Clinical features and risk factors for ICU admission in COVID-19 patients with cardiovascular diseases
He Feng, Quan Yibo, Lei Ming, Liu Riguang, Qin Shuguang, Zeng Jun, Zhao Ziwen, Yu Na, Yang Liuping, Cao Jie
Table 1 Clinical features of COVID-19 patients with CVD.
CharacteristicTotal (n=288)non-CVD
(n=203)
CVD
(n=85)
p value
Demographics
Age, median (IOR), years48.5 (34.3, 62.0)43.0 (32.0, 57.0)62.0 (53.3, 67.0)<0.0001
Male, n (%)131 (45.5)85 (41.9)118 (58.1)0.057
Comorbidities
 Hypertension84 (29.2)1 (0.5)83 (97.6)<0.0001
 Diabetes24 (8.3)8 (3.9)16 (18.8)<0.0001
 Chronic kidney disease8 (2.8)3 (1.5)5 (5.9)0.038
 COPD5 (1.7)1 (0.5)4 (4.8)0.012
 Cerebrovascular disease8 (2.8)0 (0.0)8 (9.4)<0.0001
 Chronic liver disease10 (3.5)6 (3.0)4 (4.7)0.459
 Malignancy6 (2.1)4 (2.0)2 (2.4)0.836
Signs and symptoms
 Fever201 (69.8)146 (71.9)55 (64.7)0.224
 Chill55 (19.1)44 (21.7)11 (12.9)0.085
 Cough163 (56.6)110 (54.2)53 (62.4)0.202
 Rhinorrhea18 (6.3)11 (5.4)7 (8.2)0.368
 Sore throat67 (23.3)44 (21.7)23 (27.1)0.324
 Fatigue43 (14.9)34 (16.7)9 (10.6)0.181
 Myalgia or arthralgia35 (12.2)25 (12.3)10 (11.8)0.896
 Headache26 (9.0)21 (10.3)5 (5.9)0.228
 Nausea28 (9.7)22 (10.8)6 (7.1)0.324
 Diarrhea11 (3.8)10 (4.9)1 (1.2)0.13
Respiratory rate
≥24 breaths per min
19 (6.6)8 (3.9)11 (12.9)0.005
Oxygen support
 None88 (30.6)65 (32.0)23 (27.1)0.405
 Normal-flux184 (63.9)131 (64.5)53 (62.4)0.725
 High-fux16 (5.6)7 (3.4)9 (10.6)0.016
Non-invasive mechanical
ventilation
32 (11.1)15 (7.4)17 (20)0.002
Unilateral pneumonia241 (83.7)165 (81.3)76 (89.4)0.089
Bilateral pneumonia31 (10.8)25 (12.4)6 (7.1)0.185
Laboratory variables
White blood cell, × 109/L5.20 (4.14, 6.44)5.01(4.03, 6.22)5.64 (4.42, 7.18)0.271
White blood cell count, × 109/L
(No. (%))
0.109
 ≤462 (21.5)49 (24.1)13 (15.3)
 4-10216 (75.0)149 (73.4)67 (78.8)
 >1010 (3.5)5 (2.5)5 (5.9)
Lymphocyte count, × 109/L1.42 (1.04, 1.96)1.45 (1.06, 2)1.31 (0.9, 1.84)0.373
Lymphocyte count, × 109/L
(No. (%))
0.751
<1.191 (31.6)63 (31.0)28 (32.9)
Platelet count, × 109/L194.5 (158, 247)196 (160, 248)190 (153, 240.5)0.762
Hemoglobin, g/L135.5 (123, 147)135 (123, 146)136 (121.5, 147.5)0.782
Procalcitonin, ng/mL0.13 (0.04, 32.6)0.09 (0.03, 32.6)0.30 (0.05, 34.9)0.314
C-reactive protein, mg/L9 (8, 22.7)9 (8, 18.04)13.18 (8, 37.5)0.004
C-reactive protein, mg/L
(No. (%))
0.001
 ≤10175 (60.8)136 (67)39 (45.9)
>10113 (39.2)67 (33)46 (54.1)
Troponin I, μg/L (No. (%))0.002
 ≤0.03168 (88.4)116 (93.5)52 (78.8)
 >0.0322 (11.6)8 (6.5)14 (21.2)
BNP, μg/L35 (13, 117.5)18.5 (9, 74.5)45 (22, 179)0.177
Creatine kinase, U/L52 (36, 80)54 (38, 80)48.5 (28.75, 82.5)0.385
Creatinine, μmol/L61.8 (50.2, 76.58)58.8 (48.1, 74.9)66.9 (52.1, 78)0.001
ATL, U/L22.45 (14.3, 34.5)22.4 (14, 34.4)22.5 (15.9, 34.9)0.317
AST, U/L18.35 (14.9, 25.63)17.7 (13.7, 24.5)19.4 (16.4, 27.4)0.105
Complications
Acute cardiac injury22 (11.6)8 (6.5)14 (21.2)0.020
ARDS3 (1.0)1 (0.5)2 (2.4)0.156
Acute kidney injury5 (1.7)2 (1.0)3 (3.5)0.132
Clinical Types a
(Severe/Critically severe)
30 (10.4)15 (7.4)15 (17.6)0.009
ICU Admission27 (9.4)12 (5.9)15 (17.6)0.002