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. 2021 Nov 14;41:101191. doi: 10.1016/j.eclinm.2021.101191

Table 3.

Demographic, clinical, laboratory and radiographic findings among MERS-CoV patients overall and by severity, Saudi Arabia, 2014-2019

All MERS-CoV cases: number and % distribution MERS CoV cases who required ventilation (n, %) P-value MERS CoV cases who died at the hospital (n, %) P-value
Total 501 100 146 29.1 106 21.2
Gender
Female 155 30.9 36 23.2 0.062 24 15.5 0.025
Male 346 69.1 110 31.8 82 23.7
Age in years
0-20 14 2.8 5 35.7 0.019 1 7.1 0.001
21-40 165 32.9 34 20.6 21 12.7
41-60 208 41.5 61 29.3 43 20.7
>60 114 22.8 46 40.4 41 36.0
Saudi national
no 180 35.9 44 24.4 0.045 32 17.8 0.107
yes 321 64.1 102 31.8 74 23.1
Year of admission
2014 58 11.6 16 27.6 0.150 9 15.5 0.554
2015 189 37.9 42 22.2 43 22.8
2016 58 11.6 19 32.8 14 24.1
2017 76 15.2 31 40.8 19 25.0
2018 48 9.6 17 35.4 12 25.0
2019 70 14 21 30.0 9 12.9
Healthcare worker
no 429 85.6 143 33.3 0.000 105 24.5 0.000
yes 72 14.4 3 4.2 1 1.4
History of travel or exposure to MERS -CoV cases or vectors
Unknown 293 58.8 114 38.9 0.000 82 28.0 0.001
Patient 142 28.5 24 16.9 21 14.8
Relative of patient 47 9.4 2 4.3 1 2.1
Animal 15 3 4 26.7 2 13.3
Travel 1 0.2 0 0.0 0 0.0
Admitted through Intensive Care Unit
no 332 66.3 30 9.0 0.000 31 9.3 0.000
yes 169 33.7 116 68.6 75 44.4
Days symptomatic before admission
<=7 days 212 63.1 67 31.5 0.219 45 21.2 0.242
>7 days 124 36.9 32 26.0 20 16.1
Any symptoms
no 51 10.2 5 9.8 0.001 6 11.8 0.071
yes 450 89.8 141 31.3 100 22.2
Gastrointestinal symptoms
No 405 80.8 124 30.5 0.163 92 22.7 0.119
Yes 96 19.2 22 23.2 14 14.6
Dyspnea
No 305 60.9 54 17.7 0.000 41 13.4 0.000
Yes 196 39.1 92 46.9 65 33.2
Cough
No 200 39.9 59 29.4 0.927 41 20.5 0.803
Yes 301 60.1 87 29.0 65 21.6
Sore throat
No 475 94.8 145 30.5 0.000 105 22.1 0.002
Yes 26 5.2 1 3.8 1 3.8
Fever
No 149 29.7 44 29.3 0.948 36 24.2 0.223
Yes 352 70.3 102 29.1 70 19.9
Any comorbidity
No 190 37.9 29 15.3 0.000 16 8.4 0.000
Yes 311 62.1 117 37.6 90 28.9
Diabetes
No 305 60.9 71 23.4 0.000 50 16.4 0.000
Yes 196 39.1 75 38.1 56 28.6
Asthma
No 462 92.2 134 29.1 0.888 99 21.4 0.607
Yes 39 7.8 12 30.0 7 17.9
Hypertension
No 338 67.5 75 22.2 0.000 50 14.8 0.000
Yes 163 32.5 71 43.6 56 34.4
Chronic Obstructive Pulmonary disease
No 497 99.2 143 28.8 0.057 102 20.5 0.000
Yes 4 0.8 3 75.0 4 100.0
Cancer
No 495 98.8 144 29.1 0.811 103 20.8 0.063
Yes 6 1.2 2 33.3 3 50.0
Liver disease
No 498 99.4 144 28.9 0.020 104 20.9 0.002
Yes 3 0.6 2 66.7 2 66.7
Congestive heart failure
No 489 97.6 141 28.8 0.293 101 20.7 0.022
Yes 12 2.4 5 45.5 5 41.7
Chest X-ray
Negative 155 36.3 10 6.5 0.000 9 5.8 0.000
Positive 272 63.7 114 41.9 86 31.6
missing 74 22 11
Brain Magnetic Resonance Imaging
Negative 370 73.9 99 26.8 0.140 75 20.3 0.522
Positive 131 26.1 47 35.9 31 23.7
Microbiology
Negative 238 64 34 14.3 0.000 25 10.5 0.000
Positive 134 36 75 56.0 59 44.0
Missing 129 37 22
Blood culture
Negative 332 74.1 77 23.2 0.010 60 18.1 0.113
Positive 116 25.9 55 47.4 34 29.3
Missing 53 14 12
Urine culture
Negative 341 76.5 91 26.7 0.146 65 19.1 0.419
Positive 105 23.5 40 38.1 27 25.7
Missing 55 15 13
Respiratory culture
Negative 337 75.6 65 19.3 0.000 46 13.6 0.000
Positive 109 24.4 66 60.6 47 43.1
Missing 55 155 13
MERS CoV PCR CT < 303
No 141 39.5 15 10.6 0.000 13 9.2 0.000
Yes 216 60.5 92 42.6 69 31.9
Missing 144 39 24
White blood cell count
Below normal 93 21.7 17 18.3 0.000 12 12.9 0.000
Normal 270 63.1 72 26.7 54 20.0
Above normal 65 15.2 36 55.4 31 47.7
Missing 73 21 9
Hemoglobin
Below normal 211 49.3 94 44.5 0.000 76 36.0 0.000
Normal 211 49.3 29 13.7 20 9.5
Missing 73 21 9
Platelet count
Below normal 113 26.4 41 36.3 0.032 31 27.4 0.353
Normal 299 69.9 78 26.1 62 20.7
Missing 73 21 9
Neutrophil
Below normal 36 8.7 2 5.6 0.000 2. 5.6 0.000
Normal 295 71.4 72 24.4 50 16.9
Above normal 82 19.9 48 58.5 43 52.4
Missing 88 24 11
Creatinine kinase
Below normal 49 24.1 15 30.6 0.171 12 24.5 0.426
Normal 45 22.2 13 28.9 11 24.4
Above normal 109 53.7 44 40.0 35 32.1
Missing 298 75 48
Alanine aminotransferase (ALT)
Normal 253 66.6 76 30.0 0.768 59 23.3 0.858
Above normal 126 33.2 37 29.4 29 23.0
Missing 121 33 18
Aspartate aminotransferase (AST)
Normal 122 32.9 13 10.7 0.000 9 7.4 0.000
Above normal 249 67.1 91 36.5 73 29.3
Missing 130 42 24
Creatinine
Below normal 95 26 19 20.0 0.000 15 15.8 0.000
Normal 203 55.6 39 19.2 27 13.3
Above normal 67 18.4 41 61.2 35 52.2
Missing 136 47 29
Albumin
Below normal 216 49.3 106 49.1 0.000 75 34.7 0.000
Normal 215 49.1 29 13.5 24 11.2
Missing 63 10 7
Bilirubin
Normal 338 85.6 87 25.8 0.000 66 19.5 0.000
Above normal 49 12.4 29 59.2 24 49.0
Missing 106 27 15
Prothrombin Time (PT)
Normal 231 69.6 52 22.6 0.000 42 18.2 0.000
Above normal 88 26.5 56 64.0 41 46.6
Missing 169 34 22
Partial Thromboplastin Time (PTT)
Normal 202 62.9 51 25.2 0.000 39 19.3 0.001
Above normal 73 22.7 45 61.6 33 45.2
Missing 180 41 26
Lactate dehydrogenase (LDH)
Normal 11 10.7 3 27.3 0.130 1 9.1 0.070
Above normal 91 88.4 50 55.0 39 42.9
Missing 398 93 66

1Patients admitted to one of the four MERS-CoV referral hospitals in Saudi Arabia. 2Denominator for laboratory and other investigations vary. 3CT (Cycle Threshold) value is the number of cycles necessary to spot the virus, lower threshold indicates high viral count; PCR, polymerase chain reaction. The number of missing values are reported when missing in >1% of subjects.