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. 2021 Jul 1;12:620187. doi: 10.3389/fphar.2021.620187

TABLE 2.

Association between baseline variables and time to death.

Group variables Variable HRc 95%CI p-value HRd 95%CI p-value HRe 95%CI p-value
Demographic variables Male 1.68 0.70–4.08 0.248
Age (years) a 1.04 1.011.07 0.015 1.05 1.021.09 0.001
COVID-19 wave Second 1.26 0.64–2.50 0.503
Smoking habit Smokers 2.24 0.60–8.34 0.231
Ex-smokers 1.04 0.41–2.63 0.930
Comorbidities and physical examination Hypertension 1.60 0.79–3.24 0.196
Dyslipidemia 1.70 0.86–3.38 0.128
Cardiovascular disease 1.51 0.77–2.98 0.230
Diabetes mellitus 2.26 1.094.68 0.029 2.25 1.084.69 0.030 2.63 1.235.64 0.013
Previous pulmonar disease 1.44 0.68–3.03 0.340
Immunosuppression 4.85 2.15–10.95 <0.001 4.87 2.15–11.07 <0.001 3.15 1.17–8.51 0.024
Confirmed diagnosis by PCR 0.59 0.26–1.33 0.204
Pharmacological treatment Lopinavir/ritonavir 0.75 0.38–1.48 0.407
Azytromicine 0.85 0.43–1.69 0.640
Anakinra 0.99 0.35–2.83 0.993
Methylprednisolone 0.93 0.33–2.66 0.899
Ciclosporine 2.59 0.35–19.36 0.354
Pulses of methylprednisolone 0.85 0.42–1.72 0.644
Colchicine 1.27 0.17–9.35 0.814
Hydroxycloroquine 0.79 0.40–1.57 0.507
More than one dose of TCZ 1.03 0.46–2.29 0.941
Days since symptoms until TCZa 0.93 0.86–1.02 0.117
Days since diagnosis until TCZ a 1.06 1.03–1.09 <0.001 1.07 1.03–1.10 <0.001 1.05 1.00–1.09 0.032
Symptoms and signs pre-TCZ Dry cough 1.00 0.47–2.16 0.991
Fatigue 0.75 0.38–1.48 0.411
Myalgia 0.35 0.15–0.86 0.021 0.35 0.15–0.86 0.021
Dyspnea 0.69 0.35–1.38 0.294
Headache 0.70 0.25–2.00 0.511
Diarrhea 0.68 0.16–2.87 0.602
Acute Respiratory distress syndrome 0.68 0.30–1.53 0.353
Acute cardiac injury 3.22 0.76–13.64 0.113
Thrombosis 0.88 0.12–6.43 0.897
Acute renal injury 1.95 0.75–5.08 0.172
Scale ERVIa 1.02 0.83–1.25 0.858
Hospitalization when TCZ administration 0.64 0.30–1.35 0.243
Fever 0.62 0.25–1.53 0.301
Laboratory findings pre-TCZ Total serum proteins (gr/dL) b 0.53 0.31–0.92 0.025
Aspartate transaminase (U/L)b 0.78 0.39–1.56 0.481
Alanine transaminase (U/L)b 0.55 0.30–1.00 0.052
γ-Glutamyl transferase (U/L)b 0.67 0.38–1.18 0.161
Procalcitonin (ng/ml)b 0.97 0.74–1.26 0.804
Albumin (gr/dL)b 0.40 0.05–3.50 0.409
Interleukin-6 (pg/ml)b 1.08 0.79–1.48 0.611
Lactate deshydrogenase (U/L)b 1.87 0.55–6.29 0.312
C-reactive protein (mg/L)b 0.93 0.66–1.31 0.669
Ferritin (ng/ml)b 1.24 0.82–1.88 0.302
Leukocyte count (/μL)b 0.69 0.31–1.54 0.368
Neutrophil count (/μL)b 0.69 0.32–1.48 0.343
Lymphocyte count (/μL)b 0.88 0.47–1.65 0.695
Platelet count (/μL) b 0.20 0.10–0.40 <0.001 0.20 0.10–0.41 <0.001 0.27 0.11–0.69 0.006
Fibrinogen (mg/dl)b 1.00 1.00–1.00 0.440
Troponin I (pg/ml) b 1.35 1.08–1.69 0.007
D-dimer (mg/L)b 1.15 0.86–1.52 0.342
PaO2/FiO2 (mmHg)b 0.79 0.30–2.25 0.663
Temperature°C a 0.39 0.21–0.76 0.005

PCR: polymerase Chain Reaction; Scale ERVI: X-ray scale for assessment of hospital admission; TCZ: Tocilizumab; HR: hazard ratio; CI: confidence interval. For dichotomous variables, the reference category was “no” except hospitalization when TCZ administration that it was “general ward” (comparison ICU) and confirmed diagnosis-PCR that it was “suspicious diagnosis with negative PCR” (comparison confirmed positive PCR result). For smoking habit the reference was “never smoker”. Highlighted in bold if p < 0.05.

aHazard ratios are expressed per unit increase in the variable.

bLog-transformed quantitative variables.

cObtained with Cox’s univariate proportional hazard regression models.

dObtained with stepwise regression model within groups of variables, including variables with p-value <0.2 in univariate analysis, except total serum proteins (N = 99), troponin I (N = 80) and temperature (N = 60) which were excluded from multivariate models because of presenting >10% of missing values.

eObtained with stepwise regression including variables retained in models by group.