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. 2021 Aug 30;8(9):753. doi: 10.3390/children8090753

Table 1.

COVID-19: increased SARS-CoV-2 infection risk in IBD patients.

Author Patients Diagnostic Method Geographic Area Time/Duration of the Study Results
Carparelli et al., 2021
[10]
IBD: 600
COVID-19: 25
Molecular swab (PCR) or serological test Foggia (Italy) Until January 2021 COVID-19 incidence in IBD patients (4.1%) > incidence in general population (2.8%)
Hospitalization in IBD patients (12%) > hospitalization in Italian population (4.8%)
Derikx et al., 2021
[11]
IBD: 34,763
COVID-19: 100 (0.29%)
PCR 96/100
TC 3/100
Serological test and symptoms 1/100
Netherlands From March to June 2020 COVID-19 incidence in IBD patients (287.6/100,000) comparable to general population (333/100,000), p = 0.15
Mortality in IBD patients (37.3/100,000) comparable to general population (44.9/100,000), 0 = 0.51
Among 100 infections, 59 hospitalizations and 13 deaths
Hospitalization risk in IBD patients (177.2/100,000) > general population (84.5/100,000), p < 0.01
Rizzello et al., 2020
[12]
IBD: 1158
COVID-19: 26 (2.2%)
Molecular swab (PCR) Italy 10 March 2020–10 June 2020 COVID-19 incidence in IBD patients (22.4/1000) > incidence in Italy (3.91/1000, respectively 9.01, 6.27, and 7.10/1000 in Lombardy, Emilia Romagna, and Piedmont)
Ludvigsson et al., 2021
[13]
IBD: 67,292 (of which 6569 < 18aa)
COVID-19: 811 (1.21%)
Controls: 297,910 (of which 30,891 < 18aa)
COVID-19: 2890 (0.97%)
Laboratory diagnosis Sweden 01 February 2020–31 July 2020 COVID-19 incidence in IBD patients (5.4/1000) > controls (3.4/1000)
1/185 IBD patients that required hospitalization < 1/295 in controls (179 vs. 500): the risk of hospitalization is increased 43% in IBD patients (0.27% vs. 0.17% in controls)
No increased risk of severe forms (ICU or death)
Guerra et al., 2020
[14]
IBD: 805
COVID-19: 82
PCR 28 patients
Clinic 54 patients (highly suspected)
Madrid (Spain) Until 27 May 2020 COVID-19 incidence: 10.2%
79.3% mild symptoms, 12.2% moderate symptoms, 8.5% severe symptoms, 1 death
Marafini et al., 2020
[15]
IBD: 672
COVID-19: 3
Molecular swab (PCR) Tor Vergata, Rome (Italy) Until 30 April 2020 COVID-19 incidence in IBD patients (4.46/1000) > Italian population (3.41/1000) p = 0.5
Lodyga et al., 2021
[16]
IBD: 432
Controls: 432
Serological test Warsaw, Lodz and Poznan (Poland) 01 May 2020–15 June 2020 IgG: 4.6% of IBD patients and 1.6% of controls, p < 0.05
IgA + IgM: 6% of IBD patients and 1.1% of controls, p < 0.05

IBD: inflammatory bowel disease. PCR: polymerase chain reaction. TC: computed tomography. ICU: intensive care unit.