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

Table 5.

Associations with COVID-19 infection severity in the subgroup of patients at higher risk of severe forms of COVID-19a.

Predictors Sotrovimab
Controls
Severe/critical/fatalbCOVID-19 vs. mild/asymptomatic infection
Total sample Severe/critical/fatalbCOVID-19 Total sample Severe/critical/fatalbCOVID-19 Univariable regression analysis
Multivariable regression analysis
N (%) N (%c) N (%) N (%c) OR (95% CI) P-value AOR (95% CI) P-value
Study group
 Control - - 1,043 (100.0) 9 (0.9) 1.00 1.00
 Sotrovimab 340 (100.0) 7 (2.1) - - 2.42 (0.89-6.53) 0.083 1.33 (0.44-4.05) 0.618
Vaccination statusd
 Unvaccinated 153 (45.0) 4 (2.6) 658 (63.1) 5 (0.8) 1.00 1.00
 Two doses 145 (42.6) 3 (2.1) 287 (27.5) 3 (1.0) 1.26 (0.44-3.55) 0.668 1.52 (0.49-4.70) 0.468
 Three doses 42 (12.4) 0 (0.0) 98 (9.4) 1 (1.0) 0.64 (0.08-5.10) 0.674 0.58 (0.07-5.16) 0.626
Prior infection statusd
 No 312 (91.8) 7 (2.2) 953 (91.4) 9 (0.9) 1.00 1.00
 Yes 28 (8.2) 0 (0.0) 90 (8.6) 0 (0.0) 1.00 (1.00-1.00) - 1.00 (1.00-1.00) -
Age (years)
 <75 308 (90.6) 5 (1.6) 1,031 (98.8) 8 (0.8) 1.00 1.00
 ≥75 32 (9.4) 2 (6.3) 12 (1.2) 1 (8.3) 7.46 (2.05-27.20) 0.002 6.92 (1.50-32.02) 0.013
Sex
 Male 100 (29.4) 2 (2.0) 274 (26.3) 4 (1.5) 1.00 1.00
 Female 240 (70.6) 5 (2.1) 769 (73.7) 5 (0.7) 0.61 (0.22-1.70) 0.348 0.61 (0.21-1.74) 0.357
Nationality
 Qatari 116 (34.1) 2 (1.7) 483 (46.3) 3 (0.6) 1.00 1.00
 Craft and manual worker nationalitiese 74 (21.8) 2 (2.7) 159 (15.2) 0 (0.0) 1.03 (0.20-5.34) 0.973 1.22 (0.21-6.94) 0.822
 Other nationalities 150 (44.1) 3 (2.0) 401 (38.4) 6 (1.5) 1.97 (0.66-5.92) 0.226 2.01 (0.62-6.57) 0.246
Epidemic phasef
 Delta-dominated incidence 104 (30.6) 4 (3.8) 172 (16.5) 4 (2.3) 1.00 1.00
 Omicron-dominated incidence 236 (69.4) 3 (1.3) 871 (83.5) 5 (0.6) 0.24 (0.09-0.66) 0.005 0.30 (0.10-0.88) 0.028

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

a

These include immunocompromised individuals (solid organ or hematopoietic stem cell transplant recipients, patients receiving chemotherapy or immunosuppressive treatments, patients with severe immunodeficiency, and HIV patients), unvaccinated individuals, those ≥75 years of age, and pregnant women.

b

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

c

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

d

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

e

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

f

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.