70)

105.20(67.40,263.10); 1

< 0.0001

 Peak triglycerides, mmol/L

1.95(1.31,3.27); 8

3.27(2.33,4.27)

2.20(1.58,3.43); 1

0.0001

 Peak ferritin, μg/L

710.11(433.23,1276.37); 11

2000.00(2000.00,2000.00)

2000.00(962.51,2000.00); 2

< 0.0001

 Peak Interleukin −6, pg/mL

10.20(7.26,14.98); 16

23.41(11.73,60.57); 1

14.60(8.56,26.90); 4

< 0.0001

 Peak erythrocyte sedimentation rate, mm/h

60.00(43.00,80.00); 10

65.50(49.20,79.00); 3

58.30(39.00,74.00); 4

0.5133

 Peak C-reactive protein, mg/L

76.68(15.60,160.00); 5

160.00(160.00,206.40)

160.00(121.20,198.80); 2

< 0.0001

 Peak procalcitonin, ng/mL

0.11(0.05,0.50); 10

4.21(2.63,15.22)

0.98(0.19,4.90); 2

< 0.0001

 Peak lactate dehydrogenase, U/L

349.00(241.00,534.00); 4

1096.00(708.00,1676.00)

662.00(432.00,944.00); 1

< 0.0001

 Peak creatine kinase isoenzyme, U/L

21.50(15.00,52.50); 9

47.00(32.00,85.00)

38.00(21.00,77.00); 1

< 0.0001

 Peak Troponin, pg/mL

6.15(2.40,24.60); 7

303.10(33.80,2202.10)

51.50(6.44,591.40); 1

< 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. c P value compare between Hscore ≥169 group vs Hscore ≤98 group, P < 0.05 means had significantly different