Table 4.
Associations between systemic rheumatic disease or matched comparator status and COVID-19 hospital admission outcomes
Patients with a systemic rheumatic disease (n=57) | Comparators (n=232) | ||
---|---|---|---|
Outcomes at initial admission to hospital | |||
Intensive care unit admission | 29 (51%) | 79 (34%) | |
Unadjusted OR (95% CI) | 2·00 (1·09–3·67) | 1 (ref) | |
Adjusted model OR (95% CI) | 2·08 (1·09–3·96) | 1 (ref) | |
Mechanical ventilation | 22 (39%) | 45 (19%) | |
Unadjusted OR (95% CI) | 2·59 (1·35–4·94) | 1 (ref) | |
Adjusted model OR (95% CI) | 2·60 (1·32–5·12) | 1 (ref) | |
In-hospital mortality | 12 (21%) | 38 (16%) | |
Unadjusted OR (95% CI) | 1·48 (0·69–3·17) | 1 (ref) | |
Adjusted model OR (95% CI) | 1·78 (0·79–4·02) | 1 (ref) | |
Outcomes after discharge* | |||
Discharged to rehabilitation or nursing facility | 16 (36%) | 80 (41%) | |
Unadjusted OR (95% CI) | 0·79 (0·40–1·54) | 1 (ref) | |
Adjusted model OR (95% CI) | 0·90 (0·43–1·88) | 1 (ref) | |
Readmission to hospital within 60 days | 5 (11%) | 22 (11%) | |
Unadjusted OR (95% CI) | 0·98 (0·35–2·74) | 1 (ref) | |
Adjusted model OR (95% CI) | 1·08 (0·37–3·16) | 1 (ref) | |
Mortality during and after hospital stay | |||
In-hospital mortality or within 60 days after discharge | 13 (23%) | 50 (22%) | |
Unadjusted OR (95% CI) | 1·08 (0·54–2·15) | 1 (ref) | |
Adjusted model OR (95% CI) | 1·20 (0·58–2·47) | 1 (ref) | |
In-hospital mortality or at any point after discharge | 17 (30%) | 57 (25%) | |
Unadjusted OR (95% CI) | 1·30 (0·69–2·48) | 1 (ref) | |
Adjusted model OR (95% CI) | 1·48 (0·75–2·91) | 1 (ref) |
Data are n (%) or OR (95% CI). Matching factors were age, sex, and date of initial positive PCR for SARS-CoV-2. Model adjusted for race, smoking status, and days between initial PCR positivity for SARS-CoV-2 and COVID-19 hospital admission. OR=odds ratio.
n=45 for patients with a systemic rheumatic disease; n=194 for comparators.