Table 2.
Comparison of the patients who were given tocilizumab based on the severity of cases.
Tocilizumab in severe cases N = 21 (%) | Tocilizumab in critical cases N = 22 (%) | p | |
---|---|---|---|
Mean age | 61 (sd: 15) | 66 (sd: 11) | 0.198 |
Male gender | 11 (52) | 20 (91) | 0.005 |
Confirmed COVID-19 | 17 (81) | 18 (82) | 0.9 |
Hypertension | 9 (43) | 10 (45) | 0.864 |
Diabetes mellitus | 7 (33) | 6 (27) | 0.665 |
Obesity | 3 (14) | 2 (9) | 0.595 |
Chronic obstructive pulmonary disease | 2 (10) | 1 (5) | 0.522 |
Coronary artery disease | 6 (29) | 2 (9) | 0.101 |
Laboratory (on the day of TCZ) (median, min–max) | |||
CRP (mg/L) | 88 (1–299) | 233 (25–380) | 0.0029 |
Ferritin (ng/mL) | 575 (273–1991) | 1884 (250–52,765) | 0.008 |
D-Dimer (μg/L) | 870 (360–2300) | 1710 (620–100,000) | 0.002 |
IL-6 (pg/mL) | 115 (18–942) | 168 (27–50,000) | 0.025 |
ALT (U/L) | 78 (14–428) | 58 (17–1578) | 0.796 |
AST (U/L) | 58 (27–129) | 64 (24–2045) | 0.354 |
LDH (U/L)) | 358 (205–544) | 381 (197–5770) | 0.183 |
Procalcitonin (ng/mL) | 0.15 (0.04–0.44) | 0.38 (0.07–100) | 0.001 |
Leucocyte (K/μL) | 6.38 (2.25–9.6) | 7.98 (1.74–19.1) | 0.96 |
Lymphocyte (%) | 13.5 (7–47) | 11 (3–26) | 0.007 |
Platelet (K/μL) | 242 (62–582) | 227 (97–473) | 0.52 |
Clinical support | |||
Oxygen support duration before tocilizumab (days) | 1 (0–7) | 4 (1–13) | <0.001 |
Duration from onset of symptoms to tocilizumab (days) | 9.5 (5–18) | 10 (5–26) | 0.76 |
Favipiravir | 15 (71) | 19 (86) | 0.23 |
Hydroxychloroquine | 18 (86) | 20 (91) | 0.6 |
Azithromycin | 14 (67) | 11 (50) | 0.27 |
Lopinavir/Ritonavir | 0 | 7 (32) | 0.005 |
Outcomes | |||
Duration of oxygen support after tocilizumab | 5 (0–16) | 12 (6–30) | <0.001 |
Length of stay after tocilizumab (days) | 7.5 (2–21) | 12 (4–30) | 0.028 |
Length of stay | 12.5 (6–32) | 20 (8–43) | 0.009 |
Secondary bacterial infection | – | 9 (41) | 0.001 |
Pneumonia | – | 6 (27.3) | 0.01 |
Corynebacterium spp. | – | 4 | |
Bacteremia | – | 5 (22.7) | 0.02 |
Fatal | 0 (0) | 6 (27) | 0.01 |
Abbreviations: CRP, C-reactive protein; IL-6, interleukin-6; AST, aspartate transaminase; ALT, alanine transaminase; LDH, lactate dehydrogenase.