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Table 1 Baseline characteristics and disease severity markers at admission of renin-angiotensin system inhibitors users in discontinuation and continuation cohorts

From: Impact of in-hospital discontinuation with angiotensin receptor blockers or converting enzyme inhibitors on mortality of COVID-19 patients: a retrospective cohort study

 

RASIs discontinued N=340 (%)

RASIs continued N=285 (%)

Standardised difference

p value

Sex, Males

213 (62.7)

166 (58.3)

+0.09

0.26

Age, years, median (IQR)

74 (65.5-82)

75 (68-82)

−0.16

0.22

Baseline risk factors and comorbidities

Obesity

57 (16.8)

86 (30.2)

−0.32

<0.001

Smoking

  

−0.09

0.76

Non-smoker

129 (37.9)

116 (40.7)

  

Current smoker

14 (4.1)

15 (5.3)

  

Past smoker

102 (30.0)

81 (28.4)

  

Not recorded

95 (27.9)

73 (25.6)

  

Hypertension

332 (97.6)

277 (97.2)

+0.03

0.72

Diabetes

123 (36.2)

111 (38.9)

−0.06

0.48

Dyslipidemia

219 (64.4)

193 67.7)

−0.07

0.38

Ischemic heart disease

50 (14.7)

49 (17.2)

−0.07

0.40

Heart failure

29 (8.5)

40 (14.0)

−0.17

0.03

Atrial fibrillation

50 (14.7)

49 (17.2)

−0.07

0.40

Thromboembolic disease

11 (3.2)

17 (6.0)

−0.13

0.10

Cerebrovascular accident

18 (5.3)

32 (11.2)

−0.22

0.01

COPD

42 (12.4)

38 (13.3)

−0.03

0.71

Asthma

27 (7.9)

20 (7.0)

+0.04

0.66

Cancer

Antecedents

32 (9.4)

30 (10.5)

−0.04

0.64

Current

35 (10.3)

32 (11.2)

−0.03

0.71

Chronic renal failure

38 (11.2)

34 (11.9)

−0.02

0.77

Treatment before admission

ACEIs

172 (50.6)

149 (52.3)

−0.03

0.67

ARBs

170 (50.0)

138 (48.4)

+0.03

0.69

AMRs

11 (3.2)

12 (4.2)

−0.05

0.52

CCBs

115 (33.8)

81 (28.4)

+0.12

0.15

Diuretics

173 (50.9)

157 (55.1)

−0.08

0.29

Beta-blockers

81 (23.8)

73 (25.6)

−0.04

0.60

Alpha-blockers

20 (5.9)

20 (7.0)

−0.05

0.56

Oral anticoagulants

55 (16.2)

59 (20.7)

−0.12

0.14

Antiplatelet agents

93 (27.4)

82 (28.8)

−0.03

0.69

NSAIDs

29 (8.5)

20 (7.0)

+0.06

0.48

Systemic corticosteroids

25 (7.4)

10 (3.5)

+0.17

0.04

Paracetamol

177 (52.1)

173 (60.7)

−0.17

0.03

Metamizole

94 (27.6)

74 (26.0)

+0.04

0.64

Statins

173 (50.9)

164 (57.5)

−0.13

0.10

Ezetimibe

14 (4.1)

12 (4.2)

−0.004

0.95

Glucose lowering drugs

100 (29.4)

94 (33.0)

−0.08

0.34

Insulin

32 (9.4)

37 (13.0)

−0.11

0.16

Hospital (row %)

HUPA

136 (64.5)

75 (35.6)

  

HUG

28 (23.5)

91(76.5)

  

HURyC

56 (67.5)

27 (32.5)

  

HCDGU

28 (41.2)

40 (58.2)

-

<0.001

HCSC

30 (46.2)

35 (53.9)

  

HULPr

53 (93.0)

4 (7.0)

  

HUPHM

9 (40.9)

13 (59.1)

  

Date of admission (row %)

March, 1–10

26 (32.1)

55 (67.9)

  

March, 11–20

219 (52.6)

197 (47.4)

-

<0.001

March, 21–31

95 (74.2)

33 (25.8)

  

Disease severity at admission

Pneumonia

319 (93.8)

252 (88.4)

+0.19

0.02

Hypoxaemia*

153 (45.0)

116 (40.7)

+0.09

0.28

CRP**

322 (94.7)

271 (95.1)

−0.02

0.83

Troponin**

21 (6.2)

19 (6.7)

−0.02

0.80

D-dimer**

184 (54.1)

137 (48.1)

+0.12

0.13

Procalcitonin**

140 (41.2)

79 (27.7)

+0.29

<0.001

NT-pro-BNP**

42 (12.4)

36 (12.6)

−0.01

0.92

Lymphopenia

192 (56.5)

162 (56.8)

−0.01

0.93

Severity score***

0–1

39 (11.5)

40 (14.0)

  

2

66 (19.4)

74 (26.0)

  

3

109 (32.1)

80 (28.1)

-

0.16

4

80 (23.5)

66 (23.2)

  

5

39 (11.5)

20 (7.0)

  

6–7

7 (2.1)

5 (1.8)

  

Mean (SD)

3.1 (1.2)

2.9 (1.2)

+0.18

0.03

  1. Abbreviations: ACEIs angiotensin-converting enzyme inhibitors, AMRs antagonists of mineralocorticoid receptor, ARBs angiotensin receptor blockers, COPD chronic obstructive pulmonary disease, CCBs calcium channel blockers, CRP C-reactive protein, HCDGU Hospital Central de la Defensa Gómez Ulla, HCSC Hospital Clínico San Carlos, HUG Hospital Universitario de Getafe, HULPr Hospital Universitario La Princesa, HUPA Hospital Universitario Príncipe de Asturias, HUPHM Hospital Universitario Puerta de Hierro de Madrid, HURyC Hospital Universitario Ramón y Cajal, IQR interquartile range, NSAIDs nonsteroidal anti-inflammatory drugs, NT-pro-BNP N-terminal proprotein natriuretic peptide type B, RASIs renin-angiotensin system inhibitors, SD standard deviation
  2. *SatO2 <90%, or PaO2/FiO2 ≤315 mm Hg
  3. **Patients with abnormal values measured at admission
  4. ***Composite variable including: hypoxaemia, CRP, troponin, D-dimer, procalcitonin, NT-pro-BNP, and lymphopenia. Abnormal value: 1; normal or missing: 0