Research Article

Clinical Outcomes of COVID-19 and Impact on Disease Course in Patients with Inflammatory Bowel Disease

Table 1

Baseline characteristics of IBD patients with COVID-19 infection.

CharacteristicsOverall (n = 82)CD (n = 63)UC (n = 19)

Age (years), median (IQR)39.0 (27.8–48.0)38.0 (27.0–47.0)46.0 (34.0–58.0)
Female, n (%)41 (50.0)30 (47.6)11 (57.9)
Body mass index (kg/m2), mean (SD)24.0 (22.0–28.0)24.0 (22.0–28.0)23.8 (21.3–29.5)
Active smoking, n (%)5 (6.1)5 (7.9)0
Duration of IBD (year), median (IQR)11.5 (6.0–20.2)12.0 (7.0–21.0)11.0 (2.0–20.0)
Concomitant therapy for IBD, n (%)
5-Aminosalicylates18 (22.0)7 (11.1)11 (57.9)
Thiopurines3 (3.7)3 (4.8)0
Sulfasalazine3 (3.7)2 (3.2)1 (5.3)
Systemic corticosteroids9 (11.0)4 (6.3)5 (26.3)
 Steroid dose (mg/d), median (IQR)20.0 (7.5–40.0)7.5 (5.0–32.5)20.0 (17.5–45.0)
Methotrexate1 (1.2)1 (1.6)0
Biologics, n (%)59 (72.0)49 (77.8)10 (52.6)
 Infliximaba11 (18.6)8 (16.3)3 (30.0)
 Adalimumab18 (30.5)16 (32.7)2 (20.0)
 Vedolizumaba6 (10.2)4 (8.2)2 (20.0)
 Ustekinumaba21 (35.6)20 (40.8)1 (10.0)
 Tofacitiniba1 (1.7)01 (10.0)
 Other biologics (clinical trial study)a2 (3.4)1 (2.0)1 (10.0)
 Previous expose to biologics29 (35.4)27 (42.9)2 (10.5)
Number of comorbidities, n (%)
None54 (65.9)43 (68.3)11 (55.6)
118 (22.0)12 (19.0)6 (33.3)
27 (8.5)5 (7.9)2 (11.1)
31 (1.2)1 (1.6)0
≥42 (2.4)2 (3.2)0
Major comorbidity, n (%)
 Cardiovascular disease8 (9.8)8 (12.7)0
 Chronic lung disease7 (8.5)4 (6.3)3 (15.8)
 Diabetes mellitus5 (6.1)5 (7.9)0
 Obesity (BMI >30 kg/m2)14 (17.1)10 (15.9)4 (21.1)
 Immune-mediated diseases6 (7.3)4 (6.3)2 (10.5)
 Malignancies2 (2.4)1 (1.6)1 (5.3)
 Chronic renal disease1 (1.2)1 (1.6)0
IBD characteristics, n (%)
UC type
 E1/E2/E3NANA1 (5.3)/9 (47.4)/9 (47.4)
 S1/S2/S3NANA5 (26.3)/13 (68.4)/1 (5.3)
CD type
 L1/L2/L3/L4NA12 (19.0)/18 (28.6)/30 (47.6)/3 (4.8)NA
 B1/B2/B3NA38 (60.3)/21 (33.3)/4 (6.4)NA
Previous intestinal resection15 (18.3)15 (23.8)0
Perianal involvement/fistula12 (14.6)12 (19.0)0
Extraintestinal manifestation18 (22.0)14 (22.2)4 (21.1)
IBD disease activity before COVID-19 diagnosis
 HBI score for CD, median (IQR)NA2 (0–2)NA
 Partial Mayo score for UC, median (IQR)NANA1 (0–2)
Patients with endoscopy before COVID-19, n (%)39 (47.6)28 (44.4)11 (57.9)
 SES-CD for CD (median, IQR)NA1 (0–7)NA
 Mayo endoscopic score for UC (median, IQR)NANA1 (0–2)
Patients with clinical active, n (%)18 (22.0)14 (22.2)4 (21.1)
Patients with endoscopic active, n (%)13 (15.9)9 (14.3)4 (22.1)
 SES-CD in active CD, median (IQR)NA9 (3–20)NA
 Mayo endoscopic score in active UC, median (IQR)NANA2 (2–3)
Labs before diagnosis of COVID-19, median (IQR)
 Hemoglobin, g/L132.5 (122.0–146)133.5 (122–146.5)131.5 (119–143)
 Albumin, g/L40.3 (38.0–44.0)41.0 (37.2–43.5)42.0 (38.0–45.0)
 C-reactive protein, mg/l4.0 (1.0–8.0)4.0 (2.0–8.0)2.0 (0.8–13.5)
 Fecal calprotectin, mcg/g165 (36.5–320)165.5 (37.8–284.5)165 (33.5–716)

aPercentages were calculated as in patients with biologics use.