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. 2022 Sep 19;124:96–103. doi: 10.1016/j.ijid.2022.09.023

Table 4.

Associations with COVID-19 infection severity in the full sample including all eligible individuals for sotrovimab treatment.

Predictors Sotrovimab
Controls
Severe/critical/fatalaCOVID-19 vs. mild/asymptomatic infection
Total sample Severe/critical/fatalaCOVID-19 Total sample Severe/critical/fatalaCOVID-19 Univariable regression analysis
Multivariable regression analysis
N (%) N (%b) N (%) N (%b) OR (95% CI) P-value AOR (95% CI) P-value
Study group
 Control - - 2,845 (100.0) 10 (0.4) 1.00 1.00
 Sotrovimab 519 (100.0) 9 (1.7) - - 5.00 (2.02-12.37) <0.001 1.80 (0.61-5.29) 0.288
Vaccination statusc
 Unvaccinated 153 (29.5) 4 (2.6) 658 (23.1) 5 (0.8) 1.00 1.00
 Two doses 298 (57.4) 4 (1.3) 1,655 (58.2) 4 (0.2) 0.37 (0.14-0.95) 0.040 0.51 (0.17-1.57) 0.242
 Three doses 68 (13.1) 1 (1.5) 532 (18.7) 1 (0.2) 0.30 (0.06-1.38) 0.122 0.35 (0.06-1.88) 0.219
Prior infection statusc
 No 478 (92.1) 9 (1.9) 2,605 (91.6) 10 (0.4) 1.00 1.00
 Yes 41 (7.9) 0 (0.0) 240 (8.4) 0 (0.0) 1.00 (1.00-1.00) - 1.00 (1.00-1.00) -
Age (years)
 <40 199 (38.3) 2 (1.0) 1,419 (49.9) 5 (0.4) 1.00 1.00
 40-59 204 (39.3) 2 (1.0) 1,357 (47.7) 3 (0.2) 0.74 (0.23-2.34) 0.607 0.81 (0.24-2.70) 0.728
 ≥60 116 (22.4) 5 (4.3) 69 (2.4) 2 (2.9) 9.05 (3.14-26.10) <0.001 5.68 (1.63-19.77) 0.006
Sex
 Male 215 (41.4) 4 (1.9) 1,071 (37.6) 4 (0.4) 1.00 1.00
 Female 304 (58.6) 5 (1.6) 1,774 (62.4) 6 (0.3) 0.85 (0.34-2.12) 0.728 0.75 (0.28-1.98) 0.558
Nationality
 Qatari 159 (30.6) 3 (1.9) 1,337 (47.0) 3 (0.2) 1.00 1.00
 Craft and manual worker nationalitiesd 144 (27.7) 2 (1.4) 627 (22.0) 0 (0.0) 0.65 (0.13-3.21) 0.593 0.70 (0.13-3.72) 0.678
 Other nationalities 216 (41.6) 4 (1.9) 881 (31.0) 7 (0.8) 2.52 (0.93-6.82) 0.070 1.91 (0.65-5.60) 0.240
Comorbidity count
 None 58 (11.2) 0 (0.0) 312 (11.0) 4 (1.3) 1.00 1.00
 1 186 (35.8) 3 (1.6) 1,662 (58.4) 5 (0.3) 0.40 (0.12-1.33) 0.134 1.13 (0.29-4.41) 0.864
 2 167 (32.2) 1 (0.6) 693 (24.4) 1 (0.1) 0.21 (0.04-1.17) 0.075 0.43 (0.06-2.82) 0.377
 ≥3 108 (20.8) 5 (4.6) 178 (6.3) 0 (0.0) 1.61 (0.43-6.12) 0.471 2.47 (0.44-13.85) 0.302
Epidemic phasee
 Delta-dominated incidence 198 (38.2) 4 (2.0) 262 (9.2) 5 (1.9) 1.00 1.00
 Omicron-dominated incidence 321 (61.8) 5 (1.6) 2,583 (90.8) 5 (0.2) 0.17 (0.07-0.43) <0.001 0.35 (0.13-0.96) 0.041

Abbreviations: AOR, adjusted odds ratio; OR, odds ratio.

a

Severity (2021), criticality (2021), and fatality (2021) were defined according to the World Health Organization guidelines.

b

Proportion of those who progressed to severe, critical, or fatal COVID-19 among those in the predictor category.

c

Vaccination status and prior infection status were ascertained at the time of infection.

d

These include Bangladeshis, Indians, Nepalese, Pakistanis, Sri Lankans, and Sudanese due to large proportions of these nationals being craft and manual workers.

e

Before December 19, 2021 incidence in Qatar was dominated by the Delta variant, whereas starting from December 19, 2021 incidence was dominated by the Omicron variant.