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Table 3 Summary of patient characteristics by latent class analysis subtype assignment

From: Novel subtypes of severe COVID-19 respiratory failure based on biological heterogeneity: a secondary analysis of a randomized controlled trial

 

Subtype 1

(N = 292)

Subtype 2

(N = 108)

P-value*

Variables included in LCA model

Age

57.7 ± 13.8

65.7 ± 13.5

 < 0.0001

Male sex

192 (66%)

75 (69%)

0.56

BMI (median (IQR))

32 (28 to 37)

32 (27 to 38)

0.47

Race

  

0.91

Not White or Caucasian

88 (30%)

30 (28%)

 

White or Caucasian

157 (54%)

57 (53%)

 

Unknown

47 (16%)

21 (19%)

 

Respiratory support

  

 < 0.0001

≤ 15 LPM oxygen

32 (11%)

10 (9%)

 

> 15 LPM oxygen

204 (70%)

51 (47%)

 

Noninvasive mechanical ventilation

30 (10%)

10 (9%)

 

Invasive Mechanical ventilation

26 (9%)

36 (33%)

 

Labs†

   

Platelets (109/L)

275 ± 91

225 ± 84

 < 0.0001

Bicarbonate (mmol/L)

25.1 ± 5.8

21.8 ± 3.3

 < 0.0001

Hematocrit (%)

40 ± 5

36 ± 6

 < 0.0001

Bilirubin (mg/dL)

0.5 (0.4 to 0.7)

0.6 (0.4 to 0.9)

0.13

Creatinine (mg/dL)

0.8 (0.7 to 1)

1.4 (1.1 to 2.3)

 < 0.0001

WBC (109/L)

8.7 (6.2 to 11.9)

10.9 (7.7 to 14.9)

0.0002

Neutrophil:Lymphocyte

8.9 (5.7 to 14.9)

14.9 (8.8 to 27.3)

 < 0.0001

PTT (s)

28.7 (26 to 32)

33 (28.3 to 45.1)

 < 0.0001

CRP (mg/L)

54.3 (13.7 to 129)

108 (21 to 169)

0.01

BNP (pg/mL)

71 (32 to 177)

563 (174 to 1477)

 < 0.0001

Biomarkers (median (IQR))

   

SARS-CoV-2 viral antigen protein (pg/mL)

732 (81 to 5,918)

1,358 (123 to 13,784)

0.01

Protein C (% normal)

118 (95 to 140)

89 (66 to 109)

 < 0.0001

PAI-1 (ng/mL)

6.5 (4.4 to 9.3)

6.6 (4.7 to 13.3)

0.17

ICAM-1 (pg/mL)

660,243 (424,368 to 940,689)

724,537 (485,815 to 921,318)

0.44

sTNFR-1 (pg/mL)

2,492 (1,851 to 3,259)

4,757 (3,605 to 6,627)

 < 0.0001

IL-6 (pg/mL)

15.5 (6.3 to 61.2)

28.9 (12.8 to 72.7)

 < 0.0001

IL-8 (pg/mL)

11.4 (7.0 to 17.7)

14.8 (8.8 to 26.5)

0.0002

Ang-2 (pg/mL)

1,616 (1,035 to 2,552)

3,142 (1,948 to 5,272)

 < 0.0001

sRAGE (pg/mL)

5,965 (3,272 to 10,643)

12,323 (7,368 to 18,280)

 < 0.0001

IP-10 (pg/mL)

394 (175 to 646)

850 (364 to 1,870)

 < 0.0001

VEGF (pg/mL)

42.7 (21.6 to 82.8)

28.2 (15.7 to 52.2)

0.0003

MMP-8 (pg/mL)

2,239 (1,302 to 4,046)

3,540 (1,990 to 6,337)

 < 0.0001

SP-D (pg/mL)

15,883 (7,667 to 26,658)

20,851 (9,970 to 38,126)

0.005

Ang-1 (pg/mL)

8,208 (4,875 to 15,454)

5,745 (2,742 to 11,023)

0.0001

IL-18 (pg/mL)

401 (310 to 543)

544 (412 to 703)

 < 0.0001

Variables not included in LCA model

Time from symptom onset, days

8.8 ± 3.7

9.0 ± 5.3

0.70

Dexamethasone ≥ 6 mg‡

282 (97%)

105 (97%)

0.99

Other COVID-19 treatments

   

Tocilizumab

56 (19%)

12 (11%)

0.08

Convalescent plasma

13 (5%)

7 (7%)

0.57

Inhaled nitric oxide

24 (8%)

12 (11%)

0.48

Epoprostenol

54 (19%)

24 (22%)

0.49

Neuromuscular blockade

82 (28%)

42 (39%)

0.05

Baricitinib

8 (3%)

0

0.11

Investigational arm

  

0.08

Apremilast

20 (7%)

11 (10%)

 

Aviptadil

15 (5%)

5 (5%)

 

Celecoxib/Famotidine

16 (5%)

2 (2%)

 

Cenicriviroc

31 (11%)

12 (11%)

 

Control

101 (35%)

41 (38%)

 

Cyclosporine

9 (3%)

0

 

Cyproheptadine

5 (2%)

1 (1%)

 

IC14

30 (10%)

10 (9%)

 

Icatibant

24 (8%)

14 (13%)

 

Narsoplimab

19 (7%)

3 (3%)

 

Pulmozyme

18 (6%)

3 (3%)

 

Razuprotafib

4 (1%)

6 (6%)

 

28-day mortality

57 (20%)

44 (41%)

< 0.0001

60-day mortality

69 (24%)

49 (45%)

< 0.0001

  1. Numbers are presented as n(%) or mean ± SD unless stated otherwise
  2. Ang = angiopoietin; BMI = body mass index; BNP = brain natriuretic peptide; CRP = C reactive protein; ICAM = intercellular adhesion molecule; IL = interleukin; IP = interferon-gamma induced protein; IQR = interquartile range. MMP = matrix metalloproteinase; PAI = plasminogen activator inhibitor; PTT = partial thromboplastin time; SP-D = surfactant protein D; sRAGE = soluble receptor for advanced glycation end products; sTNFR = soluble tumor necrosis factor receptor; TREM = triggering receptor expressed on myeloid cells; VEGF = vascular endothelial growth factor; WBC = white blood cell.
  3. *Determined via Welch’s t-test for normally distributed continuous variables, Wilcoxon rank-sum for non-normally distributed continuous variables, and Chi-squared test or Fisher’s exact test for categorical variables
  4. †Presented as mean ± SD or median(IQR) if variable demonstrated a skewed distribution
  5. ‡Completed course of steroid therapy prior to trial enrollment or receiving dexamethasone at the time of trial enrollment