Unmatched cohort (n = 1835) | Matched cohort (n = 1580) | |||||||
---|---|---|---|---|---|---|---|---|
Corticosteroids (n = 1117) | No corticosteroids (n = 718) | Smd | P value | Corticosteroids (n = 1117) | No corticosteroids (n = 463) | Smd | P value | |
Demographic characteristics | ||||||||
Age (years) | 64 [57–71] | 65 [55–72] | − 0.03 | 0.31 | 64 [57–71] | 66 [57–72] | − 0.06 | 0.33 |
Gender | 0.04 | 0.44 | 0.05 | 0.38 | ||||
Male | 793 (71%) | 497 (69.2%) | 793 (71%) | 339 (73.2%) | ||||
Female | 324 (29%) | 221 (30.8%) | 324 (29%) | 124 (26.8%) | ||||
BMI (kg/m2) | 28 [26–31] | 28 [26–31] | 0.02 | 0.45 | 28 [26–31] | 28 [26–31] | 0.03 | 0.82 |
Time course of disease (days) | ||||||||
Diagnosis gapa | 6 [4–8] | 6 [4–8] | 0.78 | 6.2 [4–8] | 6.5 [5–8] | 0.33 | ||
Hospital gapb | 7 [5–8] | 6 [4–8] | 0.06 | 0.09 | 7 [5–8] | 6.2 [5–8] | 0.05 | 0.37 |
ICU gapc | 2 [0–4] | 1 [0–3] | 0.06 | 0.02 | 2 [0–4] | 1 [0–3] | 0.14 | 0.11 |
Comorbidities | ||||||||
Any comorbidity | 825 (73.9%) | 536 (74.6%) | − 0.02 | 0.74 | 825 (73.9%) | 339 (73.2%) | 0.01 | 0.84 |
Hypertension | 512 (45.8%) | 340 (47.3%) | − 0.03 | 0.55 | 512 (45.8%) | 213 (46%) | − 0.01 | 0.99 |
Prior ACE inhibitors | 173 (15.5%) | 128 (17.8%) | 0.20 | 173 (15.5%) | 87 (18.8%) | 0.12 | ||
Prior ARBs | 201 (18%) | 126 (17.5%) | 0.85 | 201 (18%) | 68 (14.8%) | 0.13 | ||
Diabetes mellitus | 236 (21.1%) | 143 (20%) | 0.03 | 0.57 | 236 (21.1%) | 85 (18.4%) | 0.06 | 0.25 |
Dyslipidaemia | 120 (10.7%) | 68 (9.5%) | 0.04 | 0.42 | 120 (10.7%) | 40 (8.7%) | 0.06 | 0.27 |
Ischaemic heart disease | 73 (6.5%) | 49 (6.8%) | − 0.01 | 0.88 | 73 (6.5%) | 25 (5.5%) | 0.04 | 0.49 |
Asthma | 80 (7.2%) | 41 (5.7%) | 0.06 | 0.25 | 80 (7.2%) | 28 (6%) | 0.04 | 0.47 |
COPD | 79 (7.1%) | 61 (8.5%) | − 0.05 | 0.30 | 79 (7.1%) | 25 (5.4%) | 0.06 | 0.77 |
Chronic kidney disease | 46 (4.1%) | 31 (4.3%) | − 0.01 | 0.92 | 46 (4.1%) | 15 (3.2%) | 0.04 | 0.48 |
Immunosuppression | 40 (3.6%) | 24 (3.3%) | 0.01 | 0.88 | 40 (3.6%) | 15 (3.3%) | 0.01 | 0.90 |
Haematological disease | 34 (3%) | 33 (4.6%) | − 0.09 | 0.10 | 34 (3%) | 14 (3%) | 0.01 | 0.99 |
Autoimmune disease | 47 (4.2%) | 30 (4.2%) | 0.01 | 0.99 | 47 (4.2%) | 17 (3.7%) | 0.02 | 0.78 |
Neuromuscular disease | 9 (0.8%) | 9 (1.2%) | − 0.05 | 0.47 | 9 (0.8%) | 4 (0.8%) | 0 | 0.99 |
Hypothyroidism | 32 (2.8%) | 25 (3.5%) | − 0.04 | 0.54 | 32 (2.8%) | 8 (1.6%) | 0.07 | 0.20 |
Disease severity | ||||||||
APACHE II score | 15 [11–18] | 15 [11–19] | − 0.07 | 0.51 | 15 [11–18] | 15 [11–18] | 0.03 | 0.87 |
SOFA score | 6 [4–8] | 6 [4–8] | − 0.04 | 0.74 | 6 [4–8] | 6 [4–8] | 0.04 | 0.49 |
Pulmonary infiltrates | 0.02 | 0.78 | 0.07 | 0.20 | ||||
≤ 2 | 355 (31.8%) | 223 (31.1%) | 355 (31.8%) | 131 (28.4%) | ||||
> 2 | 762 (68.2%) | 495 (68.9%) | 762 (68.2%) | 332 (71.6%) | ||||
ARDS | 0.005 | 0.22 | ||||||
Mildd | 267 (23.9%) | 209 (29.1%) | − 0.12 | 266 (23.8%) | 110 (23.8%) | 0 | ||
Moderatee | 566 (50.7%) | 367 (51.1%) | − 0.01 | 566 (50.7%) | 253 (54.6%) | − 0.08 | ||
Severef | 284 (25.4%) | 142 (19.8%) | 0.13 | 285 (25.5%) | 100 (21.6%) | 0.09 | ||
Laboratory data | ||||||||
C-reactive protein (mg/dl) | 15.9 [9.1–24.6] | 17.1 [10.1–24.8] | − 0.09 | 0.09 | 16 [9.0–24.3] | 17.4 [10.3–24.7] | − 0.06 | 0.11 |
Procalcitonin (ng/ml) | 0.3 [0.2–0.8] | 0.3 [0.2–0.9] | − 0.05 | 0.22 | 0.3 [0.2–0.8] | 0.3 [0.2–0.7] | 0.06 | 0.28 |
D-dimer (ng/ml) | 1810 [790–4845] | 1600 [742–4193] | 0.09 | 0.03 | 1801 [790–4817] | 1650 [774–4237] | 0.13 | 0.24 |
Complications | ||||||||
Shock | 545 (48.8%) | 370 (51.5%) | − 0.05 | 0.27 | 545 (48.8%) | 242 (52.2%) | − 0.07 | 0.24 |
Acute kidney injury | 0.01 | 0.81 | ||||||
RIFLE I | 94 (8.4%) | 84 (11.7%) | − 0.12 | 94 (8.4%) | 38 (8.2%) | 0.01 | ||
RIFLE II | 81 (7.3%) | 67 (9.3%) | − 0.08 | 81 (7.3%) | 31 (6.6%) | 0.02 | ||
RIFLE III | 147 (13.2%) | 101 (14.1%) | − 0.03 | 147 (13.2%) | 54 (11.7%) | 0.04 | ||
Myocardial dysfunction | 89 (7.8%) | 91 (12.7%) | − 0.17 | 0.001 | 89 (7.8%) | 37 (8.1%) | − 0.01 | 0.99 |
Bacterial co-infection | 128 (11.4%) | 74 (10.3%) | 0.48 | 128 (11.4%) | 49 (10.6%) | 0.67 | ||
Treatments | ||||||||
Remdesivir | 24 (2.2%) | 19 (2.7%) | 0.59 | 24 (2.2%) | 12 (2.6%) | 0.72 | ||
Tocilizumab | 392 (35.1%) | 156 (21.7%) | 0.28 | < 0.001 | 392 (35.1%) | 147 (31.7%) | 0.07 | 0.21 |