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Table 4 Laboratory values of COVID-19 patients at baseline and association with a severe disease progression based on patients from the LEOSS cohort

From: Disease severity in hospitalized COVID-19 patients: comparing routine surveillance with cohort data from the LEOSS study in 2020 in Germany

 

Overall

Patients without severe disease course

Patients with severe disease course

Crude RR1 (95% CI)

Multivariable regression RR (95% CI)2

Patients, n

6672

5242

1430

  

Lab values > ULN, n (%)

 AST

36.8% (1449/3935)

34.0% (1060/3121)

47.8% (389/814)

1.57 (1.39–1.77)

1.54 (1.37–1.73)

 ALT

23.4% (1015/4345)

23.0% (787/3429)

24.9% (228/916)

1.09 (0.95–1.24)

1.29 (1.14–1.47)

 GGT

38.1% (1539/4042)

35.4% (1129/3188)

48.0% (410/854)

1.50 (1.33–1.69)

1.47 (1.31–1.65)

 Bilirubin

6.9% (274/3980)

5.5% (171/3131)

12.1% (103/849)

1.87 (1.58–2.20)

1.55 (1.32–1.82)

 Lipase

19.1% (513/2679)

18.5% (395/2132)

21.6% (118/547)

1.16 (0.97–1.39)

1.13 (0.95–1.35)

 Troponin T

42.2% (1001/2371)

35.5% (662/1863)

66.7% (339/508)

2.75 (2.33–3.24)

1.95 (1.60–2.38)

 Creatinine

31.1% (1524/4906)

25.9% (1002/3865)

50.1% (522/1041)

2.23 (2.01–2.48)

1.67 (1.50–1.86)

 Urea

26.9% (1126/4191)

21.1% (702/3327)

49.1% (424/864)

2.62 (2.34–2.94)

1.86 (1.64–2.10)

 LDH

62.5% (2687/4297)

58.5% (1972/3372)

77.3% (715/925)

2.04 (1.77–2.35)

1.80 (1.56–2.06)

 D-Dimer

68.7% (1855/2701)

64.7% (1370/2119)

83.3% (485/582)

2.28 (1.86–2.79)

1.85 (1.51–2.26)

 Ferritin

53.4% (1190/2229)

49.4% (873/1768)

68.8% (317/461)

1.92 (1.61–2.30)

1.74 (1.46–2.07)

CRP ≥ 30 mg/l

51.4% (2522/4907)

45.0% (1738/3859)

74.8% (784/1048)

2.81 (2.47–3.19)

2.30 (2.03–2.62)

PCT > 0.5 ng/ml

14.2% (446/3131)

9.6% (230/2395)

29.3% (216/736)

2.50 (2.21–2.83)

2.21 (1.95–2.50)

Lymphocytes < 800/µl

38.0% (1431/3765)

33.1% (990/2993)

57.1% (441/772)

2.17 (1.91–2.47)

1.79 (1.58–2.03)

Leukocytes < 4000/µl

15.5% (773/4980)

16.0% (630/3932)

13.6% (143/1048)

0.94 (0.80–1.11)

1.05 (0.90–1.22)

Leukocytes ≥ 12,000/µl

9.1% (454/4980)

7.3% (286/3932)

16.0% (168/1048)

1.88 (1.64–2.16)

1.70 (1.49–1.94)

Neutrophils < 2000/µl

13.5% (498/3697)

14.3% (420/2941)

10.3% (78/756)

0.81 (0.65–1.01)

0.93 (0.75–1.15)

Neutrophils ≥ 9000/µl

9.3% (343/3697)

7.3% (216/2941)

16.8% (127/756)

1.92 (1.64–2.25)

1.68 (1.44–1.96)

  1. 1Univariable Poisson regression model with robust standard errors; 2Multivariable Poisson regression model with robust standard errors adjusting for age, sex at baseline. BMI body mass index, IQR interquartile range, AST aspartate transaminase, ALT alanine transaminase, GGT gamma-glutamyltransferase, LDH lactate dehydrogenase, CRP c-reactive protein, PCT procalcitonin