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Table 2 COVID-19 clinical, laboratory and treatment profile of in-patient participants

From: A case control investigation of COVID-19 associated mucormycosis in India

Variables

Mucormycosis cases (n = 242)*

Controls (n = 868)

p value

Symptomatology#

n = 226

n = 807

 

 Fever

180 (79.6)

640 (79.3)

0.91##

 Cough

131 (57.9)

535 (66.3)

0.02##

 Breathlessness

94 (41.6)

369 (45.7)

0.27##

 Headache

83 (36.7)

187 (23.2)

< 0.001##

 Generalized weakness

92 (40.7)

345 (42.8)

0.58##

 Loss of taste/smell

48 (21.2)

128 (15.9)

0.06##

 Gastrointestinal symptoms

24 (10.6)

70 (8.7)

0.37##

 Otorhinolaryngological symptoms

40 (17.7)

174 (21.6)

0.21##

 Central nervous system symptoms

20 (8.8)

28 (3.5)

0.001##

Duration of hospital stay in days, median (IQR)

9 (6,12)

7 (4, 10)

< 0.001**

Days in#, median (IQR)

   

 Ward

8 (6, 12)

7 (4, 10)

< 0.001**

 Cabin/private ward

13.5 (7.5, 18)

8 (4, 11)

0.15**

 High Dependency Units

5 (4, 8)

7 (5, 10)

0.27**

 Intensive Care Unit

7 (5,11)

7 (4, 12)

0.77**

Underlying medical conditions

   

 Diabetes mellitus

212 (87.6)

156 (17.9)

< 0.001##

 Acute kidney disease

3 (1.2)

13 (1.5)

0.77###

Laboratory investigations

Hemoglobin level at admission, g/dL, mean ± SD

12.4 ± 1.5

12.3 ± 2.1

0.43***

Random blood glucose at admission, mg/dL, median (IQR)

163 (132, 210)

133 (112,167)

< 0.001**

Highest random blood glucose-hospital stay, mg/dL median (IQR)

269.5 (205,356)

206 (140,330)

< 0.001**

HbA1C during hospital stay, mean ± SD

7.0 ± 2.8

5.9 ± 2.2

< 0.001***

Highest ferritin level-hospital stay, µg/L, median (IQR)

112 (95,424)

121 (96, 443)

0.56**

Highest serum IL-6 level, pg/mL, median (IQR)

6 (5,20)

6 (5,6)

0.45**

WHO ordinal scale^

Hospitalized, no oxygen therapy

98 (40.5)

422 (48.6)

 

Oxygen by mask or nasal prongs

122 (50.4)

322 (37.1)

0.002##

Non-Invasive ventilation or high-flow oxygen

18 (7.4)

103 (11.9)

 

Intubation and mechanical ventilation

4 (1.7)

21 (2.4)

 

Oxygen specifications

Requirement

n = 242

144 (59.5)

n = 868

446 (51.4)

0.02##

Mode of oxygen supplementation

n = 144

n = 443

< 0.001##

 Face mask

116 (80.6)

271 (61.2)

 

 NRBM

19 (13.2)

145 (32.7)

 

 HFNC

9 (6.2)

27 (6.1)

 

Duration of oxygen supplementation in days, median (IQR)

5 (3.5, 8.5)

6 (4, 9)

0.48**

Ventilatory support required

n = 144

22 (15.3)

n = 446

124 (27.8)

0.002##

Duration of NIV requirement in days, median (IQR)

4 (3,10)

5 (3,7)

0.68**

Duration of MV requirement in days, median (IQR)

6 (3.5, 9)

4 (2.5, 8)

0.46**

Steroid specifications

Corticosteroid received

n = 242

141 (58.3)

n = 868

517 (59.6)

0.72##

Steroid route

n = 141

n = 514

 

 Parental

107 (75.9)

464 (89.7)

 

 Oral

18 (12.8)

45 (8.7)

< 0.001##

 Both

16 (11.3)

5 (1.0)

 

Type of steroid received

n = 141

n = 517

< 0.001##

 Dexamethasone

50 (35.5)

323 (62.5)

  Methylprednisolone

80 (56.7)

175 (33.9)

 Prednisolone

9 (6.4)

11 (2.1)

 Hydrocortisone

2 (1.4)

8 (1.5)

0.57##

Whether received steroid at

n = 140

n = 511

 Home

7 (5.0)

20 (3.9)

 Hospital

133 (95.0)

491 (96.1)

Cumulative dose of prednisolone equivalent, median (IQR)

400 (225, 739.2)

300 (191.4, 629.3)

0.07**

Duration of steroid administration (in days), median (IQR)

6 (5, 7)

6 (5, 8)

0.67**

Other drugs

Tocilizumab

n = 242

None

n = 868

6 (0.7)

0.19###

Other immunosuppressants

n = 242

2 (0.8)

n = 868

20 (2.3)

0.15###

  1. *All characteristics are from the admission of mucormycosis cases during the COVID-19 episode
  2. #More than one was reported by patients
  3. ##χ2 test
  4. ###Fisher's exact test
  5. **Mann Whitney U test
  6. ***‘t’ test
  7. ^WHO Working Group on the Clinical Characterisation and Management of COVID-19 infection. A minimal common outcome measure set for COVID-19 clinical research. Lancet Infect Dis. 2020;20:e192–7
  8. All values are expressed in n (%) unless specified
  9. NIV: Non-invasive ventilation; MV: mechanical ventilation; NRBM: non-rebreather mask; HFNC: high flow nasal canula
  10. Gastrointestinal symptoms include abdominal pain, diarrhoea, vomiting, loss of appetite
  11. Otorhinolaryngological symptoms include runny nose, sore throat, ear pain, nasal discharge
  12. Central nervous system symptoms include altered sensorium/behaviour, giddiness, weakness of limbs