Table 4.
Risk Factor Analysis for Mortality in LVAD Patients Who Developed COVID-19
| Characteristics | Alive (N = 19) | Death (N = 9) | Odd Ratio (CI) | p |
|---|---|---|---|---|
| Age ≥60 years old, n (%) | 13 (68) | 6 (67) | 0.92 (0.2–5.0) | 0.92 |
| Male, n (%) | 15 (79) | 7 (78) | 1.07 (0.16–7.3) | 0.94 |
| BMI, median (IQR) (kg/m2) | 27 (25–31) | 29 (23–32) | 1.01 (0.88–1.1) | 0.83 |
| A blood group, n (%) | 7 (37) | 2 (22) | 0.49 (0.08–3.0) | 0.44 |
| Diabetes mellitus, n (%) | 10 (52) | 2 (22) | 0.26 (0.04–1.6) | 0.14 |
| CKD stage ≥3, n (%) | 8 (42) | 4 (44) | 1.1 (0.22–5.4) | 0.91 |
| Lung disease, n (%) | 7 (37) | 3 (33) | 0.86 (0.16–4.5) | 0.86 |
| Smoking history, n (%) | 7 (37) | 5 (56) | 2.1 (0.43–10.7) | 0.35 |
| Duration on LVAD support in days, median (IQR) | 866 (330–1469) | 777 (484–1,110) | 1.0 (0.99–1.0) | 0.52 |
| ICU admission, n (%) | 6 (32) | 7 (78) | 7.6 (1.2–48) | 0.03 |
| HFNC, NIPPV, or mechanical ventilation, n (%) | 2 (11) | 3 (33) | 6.7 (1.1–40) | 0.04 |
| Mechanical ventilation, n (%) | 2 (11) | 3 (33) | 14 (1.3–159) | 0.03 |
| Vasopressor support, n (%) | 0 | 2 (22) | – | >0.99 |
| Renal replacement therapy*, n (%) | 0 | 2 (22) | – | >0.99 |
| Severe RV dysfunction, n (%) | 3 (16) | 1 (11) | 0.7 (0.6 – 7.4) | 0.74 |
| Peak lactate dehydrogenase | 381 (298–581) | 568 (524–935) | 1.0 (0.99–1.0) | 0.06 |
| Peak troponin I (ng/mL) | 0.04 (0.02–0.04) | 0.09 (0.04–0.12) | – | 0.54 |
| Peak D-dimer (mg/L) | 2.21 (1.73–3.64) | 6.5 (4.7–9.0) | 1.07 (0.93–1.2) | 0.33 |
| Peak ferritin (ng/mL) | 496 (333–1,079) | 784 (316–2,819) | 1.0 (1.0–1.0) | 0.26 |
| Peak CRP (mg/mL) | 8.1 (2.6–14.0) | 14 (4.7–16) | 1.09 (0.96–1.2) | 0.18 |
| Remdesevir, n (%) | 7 (37) | 4 (44) | 1.4 (0.27–6.8) | 0.70 |
| Systemic glucocorticosteroid, n (%) | 3 (16) | 6 (67) | 10 (1.7–68) | 0.01 |
| Treatment dose anticoagulation, n (%) | 9 (47) | 5 (56) | 1.4 (0.28–6.8) | 0.69 |
Bold values: p < 0.05 considered statistically significant.
KD, chronic kidney disease; HFNC, high-flow nasal cannula; RV, right ventricular.