Table 4.

Univariate and Multivariable Analysis by Linear Regression on Factors Associated With Time to First Negative RT-PCR of SARS-CoV-2

Duration From First Positive to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.358 (3.894 to 4.822)<.0011.017 (0.616 to 1.418)<.001
Trough Ct value–0.638 (–0.661 to –0.616)<.001–0.556 (–0.578 to –0.533)<.001
Age0.098 (0.088 to 0.107)<.001
Male gender1.044 (0.684 to 1.403)<.001
Liver cirrhosis5.011 (3.201 to 6.820)<.0012.226 (0.798 to 3.654).002
Diabetes mellitus4.519 (4.030 to 5.007)<.0010.537 (0.075 to 1.000).023
Hypertension3.838 (3.423 to 4.253)<.0010.763 (0.380 to 1.147)<.001
Use of corticosteroids7.673 (7.202 to 8.144)<.0014.347 (3.846 to 4.848)<.001
Use of remdesivir4.833 (4.100 to 5.565)<.001–1.335 (–1.982 to –0.687)<.001
Use of other antiviral agents for COVID-194.824 (4.472 to 5.177)<.0010.858 (0.530 to 1.186)<.001
Mechanical ventilation12.885 (11.557 to 14.213)<.0015.234 (4.083 to 6.384)<.001
Renal replacement8.785 (6.352 to 11.217)<.001
Positive HBsAg–0.266 (–1.218 to 0.686).584
Positive anti-HCV–0.910 (–3.420 to 1.599).477
Duration From Admission to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.295 (3.831 to 4.759)<.0011.005 (0.601 to 1.409)<.001
Trough Ct value–0.627 (–0.650 to –0.604)<.001–0.546 (–0.569 to –0.524)<.001
Age0.096 (0.086 to 0.105)<.001
Male gender1.064 (0.705 to 1.423)<.001
Liver cirrhosis5.100 (3.293 to 6.908)<.0012.376 (0.936 to 3.815).001
Diabetes mellitus4.479 (3.991 to 4.967)<.0010.538 (0.071 to 1.004).024
Hypertension3.815 (3.400 to 4.229)<.0010.790 (0.403 to 1.176)<.001
Use of corticosteroids7.604 (7.133 to 8.075)<.0014.336 (3.831 to 4.841)<.001
Use of remdesivir4.851 (4.120 to 5.583)<.001–1.254 (–1.907 to –0.602)<.001
Use of other antiviral agents for COVID-194.673 (4.320 to 5.026)<.0010.738 (0.407 to 1.068)<.001
Mechanical ventilation12.806 (11.479 to 14.133)<.0015.245 (4.085 to 6.404)<.001
Renal replacement9.241 (6.813 to 11.67)<.001
Positive HBsAg–0.285 (–1.239 to 0.670).559
Positive anti-HCV–0.844 (–3.364 to 1.676).512
Duration From Symptom Onset to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.440 (3.916 to 4.963)<.0011.034 (0.544 to 1.523)<.001
Trough Ct value–0.572 (–0.599 to –0.544)<.001–0.478 (–0.505 to –0.450)<.001
Age0.104 (0.093 to 0.115)<.001
Male gender1.147 (0.743 to 1.551)<.001
Liver cirrhosis4.585 (2.551 to 6.618)<.0011.908 (0.166 to 3.649).032
Diabetes mellitus4.624 (4.074 to 5.175)<.001
Hypertension4.125 (3.658 to 4.592)<.0011.241 (0.806 to 1.677)<.001
Use of corticosteroids7.826 (7.291 to 8.362)<.0014.572 (3.965 to 5.178)<.001
Use of remdesivir4.363 (3.537 to 5.189)<.001–1.831 (–2.620 to –1.041)<.001
Use of other antiviral agents for COVID-195.040 (4.642 to 5.438)<.0011.302 (0.903 to 1.701)<.001
Mechanical ventilation13.789 (12.294 to 15.284)<.0016.350 (4.965 to 7.734)<.001
Renal replacement10.780 (8.050 to 13.510)<.001
Positive HBsAg–0.106 (–1.148 to 0.936).842
Positive anti-HCV–0.815 (–3.549 to 1.918).559
Duration From First Positive to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.358 (3.894 to 4.822)<.0011.017 (0.616 to 1.418)<.001
Trough Ct value–0.638 (–0.661 to –0.616)<.001–0.556 (–0.578 to –0.533)<.001
Age0.098 (0.088 to 0.107)<.001
Male gender1.044 (0.684 to 1.403)<.001
Liver cirrhosis5.011 (3.201 to 6.820)<.0012.226 (0.798 to 3.654).002
Diabetes mellitus4.519 (4.030 to 5.007)<.0010.537 (0.075 to 1.000).023
Hypertension3.838 (3.423 to 4.253)<.0010.763 (0.380 to 1.147)<.001
Use of corticosteroids7.673 (7.202 to 8.144)<.0014.347 (3.846 to 4.848)<.001
Use of remdesivir4.833 (4.100 to 5.565)<.001–1.335 (–1.982 to –0.687)<.001
Use of other antiviral agents for COVID-194.824 (4.472 to 5.177)<.0010.858 (0.530 to 1.186)<.001
Mechanical ventilation12.885 (11.557 to 14.213)<.0015.234 (4.083 to 6.384)<.001
Renal replacement8.785 (6.352 to 11.217)<.001
Positive HBsAg–0.266 (–1.218 to 0.686).584
Positive anti-HCV–0.910 (–3.420 to 1.599).477
Duration From Admission to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.295 (3.831 to 4.759)<.0011.005 (0.601 to 1.409)<.001
Trough Ct value–0.627 (–0.650 to –0.604)<.001–0.546 (–0.569 to –0.524)<.001
Age0.096 (0.086 to 0.105)<.001
Male gender1.064 (0.705 to 1.423)<.001
Liver cirrhosis5.100 (3.293 to 6.908)<.0012.376 (0.936 to 3.815).001
Diabetes mellitus4.479 (3.991 to 4.967)<.0010.538 (0.071 to 1.004).024
Hypertension3.815 (3.400 to 4.229)<.0010.790 (0.403 to 1.176)<.001
Use of corticosteroids7.604 (7.133 to 8.075)<.0014.336 (3.831 to 4.841)<.001
Use of remdesivir4.851 (4.120 to 5.583)<.001–1.254 (–1.907 to –0.602)<.001
Use of other antiviral agents for COVID-194.673 (4.320 to 5.026)<.0010.738 (0.407 to 1.068)<.001
Mechanical ventilation12.806 (11.479 to 14.133)<.0015.245 (4.085 to 6.404)<.001
Renal replacement9.241 (6.813 to 11.67)<.001
Positive HBsAg–0.285 (–1.239 to 0.670).559
Positive anti-HCV–0.844 (–3.364 to 1.676).512
Duration From Symptom Onset to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.440 (3.916 to 4.963)<.0011.034 (0.544 to 1.523)<.001
Trough Ct value–0.572 (–0.599 to –0.544)<.001–0.478 (–0.505 to –0.450)<.001
Age0.104 (0.093 to 0.115)<.001
Male gender1.147 (0.743 to 1.551)<.001
Liver cirrhosis4.585 (2.551 to 6.618)<.0011.908 (0.166 to 3.649).032
Diabetes mellitus4.624 (4.074 to 5.175)<.001
Hypertension4.125 (3.658 to 4.592)<.0011.241 (0.806 to 1.677)<.001
Use of corticosteroids7.826 (7.291 to 8.362)<.0014.572 (3.965 to 5.178)<.001
Use of remdesivir4.363 (3.537 to 5.189)<.001–1.831 (–2.620 to –1.041)<.001
Use of other antiviral agents for COVID-195.040 (4.642 to 5.438)<.0011.302 (0.903 to 1.701)<.001
Mechanical ventilation13.789 (12.294 to 15.284)<.0016.350 (4.965 to 7.734)<.001
Renal replacement10.780 (8.050 to 13.510)<.001
Positive HBsAg–0.106 (–1.148 to 0.936).842
Positive anti-HCV–0.815 (–3.549 to 1.918).559

ALT/AST elevation was defined by ALT and/or AST ≥2× the upper limit of normal at baseline or during follow-up. The upper limit of normal of ALT and AST was 40 U/L. ALT/AST elevation was forced into the multivariable model. Use of antiviral agents included the use of lopinavir-ritonavir, ribavirin, and/or interferon-beta. Negative RT-PCR of SARS-CoV-2 was indicated by a negative qualitative result or a quantitative Ct value ≥40.

Abbreviations: ALT, alanine aminotransferase; AST, aspartate aminotransferase; COVID-19, coronavirus disease 2019; Ct, cycle threshold; HBsAg, hepatitis B surface antigen; HCV, hepatitis C virus; RT-PCR, reverse transcription polymerase chain reaction; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

Table 4.

Univariate and Multivariable Analysis by Linear Regression on Factors Associated With Time to First Negative RT-PCR of SARS-CoV-2

Duration From First Positive to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.358 (3.894 to 4.822)<.0011.017 (0.616 to 1.418)<.001
Trough Ct value–0.638 (–0.661 to –0.616)<.001–0.556 (–0.578 to –0.533)<.001
Age0.098 (0.088 to 0.107)<.001
Male gender1.044 (0.684 to 1.403)<.001
Liver cirrhosis5.011 (3.201 to 6.820)<.0012.226 (0.798 to 3.654).002
Diabetes mellitus4.519 (4.030 to 5.007)<.0010.537 (0.075 to 1.000).023
Hypertension3.838 (3.423 to 4.253)<.0010.763 (0.380 to 1.147)<.001
Use of corticosteroids7.673 (7.202 to 8.144)<.0014.347 (3.846 to 4.848)<.001
Use of remdesivir4.833 (4.100 to 5.565)<.001–1.335 (–1.982 to –0.687)<.001
Use of other antiviral agents for COVID-194.824 (4.472 to 5.177)<.0010.858 (0.530 to 1.186)<.001
Mechanical ventilation12.885 (11.557 to 14.213)<.0015.234 (4.083 to 6.384)<.001
Renal replacement8.785 (6.352 to 11.217)<.001
Positive HBsAg–0.266 (–1.218 to 0.686).584
Positive anti-HCV–0.910 (–3.420 to 1.599).477
Duration From Admission to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.295 (3.831 to 4.759)<.0011.005 (0.601 to 1.409)<.001
Trough Ct value–0.627 (–0.650 to –0.604)<.001–0.546 (–0.569 to –0.524)<.001
Age0.096 (0.086 to 0.105)<.001
Male gender1.064 (0.705 to 1.423)<.001
Liver cirrhosis5.100 (3.293 to 6.908)<.0012.376 (0.936 to 3.815).001
Diabetes mellitus4.479 (3.991 to 4.967)<.0010.538 (0.071 to 1.004).024
Hypertension3.815 (3.400 to 4.229)<.0010.790 (0.403 to 1.176)<.001
Use of corticosteroids7.604 (7.133 to 8.075)<.0014.336 (3.831 to 4.841)<.001
Use of remdesivir4.851 (4.120 to 5.583)<.001–1.254 (–1.907 to –0.602)<.001
Use of other antiviral agents for COVID-194.673 (4.320 to 5.026)<.0010.738 (0.407 to 1.068)<.001
Mechanical ventilation12.806 (11.479 to 14.133)<.0015.245 (4.085 to 6.404)<.001
Renal replacement9.241 (6.813 to 11.67)<.001
Positive HBsAg–0.285 (–1.239 to 0.670).559
Positive anti-HCV–0.844 (–3.364 to 1.676).512
Duration From Symptom Onset to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.440 (3.916 to 4.963)<.0011.034 (0.544 to 1.523)<.001
Trough Ct value–0.572 (–0.599 to –0.544)<.001–0.478 (–0.505 to –0.450)<.001
Age0.104 (0.093 to 0.115)<.001
Male gender1.147 (0.743 to 1.551)<.001
Liver cirrhosis4.585 (2.551 to 6.618)<.0011.908 (0.166 to 3.649).032
Diabetes mellitus4.624 (4.074 to 5.175)<.001
Hypertension4.125 (3.658 to 4.592)<.0011.241 (0.806 to 1.677)<.001
Use of corticosteroids7.826 (7.291 to 8.362)<.0014.572 (3.965 to 5.178)<.001
Use of remdesivir4.363 (3.537 to 5.189)<.001–1.831 (–2.620 to –1.041)<.001
Use of other antiviral agents for COVID-195.040 (4.642 to 5.438)<.0011.302 (0.903 to 1.701)<.001
Mechanical ventilation13.789 (12.294 to 15.284)<.0016.350 (4.965 to 7.734)<.001
Renal replacement10.780 (8.050 to 13.510)<.001
Positive HBsAg–0.106 (–1.148 to 0.936).842
Positive anti-HCV–0.815 (–3.549 to 1.918).559
Duration From First Positive to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.358 (3.894 to 4.822)<.0011.017 (0.616 to 1.418)<.001
Trough Ct value–0.638 (–0.661 to –0.616)<.001–0.556 (–0.578 to –0.533)<.001
Age0.098 (0.088 to 0.107)<.001
Male gender1.044 (0.684 to 1.403)<.001
Liver cirrhosis5.011 (3.201 to 6.820)<.0012.226 (0.798 to 3.654).002
Diabetes mellitus4.519 (4.030 to 5.007)<.0010.537 (0.075 to 1.000).023
Hypertension3.838 (3.423 to 4.253)<.0010.763 (0.380 to 1.147)<.001
Use of corticosteroids7.673 (7.202 to 8.144)<.0014.347 (3.846 to 4.848)<.001
Use of remdesivir4.833 (4.100 to 5.565)<.001–1.335 (–1.982 to –0.687)<.001
Use of other antiviral agents for COVID-194.824 (4.472 to 5.177)<.0010.858 (0.530 to 1.186)<.001
Mechanical ventilation12.885 (11.557 to 14.213)<.0015.234 (4.083 to 6.384)<.001
Renal replacement8.785 (6.352 to 11.217)<.001
Positive HBsAg–0.266 (–1.218 to 0.686).584
Positive anti-HCV–0.910 (–3.420 to 1.599).477
Duration From Admission to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.295 (3.831 to 4.759)<.0011.005 (0.601 to 1.409)<.001
Trough Ct value–0.627 (–0.650 to –0.604)<.001–0.546 (–0.569 to –0.524)<.001
Age0.096 (0.086 to 0.105)<.001
Male gender1.064 (0.705 to 1.423)<.001
Liver cirrhosis5.100 (3.293 to 6.908)<.0012.376 (0.936 to 3.815).001
Diabetes mellitus4.479 (3.991 to 4.967)<.0010.538 (0.071 to 1.004).024
Hypertension3.815 (3.400 to 4.229)<.0010.790 (0.403 to 1.176)<.001
Use of corticosteroids7.604 (7.133 to 8.075)<.0014.336 (3.831 to 4.841)<.001
Use of remdesivir4.851 (4.120 to 5.583)<.001–1.254 (–1.907 to –0.602)<.001
Use of other antiviral agents for COVID-194.673 (4.320 to 5.026)<.0010.738 (0.407 to 1.068)<.001
Mechanical ventilation12.806 (11.479 to 14.133)<.0015.245 (4.085 to 6.404)<.001
Renal replacement9.241 (6.813 to 11.67)<.001
Positive HBsAg–0.285 (–1.239 to 0.670).559
Positive anti-HCV–0.844 (–3.364 to 1.676).512
Duration From Symptom Onset to First Negative RT-PCR of SARS-CoV-2
Univariate AnalysisMultivariable Analysis
ParametersCoefficient (95% CI)P ValueAdjusted Coefficient (95% CI)P Value
ALT/AST elevation4.440 (3.916 to 4.963)<.0011.034 (0.544 to 1.523)<.001
Trough Ct value–0.572 (–0.599 to –0.544)<.001–0.478 (–0.505 to –0.450)<.001
Age0.104 (0.093 to 0.115)<.001
Male gender1.147 (0.743 to 1.551)<.001
Liver cirrhosis4.585 (2.551 to 6.618)<.0011.908 (0.166 to 3.649).032
Diabetes mellitus4.624 (4.074 to 5.175)<.001
Hypertension4.125 (3.658 to 4.592)<.0011.241 (0.806 to 1.677)<.001
Use of corticosteroids7.826 (7.291 to 8.362)<.0014.572 (3.965 to 5.178)<.001
Use of remdesivir4.363 (3.537 to 5.189)<.001–1.831 (–2.620 to –1.041)<.001
Use of other antiviral agents for COVID-195.040 (4.642 to 5.438)<.0011.302 (0.903 to 1.701)<.001
Mechanical ventilation13.789 (12.294 to 15.284)<.0016.350 (4.965 to 7.734)<.001
Renal replacement10.780 (8.050 to 13.510)<.001
Positive HBsAg–0.106 (–1.148 to 0.936).842
Positive anti-HCV–0.815 (–3.549 to 1.918).559

ALT/AST elevation was defined by ALT and/or AST ≥2× the upper limit of normal at baseline or during follow-up. The upper limit of normal of ALT and AST was 40 U/L. ALT/AST elevation was forced into the multivariable model. Use of antiviral agents included the use of lopinavir-ritonavir, ribavirin, and/or interferon-beta. Negative RT-PCR of SARS-CoV-2 was indicated by a negative qualitative result or a quantitative Ct value ≥40.

Abbreviations: ALT, alanine aminotransferase; AST, aspartate aminotransferase; COVID-19, coronavirus disease 2019; Ct, cycle threshold; HBsAg, hepatitis B surface antigen; HCV, hepatitis C virus; RT-PCR, reverse transcription polymerase chain reaction; SARS-CoV-2, severe acute respiratory syndrome coronavirus 2.

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