Table 1.
Characteristics of all patients at first presentation stratified according to their hospital admission status
Hospitalization at first presentation |
Not hospitalized at first presentation (n = 355) |
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---|---|---|---|---|---|---|---|
Characteristics | Total (N = 1423) | Yes (n = 1068) | No (n = 355) | P-value | Returned for second presentation (n = 36) | Did not return for second presentation (n = 319) | P-value |
Sex (male), % | 61 | 62 | 56 | 0.06 | 64 | 55 | 0.33 |
Age (years), mean ± SD | 64 ± 15 | 64 ± 14 | 64 ± 16 | 0.53 | 72 ± 14 | 63 ± 16 | 0.002 |
BMI (kg/m2), mean ± SD | 27 ± 5 | 27 ± 5 | 27 ± 6 | 0.67 | 27 ± 4 | 27 ± 6 | 0.86 |
Race, % | 0.05 | 0.93 | |||||
Asian | 3 | 3 | 4 | 6 | 4 | ||
Black or African descent | 6 | 5 | 7 | 9 | 7 | ||
White or Caucasian | 86 | 86 | 86 | 83 | 86 | ||
Other or unknown | 5 | 6 | 3 | 3 | 3 | ||
Tobacco use, % | <0.001 | 0.001 | |||||
Current | 6 | 7 | 4 | 0 | 4 | ||
Prior | 22 | 22 | 19 | 42 | 17 | ||
Never | 45 | 47 | 39 | 42 | 39 | ||
Unknown | 28 | 24 | 37 | 17 | 40 | ||
CFS (AU), mean ± SD | 3.7 ± 1.8 | 3.7 ± 1.8 | 3.7 ± 1.7 | 0.74 | 3.9 ± 1.7 | 3.7 ± 1.8 | 0.44 |
Patient identification, % | <0.001 | 0.03 | |||||
Symptoms only | 73 | 75 | 66 | 85 | 64 | ||
Symptoms and contact | 14 | 15 | 11 | 15 | 10 | ||
No symptoms but contact | 5 | 5 | 6 | 0 | 6 | ||
Routine screening | 8 | 5 | 17 | 0 | 20 | ||
COVID-19 test result, % | |||||||
Positive | 94 | 92 | 97 | 92 | 98 | ||
Negative | 4 | 5 | 2 | 6 | 2 | ||
Intermediate/unknown | 2 | 2 | 1 | 3 | – | ||
Abnormality on X-ray (yes), % | 35 | 44 | 9 | <0.001 | 14 | 8 | 0.03 |
Abnormality on CT scan (yes), % | 32 | 41 | 6 | <0.001 | 8 | 5 | 0.35 |
Comorbidities, % | |||||||
Obesity | 23 | 23 | 21 | 0.45 | 15 | 22 | 0.34 |
Hypertension | 83 | 83 | 84 | 0.79 | 83 | 84 | 0.95 |
Diabetes mellitus | 39 | 40 | 39 | 0.62 | 44 | 38 | 0.45 |
Coronary artery disease | 29 | 30 | 28 | 0.50 | 33 | 27 | 0.44 |
Heart failure | 19 | 21 | 14 | 0.007 | 17 | 14 | 0.68 |
Chronic lung disease | 12 | 12 | 11 | 0.55 | 17 | 11 | 0.28 |
Active malignancy | 6 | 7 | 3 | 0.01 | 8 | 3 | 0.08 |
Autoimmune disease | 5 | 5 | 4 | 0.31 | 8 | 3 | 0.11 |
Primary kidney disease, % | |||||||
Primary glomerulonephritis | 16 | 16 | 13 | 0.12 | 14 | 13 | 0.81 |
Pyelonephritis | 2 | 3 | 1 | 0.20 | 0 | 2 | 0.45 |
Interstitial nephritis | 4 | 5 | 3 | 0.10 | 3 | 3 | 0.92 |
Hereditary kidney disease | 10 | 10 | 12 | 0.24 | 9 | 12 | 0.53 |
Congenital diseases | 2 | 2 | 3 | 0.26 | 0 | 3 | 0.28 |
Vascular diseases | 13 | 12 | 14 | 0.47 | 17 | 14 | 0.55 |
Secondary glomerular disease | 7 | 7 | 10 | 0.06 | 11 | 10 | 0.74 |
Diabetic kidney disease | 21 | 22 | 19 | 0.27 | 34 | 17 | 0.02 |
Other | 14 | 13 | 18 | 0.02 | 6 | 19 | 0.05 |
Unknown | 10 | 11 | 8 | 0.09 | 6 | 8 | 0.63 |
Dialysis (yes), % | 71 | 67 | 85 | <0.001 | 78 | 86 | 0.19 |
HDa | 99 | 99 | 99 | 0.29 | 100 | 99 | 0.57 |
PDa | 1 | 1 | 1 | 0 | 1 | ||
Residual diuresis ≥200 mL/daya | 32 | 33 | 31 | 0.002 | 46 | 29 | 0.006 |
Transplant waiting list statusa, % | 0.001 | 0.12 | |||||
Active on waiting list | 11 | 11 | 10 | 7 | 11 | ||
In preparation | 10 | 10 | 10 | 7 | 10 | ||
Temporarily not on list | 9 | 10 | 7 | 4 | 6 | ||
Not transplantable | 63 | 64 | 61 | 82 | 58 | ||
Unknown | 7 | 5 | 13 | 0 | 15 | ||
Transplantation (yes), % | 29 | 34 | 15 | 22 | 14 | ||
Time since transplantationb, % | 0.12 | 0.04 | |||||
<1 year | 7 | 8 | 2 | 0 | 13 | ||
1–5 years | 32 | 31 | 42 | 50 | 40 | ||
>5 years | 61 | 61 | 57 | 38 | 60 | ||
Medication, % | |||||||
ACE inhibitor use (yes) | 16 | 17 | 14 | 0.32 | 19 | 11 | 0.007 |
ARB inhibitor use (yes) | 16 | 15 | 19 | 0.12 | 22 | 15 | 0.014 |
Use of immunosuppressive medication, % | |||||||
Prednisone | 85 | 86 | 84 | 0.61 | 92 | 82 | 0.41 |
Tacrolimus | 67 | 67 | 66 | 0.83 | 67 | 66 | 0.97 |
Cyclosporine | 10 | 11 | 7 | 0.45 | 0 | 8 | 0.31 |
Mycophenolate | 58 | 58 | 55 | 0.63 | 50 | 56 | 0.68 |
Azathioprine | 4 | 4 | 4 | 0.82 | 0 | 5 | 0.44 |
mTOR inhibitor | 12 | 12 | 11 | 0.81 | 17 | 10 | 0.49 |
Disease characteristics | |||||||
Days from symptoms onset, median (IQR) | 2 (0–4) | 2 (0–5) | 1 (0–3) | <0.001 | 1 (0–4) | 1 (0–3) | 0.28 |
Presenting symptoms, % | |||||||
Sore throat | 12 | 13 | 9 | <0.001 | 17 | 8 | 0.04 |
Cough | 53 | 58 | 38 | <0.001 | 56 | 36 | 0.009 |
Shortness of breath | 36 | 44 | 11 | <0.001 | 22 | 10 | 0.005 |
Fever | 62 | 68 | 44 | <0.001 | 50 | 43 | 0.007 |
Headache | 11 | 13 | 8 | <0.001 | 14 | 8 | 0.006 |
Nausea or vomiting | 12 | 13 | 7 | <0.001 | 6 | 7 | 0.004 |
Diarrhoea | 16 | 18 | 11 | <0.001 | 14 | 10 | 0.008 |
Myalgia or arthralgia | 21 | 23 | 16 | <0.001 | 26 | 15 | 0.003 |
Vital signs, mean ± SD | |||||||
Temperature (°C) | 37.5 ± 1.1 | 37.6 ± 1.1 | 37.2 ± 1.0 | <0.001 | 37.3 ± 1.2 | 37.2 ± 1.0 | 0.55 |
Respiration rate (per min) | 20 ± 6 | 20 ± 6 | 17 ± 4 | <0.001 | 17 ± 4 | 17 ± 3 | 0.85 |
O2 saturation room air (%) | 94 ± 6 | 93 ± 6 | 97 ± 3 | <0.001 | 97 ± 3 | 97 ± 3 | 0.60 |
SBP (mm Hg) | 135 ± 25 | 135 ± 25 | 137 ± 24 | 0.14 | 129 ± 22 | 139 ± 25 | 0.04 |
DBP (mm Hg) | 75 ± 15 | 76 ± 15 | 73 ± 15 | 0.05 | 69 ± 15 | 74 ± 15 | 0.07 |
Pulse rate (bpm) | 84 ± 16 | 85 ± 16 | 77 ± 13 | <0.001 | 73 ± 11 | 77 ± 14 | 0.13 |
Laboratory test results | |||||||
Creatinine increase (>25%)b | 30 | 33 | 8 | <0.001 | 25 | 12 | 0.007 |
Lymphocytes (×1000/µL), median (IQR) | 0.9 (0.6–1.3) | 0.9 (0.5–1.3) | 0.9 (0.6–1.2) | 0.87 | 0.7 (0.5–1.1) | 0.9 (0.6–1.2) | 0.41 |
CRP (mg/L), median (IQR) | 31 (8–84) | 38 (10–95) | 13 (3–43) | <0.001 | 26 (6–58) | 12 (2–36) | 0.02 |
Groups were compared using Student’s t, Wilcoxon or chi-square test as appropriate. Obesity is defined as BMI >30 kg/m2. O2, oxygen; SBP, systolic blood pressure; DBP, diastolic blood pressure; bpm, beats per minute; mTOR, mechanistic target of rapamycin.
In dialysis patients only.
In transplant recipients only.