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Table 1 Baseline characteristics and outcomes of CMV and non-CMV groups

From: Adequate antiviral treatment lowers overall complications of cytomegalovirus colitis among inpatients with inflammatory bowel diseases

Characteristics

IBD (n = 118)

CMV(n = 42)

Control (n = 76)

P

 

CD (n = 49)

CMV (n = 11)

Control (n = 38)

P

 

UC (n = 69)

CMV (n = 31)

Control (n = 38)

P

Age (years)

41.6 (3.4, 83.4)

45.1 (3.4, 83.4)

39.5 (15.6, 75.6)

0.116

 

37.6 (3.4, 75.6)

38 (3.4, 70.5)

36.6 (20.2, 75.6)

0.981

 

42 (13.5, 83.4)

46.1 (13.5, 83.4)

40.3 (15.6, 74.2)

0.070

Gender (Men)

76 (64.4%)

29 (69%)

47 (61.8%)

0.434

 

37 (75.5%)

8 (72.7%)

29 (76.3%)

1.000

 

39 (56.5%)

21 (67.7%)

18 (47.4%)

0.089

BMI

21.5 (13.6, 31.3)

20.3 (13.6, 29.8)

22.1 (14.1, 31.3)

0.182

 

21.5 (14.1, 31.3)

21.3 (16.6, 29.8)

21.5 (14.1, 31.3)

0.540

 

21.4 (13.6, 29.9)

20.2 (13.6, 26.3)

22.5 (14.5, 29.9)

0.166

Baseline IBD characteristics

              

 Disease duration (years)

4.0 (1.3, 22.5)

5.9 (1.3, 21.5)

3.5 (1.8, 22.5)

0.015*

 

3.7 (1.3, 22.5)

3.7 (1.3, 12.6)

3.6 (1.8, 22.5)

0.816

 

4.8 (1.3, 21.5)

7.6 (1.3, 21.5)

3.3 (2.0, 21.5)

0.005*

 Montreal classification

              

  B1

     

24 (49.0%)

4 (36.4%)

20 (52.6%)

0.342

     

  B2

     

21 (42.9%)

4 (36.4%)

17 (44.7%)

0.737

     

  B3

     

8 (16.3%)

3 (27.3%)

5 (13.2%)

0.355

     

  L1

     

16 (32.7%)

5 (45.5%)

11 (28.9%)

0.466

     

  L2

     

4 (8.2%)

1 (9.1%)

3 (7.9%)

1.000

     

  L3

     

26 (53.1%)

4 (36.4%)

22 (57.9%)

0.208

     

  L4

     

28 (57.1%)

8 (72.7%)

20 (52.6%)

0.311

     

CDAI

     

252.5 (46.9, 464.6)

268.5 (201, 379)

244.1 (46.9, 464.6)

0.442

     

Mayo score

          

10 (5, 12)

10 (7, 12)

10 (5, 12)

0.838

Severity: EMS or SES-CD

     

7 (3, 24)

9 (3, 22)

6 (3, 24)

0.152

 

3 (1, 3)

3 (1, 3)

3 (1, 3)

0.999

Colonic stricture

 

13 (31.0%)

    

6 (54.5%)

    

7 (22.6%)

  

IBD complications

47 (39.8%)

17 (40.5%)

30 (39.5%)

0.915

 

31 (63.3%)

10 (90.9%)

21 (55.3%)

0.038*

 

16 (23.2%)

7 (22.6%)

9 (23.7%)

0.914

The extent of CMV colitis

              

 Ascending

 

14 (33.3%)

    

3 (27.3%)

    

11 (35.5%)

  

 Transverse

 

17 (40.5%)

    

4 (36.4%)

    

13 (41.9%)

  

 Descending

 

27 (64.3%)

    

1 (9.1%)

    

26 (83.9%)

  

 Sigmoid

 

35 (83.3%)

    

4 (36.4%)

    

31 (100%)

  

 Rectum

 

33 (78.6%)

    

3 (27.3%)

    

30 (96.8%)

  

IBD Medication

              

 Biological failure

33 (28%)

10 (23.8%)

23 (30.3%)

0.455

 

18 (36.7%)

2 (18.2%)

16 (42.1%)

0.178

 

15 (21.7%)

8 (25.8%)

7 (18.4%)

0.459

 Biologics user

34 (28.8%)

11 (26.2%)

23 (30.3%)

0.847

 

15 (30.6%)

4 (36.4%)

11 (28.9%)

0.496

 

19 (27.5%)

7 (22.6%)

12 (31.6%)

0.367

 5-ASA (oral)

8 (6.8%)

4 (9.5%)

4 (5.3%)

0.453

 

3 (6.1%)

3 (27.3%)

0 (0%)

0.009

 

5 (7.2%)

1 (3.2%)

4 (10.5%)

0.370

 Oral prednisolone

64 (54.2%)

23 (54.8%)

41 (53.9%)

0.932

 

22 (44.9%)

6 (54.5%)

16 (42.1%)

0.510

 

42 (60.9%)

17 (54.8%)

25 (65.8%)

0.354

 Dosage (mg/day)

5 (0, 45)

7.5 (0, 24)

5 (0, 45)

0.962

 

0 (0, 45)

10 (0, 24)

0 (0, 45)

0.350

 

10 (0, 30)

5 (0, 20)

10 (0, 30)

0.314

 Azathiopurine

33 (28%)

10 (23.8%)

23 (30.3%)

0.455

 

17 (34.7%)

4 (36.4%)

13 (34.2%)

1.000

 

16 (23.2%)

6 (19.4%)

10 (26.3%)

0.496

 Antibiotics

41 (34.7%)

20 (47.6%)

21 (27.6%)

0.029*

 

16 (32.7%)

7 (63.6%)

9 (23.7%)

0.025*

 

25 (36.2%)

13 (41.9%)

12 (31.6%)

0.373

 Hydrocortisone enema

9 (7.6%)

6 (14.3%)

3 (3.9%)

0.067

 

2 (4.1%)

0 (0%)

2 (5.3%)

1.000

 

7 (10.1%)

6 (19.4%)

1 (2.6%)

0.040*

Clinical presentation

              

 Bloody stool

80 (67.8%)

32 (76.2%)

48 (63.2%)

0.147

 

24 (49%)

7 (63.6%)

17 (44.7%)

0.269

 

56 (81.2%)

25 (80.6%)

31 (81.6%)

0.921

 Diarrhoea

75 (63.6%)

29 (69.0%)

46 (60.5%)

0.357

 

25 (51%)

6 (54.5%)

19 (50%)

0.791

 

50 (72.5%)

23 (74.2%)

27 (71.1%)

0.771

 Pain

74 (62.7%)

26 (61.9%)

48 (63.2%)

0.893

 

34 (69.4%)

7 (63.6%)

27 (71.1%)

0.716

 

40 (58%)

19 (61.3%)

21 (55.3%)

0.614

 Fever

18 (15.3%)

8 (19.0%)

10 (13.2%)

0.394

 

8 (16.3%)

3 (27.3%)

5 (13.2%)

0.355

 

10 (14.5%)

5 (16.1%)

5 (13.2%)

0.745

Laboratory data

              

 WBC (1000/µL)

8 (2.1, 26.5)

7.5 (4.2, 20.4)

8.1 (2.1, 26.5)

0.766

 

7.3 (2.1, 26.5)

7 (5.2, 20.4)

7.9 (2.1, 26.5)

0.792

 

8.7 (4, 20)

8.7 (4.2, 13.3)

8.7 (4, 20)

0.466

 Haemoglobin (g/L)

119 (49, 159)

115 (74, 159)

121 (49, 156)

0.396

 

115 (72, 159)

112 (82, 159)

116 (72, 155)

0.590

 

121 (49, 156)

118 (74, 150)

125 (49, 156)

0.326

 CRP (g/L)

0.09 (0.002, 1.765)

0.07 (0.002, 1.121)

0.09 (0.002, 1.765)

0.779

 

0.100 (0.002, 1.378)

0.110 (0.003, 1.121)

0.100 (0.002, 1.378)

0.915

 

0.06 (0.002, 176.5)

0.06 (0.002, 0.97)

0.07 (0.007, 1.765)

0.989

 Albumin (g/L)

37 (14, 48)

30 (14, 4.4)

39 (2.2, 4.8)

0.008*

 

39 (22, 47)

42 (22, 44)

38 (25, 47)

0.842

 

36 (14, 48)

30 (14, 43)

40 (22, 48)

0.006*

 CMV-IgM

6 (6.8%)

4 (12.9%)

2 (3.5%)

0.179

 

2 (5.7%)

1 (12.5%)

1 (3.7%)

0.410

 

4 (7.5%)

3 (13%)

1 (3.3%)

0.305

 CMV-IgG

68 (81%)

28 (96.6%)

40 (72.7%)

0.008*

 

26 (76.5%)

7 (87.5%)

19 (73.1%)

0.645

 

42 (84%)

21 (100%)

21 (72.4%)

0.015*

 CMV viremia

5 (16.7%)

5 (45.5%)

0 (0%)

0.003*

 

2 (15.4%)

2 (66.7%)

0 (0%)

0.038*

 

3 (17.6%)

3 (37.5%)

0 (0%)

0.082

 CMV antigenemia

2 (5.4%)

2 (15.4%)

0 (0%)

0.117

 

0 (0%)

0 (0%)

0 (0%)

-

 

2 (8.7%)

2 (20.0%)

0 (0%)

0.178

Anti-viral agents

              

 Intravenous ganciclovir

18 (43.9%)

18 (43.9%)

-

-

 

4 (40%)

4 (40%)

-

-

 

14 (45.2%)

14 (45.2%)

-

-

 Intravenous duration (days)

15 (7, 49)

15 (7, 49)

-

-

 

15 (7, 21)

15 (7, 21)

-

-

 

15 (8, 49)

15 (8, 49)

-

-

 Oral Valganciclovir

26 (63.4%)

26 (63.4%)

-

-

 

5 (50%)

5 (50%)

-

-

 

21 (67.7%)

21 (67.7%)

-

-

 Oral duration (days)

16 (6, 129)

16 (6, 129)

-

-

 

14 (7, 49)

14 (7, 49)

-

-

 

16 (6, 129)

16 (6, 129)

-

-

 Total duration (days)

22 (7, 129)

22 (7, 129)

-

-

 

21 (7, 64)

21 (7, 64)

-

-

 

23.5 (7, 129)

23.5 (7, 129)

-

-

Outcomes

              

 Recurrence

6 (23.1%)

6 (23.1%)

-

-

 

2 (33.3%)

2 (33.3%)

-

-

 

4 (20%)

4 (20.0%)

-

-

 Recurrence time (months)

25.4 (1.8, 198)

25.4 (1.8, 198)

-

-

 

68.9 (1.8, 136)

68.9 (1.8, 136)

-

-

 

25.4 (7.4, 198)

25.4 (7.4, 198)

-

-

 Clinical remission

81 (68.6%)

27 (64.3%)

54 (71.1%)

0.448

 

36 (73.5%)

8 (72.7%)

28 (73.7%)

1.000

 

45 (65.2%)

19 (61.3%)

26 (68.4%)

0.536

 Steroid free clinical remission

65 (55.1%)

22 (52.4%)

43 (56.6%)

0.661

 

28 (57.1%)

6 (54.5%)

22 (57.9%)

1.000

 

37 (53.6%)

16 (51.6%)

21 (55.3%)

0.762

 Hospitalization times

2 (0, 27)

2 (0, 27)

2 (0, 12)

0.180

 

3 (0, 27)

2 (0, 27)

3 (0, 12)

0.561

 

2 (0, 12)

2 (0, 9)

2 (0, 12)

0.434

 Steroid dose change

-4.5 (-44, 1)

-7 (-24, 1)

-4 (-44, 1)

0.938

 

0 (-44, 1)

-9 (-24, 1)

0 (-44, 1)

0.358

 

-9 (-30, 1)

-5 (-20, 1)

-9 (-30, 1)

0.223

 CDAI change

-116.3 (-396.6, 88)

-155 (-322, 54)

-115.9 (-396.6, 88)

0.896

 

-115.4 (-396.6, 88)

-162.8 (-322, -68)

-112.6 (-396.6, 88)

0.533

 

-122.6 (-183, 54)

54 (54, 54)

-124.4 (-183, -120.7)

0.500

 Mayo score change

-6 (-12, 1)

-5 (-12, 1)

-6 (-11, 0)

0.929

 

-

-

-

-

 

-6 (-12, 1)

-5 (-12, 1)

-6 (-11, 0)

0.929

 BMI change

0.8 (-5.5, 13.3)

0.6 (-3.6, 5.3)

1 (-5.5, 13.3)

0.584

 

0.8 (-3.3, 13.3)

1.4 (-0.9, 3.8)

0.8 (-3.3, 13.3)

0.828

 

0.9 (-5.5, 7.5)

0.1 (-3.6, 5.3)

1.1 (-5.5, 7.5)

0.447

 IBD complications

53 (44.9%)

20 (47.6%)

33 (43.4%)

0.661

 

31 (63.3%)

7 (63.6%)

24 (63.2%)

1.000

 

22 (31.9%)

13 (41.9%)

9 (23.7%)

0.106

 Stricture

38 (32.2%)

12 (28.6%)

26 (34.2%)

0.530

 

25 (51.0%)

5 (45.5%)

20 (52.6)

0.675

 

13 (18.8%)

7 (22.6%)

6 (15.8%)

0.473

 Perforation

6 (5.1%)

3 (7.1%)

3 (3.9%)

0.665

 

4 (8.2%)

2 (18.2%)

2 (5.3%)

0.214

 

2 (2.9%)

1 (3.2%)

1 (2.6%)

1.000

 Abscess

9 (7.6%)

5 (11.9%)

4 (5.3%)

0.277

 

5 (10.2%)

2 (18.2%)

3 (7.9%)

0.311

 

4 (5.8%)

3 (9.7%)

1 (2.6%)

0.319

 Fistula

13 (11.0%)

3 (7.1%)

10 (13.2%)

0.375

 

11 (22.4%)

1 (9.1%)

10 (26.3%)

0.415

 

2 (2.9%)

2 (6.5%)

0 (0%)

0.198

 Colon cancer

4 (3.4%)

3 (7.1%)

1 (1.3%)

0.128

 

1 (2%)

1 (9.1%)

0 (0%)

0.224

 

3 (4.3%)

2 (6.5%)

1 (2.6%)

0.584

 IBD surgery

36 (30.5%)

16 (38.1%)

20 (26.3%)

0.183

 

19 (38.8%)

5 (45.5%)

14 (36.8%)

0.729

 

17 (24.6%)

11 (35.5%)

6 (15.8%)

0.059

 Death

5 (4.6%)

2 (5.9%)

3 (4.0%)

0.646

 

2 (4.1%)

0 (0%)

2 (5.3%)

1.000

 

3 (5%)

2 (8.7%)

1 (2.7%)

0.552

Follow-up duration (months)

21.1 (0, 192.1)

21.3 (0.4, 192.1)

21.1 (0, 57.6)

0.467

 

22.8 (0.3, 63.3)

26.3 (10.4, 63.3)

21.8 (0.3, 57.6)

0.465

 

19.1 (0, 192.1)

19.1 (0.4, 192.1)

18.5 (0, 56.1)

0.546

  1. Overall, the IBD complications included strictures, abscesses, fistulas, colon cancer, and IBD-related surgeries. Abbreviations:5-ASA, 5-aminosalicylic acid; BMI, body mass index; CDAI, Crohn’s disease activity index; CI, confidence interval; CMV, cytomegalovirus; CRP, C-reactive protein; IBD, inflammatory bowel disease; UC, ulcerative colitis; WBC, white blood cell; EMS, endoscopic mayo subscore; SES-CD, Simple Endoscopic Score for Crohn’s Disease *p < 0.05