Table 1 Clinical characteristics of patients with COVID-19 according to disease severity.

From: Clinical and immunological characteristics of prolonged SARS-CoV-2 Omicron infection in hematologic disease

 

Total patients with COVID-19 (n = 160 [100%])

Asymptomatic/mild (n = 139 [86.9%])

Severe/critical (n = 21 [13.1%])

P-value

Age, years, median (IQR)

68 (57–78)

66 (55–77)

78 (71–82)

0.001

70, n (%)

71 (44.4)

55 (39.6)

16 (76.2)

<0.001

Female, n (%)

62 (38.8)

58 (41.7)

4 (19.0)

0.08

ECOGPS 2, n (%)

22 (13.8)

14 (10.1)

8 (38.1)

0.002

Modified CCI except malignancy 2, n (%)

24 (15.0)

13 (9.4)

11 (52.4)

0.004

Relapsed or refractory condition, n (%)

28 (17.5)

20 (14.4)

8 (38.1)

0.018

Background hematological disease, n (%)

 Lymphoid neoplasms

108 (67.5)

90 (64.7)

18 (85.7)

0.078

  B-cell lymphoma

64 (40.0)

50 (36.0)

14 (66.7)

0.015

  Plasma cell dyscrasia

28 (17.5)

25 (18.0)

3 (14.3)

1

  Others

16 (10.0)

15 (10.8)

1 (4.8)

0.69

 Myeloid neoplasms

35 (21.9)

34 (24.4)

1 (4.8)

0.047

 Benign hematologic disorders

17 (10.6)

15 (10.8)

2 (9.5)

1

Treatment of underlying disease, n (%)

 Ongoing treatment

42 (26.2)

20 (14.4)

8 (38.1)

0.018

 Anti-CD20 antibody within 2 years

41 (25.6)

28 (20.1)

13 (61.9)

<0.001

 Bendamustine within 2 years

11 (6.9)

6 (4.3)

5 (23.8)

0.005

 HSCT within 2 years

2 (1.2)

2 (100)

0 (0)

Time distribution of infection, n (%)

   

0.067

 January–March 2022

26 (16.2)

20 (14.4)

6 (28.6)

 April–June 2022

6 (3.8)

4 (2.9)

2 (9.5)

 July 2022–January 2023

128 (80.0)

115 (82.7)

13 (61.9)

Vaccination doses before infection, n (%)

 Two

43 (26.9)

35 (25.2)

8 (38.1)

0.289

Three

117 (73.1)

104 (74.8)

13 (61.9)

 Bivalent vaccination against the Omicron variant

21 (13.1)

20 (14.4)

1 (4.8)

0.31

Pre-exposure prophylaxis with tixagevimab–cilgavimab

1 (0.6)

0 (0.7)

0 (0)

Anti-S level after infection, U/mL, median (IQR)a

6705 (87.3–50118)

14650 (758–52614)

18.7 (0.4–866)

< 0.001

 Seronegative after infection, n (%)a

13 (9.5)

6 (5.1)

7 (35.0)

<0.001

Initial COVID-19 treatment, n (%)

   

<0.001

 RDV

19 (11.9)

13 (9.4)

6 (28.6)

 RDV + DEX

4 (2.5)

0 (0)

4 (19.0)

 RDV + DEX+Tocilizumab

1 (0.6)

0 (0)

1 (4.8)

 Ritonavir-boosted nirmatrelvir

21 (13.1)

20 (14.4)

1 (4.8)

 Molnupiravir

10 (6.2)

7 (5.0)

3 (14.3)

 Sotrovimab

6 (3.8)

4 (2.9)

2 (9.5)

 Steroid pulse

1 (0.6)

0 (0)

1 (4.8)

 Untreated

98 (61.2)

95 (68.3)

3 (14.3)

COVID-19 severity, n (%)

   

< 0.001

 Asymptomatic

19 (11.9)

19 (13.7)

0 (0)

 Mild

120 (75.0)

120 (86.3)

0 (0)

 Severe

16 (10.0)

0 (0)

16 (76.2)

 Critical

5 (3.1)

0 (0)

5 (33.8)

Outcome, n (%)

 Hospitalization

34 (21.3)

13 (9.4)

21 (100)

< 0.001

 Death attributable to COVID-19

4 (2.5)

0 (0)

4 (19.0)

<0.001

 Death due to other cause

6 (3.7)

1 (0.7)

5 (23.8)

< 0.001

  Death due to progression of underlying HD

5 (3.1)

1 (0.7)

4 (19.0)

0.001

  1. IQR interquartile range, ECOGPS European Cooperative Oncology Group Performance Status, CCI Charlson Comorbidity Index, HSCT hematopoietic stem cell transplantation, anti-S antibody against spike receptor binding domain, COVID-19 coronavirus disease 2019, RDV remdesivir, DEX dexamethasone, HD hematologic disease.
  2. aAnti-S after infection was evaluable in 137 patients.