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Total (n = 123) With HBV infection (n = 15) Without HBV infection (n = 108) P value Sex 0.0469 Female 73 (59.3%) 5 (33.3%) 68 (63.0%) Male 50 (40.7%) 10 (66.7%) 40 (37.0%) Age, median (IQR), y 51.0 (35.0, 66.0) 54.0 (39.0, 60.0) 51.0 (35.0, 66.0) 0.6127 Comorbidities 35 (28.5%) 4 (26.7%) 31 (28.7%) 1.0000 Hypertension 19 (15.4%) 1 (6.7%) 18 (16.7%) 0.4628 Cardiovascular disease 8 (6.5%) 0 (0.0%) 8 (7.4%) 0.5939 Diabetes 12 (9.8%) 1 (6.7%) 11 (10.2%) 1.0000 Malignancy 5 (4.1%) 3 (20.0%) 2 (1.9%) 0.0724 COPD 5 (4.1%) 0 (0.0%) 5 (4.6%) 1.0000 Liver cirrhosis 3 (2.4%) 2 (13.3%) 1 (0.9%) 0.0390 Signs and symptoms Fever 85 (69.1%) 8 (53.3%) 77 (71.3%) 0.2310 Fatigue 67 (54.5%) 8 (53.3%) 59 (54.6%) 1.0000 Myalgia 40 (32.5%) 3 (20.0%) 37 (34.3%) 0.7604 Cough 62 (50.4%) 4 (26.7%) 58 (53.7%) 0.0582 Dyspnea 26 (21.1%) 6 (40.0%) 20 (18.5%) 0.0859 Diarrhea 20 (16.3%) 2 (13.3%) 18 (16.7%) 1.0000 Headache 21 (17.1%) 2 (13.3%) 19 (17.6%) 1.0000 Days from illness onset to hospital, median (IQR), d 7.0 (4.0, 10.0) 7.0 (4.0, 10.0) 7.0 (4.0, 10.0) 0.9102 Laboratory results (units, normal range) White blood cell Count (×109/L, 3.5–9.5) 4.2 (3.0, 5.7) 4.4 (3.4, 5.6) 4.2 (2.9, 5.7) 0.6484 Lymphocyte count (×109/L, 1.1–3.2) 0.9 (0.6, 1.3)↓ 0.6 (0.4, 1.1) ↓ 0.9 (0.6, 1.3) ↓ 0.0598 Neutrophil count (×109/L, 1.8–6.3) 2.5 (1.6, 3.8) 3.4 (2.3, 5.3) 2.5 (1.6, 3.7) 0.2091 Platelet count (×109/L, 125–350) 179.0 (129.0, 2250) 186.0 (104.0, 225.0) 178.5 (130.3, 225.5) 0.7020 Alanine aminotransferase (ALT) (U/L, 9–50) 22.0 (15.0, 34.5) 25.0 (16.0, 44.0) 21.5 (15.0, 32.8) 0.4418 Aspartate aminotransferase (AST) (U/L, 15–40) 25.0 (19.0, 38.0) 28.0 (19.0, 58.0) 25.0 (19.0, 37.0) 0.6327 Total bilirubin (TBIL) (mmol/L, 5–21) 9.6 (7.8, 12.8) 13.2 (10.0, 17.4) 9.4 (7.6, 12.3) 0.0178 Gamma-glutamyltransferase (GGT) (U/L, 8–57) 22.0 (15.0, 36.0) 20.0 (14.0, 28.0) 22.0 (15.3, 36.8) 0.5110 Alkaline phosphatase (ALP) (U/L, 30–120) 66.0 (54.0, 83.0) 76.0 (52.0, 102.0) 65.0 (54.0, 79.8) 0.2339 Albumin (g/L, 40–55) 38.2 (34.4, 41.0) ↓ 36.0 (30.9, 39.6) ↓ 38.3 (34.6, 41.1) ↓ 0.2309 Prothrombin time (s, 9.4–12.5) 12.7 (11.7, 13.3) ↑ 13.0 (11.5, 13.9) ↑ 12.7 (11.8, 13.3) ↑ 0.2376 Activated partial thromboplastin time (s, 25.1–36.5) 30.7 (28.5, 32.6) 30.6 (27.9, 32.7) 30.9 (28.6, 32.6) 0.4557 International normalized ratio (0.85–1.15) 1.2 (1.1, 1.2) ↑ 1.2 (1.1, 1.3) ↑ 1.2 (1.1, 1.2) ↑ 0.2324 D-dimer (mg/L, 0–500) 204.0 (126.0, 464.0) 270.0 (101.0, 2139.0) 195.5 (128.0, 438.8) 0.4794 Creatinine (µmol/L, 64–104) 62.9 (52.6, 76.9) ↓ 65.4 (59.0, 81.1) 61.9 (52.4, 73.5) ↓ 0.2177 Severe type 33 (26.8%) 7 (46.7%) 26 (24.1%) 0.1152 Treatment Oxygen support 74 (60.2%) 8 (53.3%) 66 (61.1%) 0.5842 Antiviral therapy 90 (73.2%) 8 (53.3%) 82 (75.9%) 0.1152 Antibiotic therapy 123 (100.0%) 15 (100.0%) 108 (100.0%) – Use of corticosteroid 61 (49.6%) 5 (33.3%) 56 (51.9%) 0.2704 Hospital stays, median (IQR), days 14.0 (9.0, 20.0) 14.0 (11.0, 18.0) 14.0 (9.0, 21.0) 0.9383 Clinical outcome Remained in hospital 8 (6.5%) 2 (13.3%) 6 (5.6%) 0.0690 Discharged 110 (89.4%) 11 (73.4%) 99 (91.6%) Death 5 (4.1%) 2 (13.3%) 3 (2.8%) Bold represents the significant difference of P values less than 0.05
The arrow ↓: decrease; ↑: increaseTable 1. Demographics, baseline characteristics, laboratory results, treatment and clinical outcomes of 123 COVID-19 patients with or without HBV infection.
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Patient Age (years) Sex (female/male) HBsAg (Pos/Neg) Anti-HBs (Pos/Neg) HBeAg (Pos/Neg) Anti-HBe (Pos/Neg) Anti-HBc (Pos/Neg) HBV-DNA (IU/mL, < 20) Cirrhosis Use of nucleoside analogue 1 38 Male Pos NA NA NA NA 100.0 2 54 Male Pos NA NA NA NA NA 3 74 Male Pos Neg Neg Pos Pos < 20 Yes Yes 4 36 Female Pos Neg Neg Neg Pos 211.0 5 48 Male Pos Neg Neg Pos Pos 235.0 6 60 Male Pos Neg Neg Pos Pos < 20 7 72 Female Pos Neg Neg Pos Pos 40, 500.0 8 56 Female Pos Neg Neg Pos Pos 40.6 Yes 9 57 Male Pos NA NA NA NA NA 10 39 Male Pos NA NA NA NA 657.0 11 50 Female Pos Neg Neg Pos Pos 2180.0 12 49 Male Pos Neg Neg Pos Pos 89.0 13 59 Male Pos Neg Neg Pos Pos < 20 14 77 Male Pos Neg Neg Pos Pos 166.0 Yes Yes 15 28 Female Pos Neg Pos Neg Pos 1340.0 Bold indicates the value of HBV-DNA > 20 IU/mL and is considered as positive
NA Data not available, Pos positive; Neg negativeTable 2. Hepatitis B serological markers, cirrhosis and nucleoside analogue use of COVID-19 patients co-infected with HBV.
Figure 1 个
Table 2 个