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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.358 (3.894 to 4.822) | <.001 | 1.017 (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 |
Age | 0.098 (0.088 to 0.107) | <.001 | ||
Male gender | 1.044 (0.684 to 1.403) | <.001 | ||
Liver cirrhosis | 5.011 (3.201 to 6.820) | <.001 | 2.226 (0.798 to 3.654) | .002 |
Diabetes mellitus | 4.519 (4.030 to 5.007) | <.001 | 0.537 (0.075 to 1.000) | .023 |
Hypertension | 3.838 (3.423 to 4.253) | <.001 | 0.763 (0.380 to 1.147) | <.001 |
Use of corticosteroids | 7.673 (7.202 to 8.144) | <.001 | 4.347 (3.846 to 4.848) | <.001 |
Use of remdesivir | 4.833 (4.100 to 5.565) | <.001 | –1.335 (–1.982 to –0.687) | <.001 |
Use of other antiviral agents for COVID-19 | 4.824 (4.472 to 5.177) | <.001 | 0.858 (0.530 to 1.186) | <.001 |
Mechanical ventilation | 12.885 (11.557 to 14.213) | <.001 | 5.234 (4.083 to 6.384) | <.001 |
Renal replacement | 8.785 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.295 (3.831 to 4.759) | <.001 | 1.005 (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 |
Age | 0.096 (0.086 to 0.105) | <.001 | ||
Male gender | 1.064 (0.705 to 1.423) | <.001 | ||
Liver cirrhosis | 5.100 (3.293 to 6.908) | <.001 | 2.376 (0.936 to 3.815) | .001 |
Diabetes mellitus | 4.479 (3.991 to 4.967) | <.001 | 0.538 (0.071 to 1.004) | .024 |
Hypertension | 3.815 (3.400 to 4.229) | <.001 | 0.790 (0.403 to 1.176) | <.001 |
Use of corticosteroids | 7.604 (7.133 to 8.075) | <.001 | 4.336 (3.831 to 4.841) | <.001 |
Use of remdesivir | 4.851 (4.120 to 5.583) | <.001 | –1.254 (–1.907 to –0.602) | <.001 |
Use of other antiviral agents for COVID-19 | 4.673 (4.320 to 5.026) | <.001 | 0.738 (0.407 to 1.068) | <.001 |
Mechanical ventilation | 12.806 (11.479 to 14.133) | <.001 | 5.245 (4.085 to 6.404) | <.001 |
Renal replacement | 9.241 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.440 (3.916 to 4.963) | <.001 | 1.034 (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 |
Age | 0.104 (0.093 to 0.115) | <.001 | ||
Male gender | 1.147 (0.743 to 1.551) | <.001 | ||
Liver cirrhosis | 4.585 (2.551 to 6.618) | <.001 | 1.908 (0.166 to 3.649) | .032 |
Diabetes mellitus | 4.624 (4.074 to 5.175) | <.001 | ||
Hypertension | 4.125 (3.658 to 4.592) | <.001 | 1.241 (0.806 to 1.677) | <.001 |
Use of corticosteroids | 7.826 (7.291 to 8.362) | <.001 | 4.572 (3.965 to 5.178) | <.001 |
Use of remdesivir | 4.363 (3.537 to 5.189) | <.001 | –1.831 (–2.620 to –1.041) | <.001 |
Use of other antiviral agents for COVID-19 | 5.040 (4.642 to 5.438) | <.001 | 1.302 (0.903 to 1.701) | <.001 |
Mechanical ventilation | 13.789 (12.294 to 15.284) | <.001 | 6.350 (4.965 to 7.734) | <.001 |
Renal replacement | 10.780 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.358 (3.894 to 4.822) | <.001 | 1.017 (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 |
Age | 0.098 (0.088 to 0.107) | <.001 | ||
Male gender | 1.044 (0.684 to 1.403) | <.001 | ||
Liver cirrhosis | 5.011 (3.201 to 6.820) | <.001 | 2.226 (0.798 to 3.654) | .002 |
Diabetes mellitus | 4.519 (4.030 to 5.007) | <.001 | 0.537 (0.075 to 1.000) | .023 |
Hypertension | 3.838 (3.423 to 4.253) | <.001 | 0.763 (0.380 to 1.147) | <.001 |
Use of corticosteroids | 7.673 (7.202 to 8.144) | <.001 | 4.347 (3.846 to 4.848) | <.001 |
Use of remdesivir | 4.833 (4.100 to 5.565) | <.001 | –1.335 (–1.982 to –0.687) | <.001 |
Use of other antiviral agents for COVID-19 | 4.824 (4.472 to 5.177) | <.001 | 0.858 (0.530 to 1.186) | <.001 |
Mechanical ventilation | 12.885 (11.557 to 14.213) | <.001 | 5.234 (4.083 to 6.384) | <.001 |
Renal replacement | 8.785 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.295 (3.831 to 4.759) | <.001 | 1.005 (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 |
Age | 0.096 (0.086 to 0.105) | <.001 | ||
Male gender | 1.064 (0.705 to 1.423) | <.001 | ||
Liver cirrhosis | 5.100 (3.293 to 6.908) | <.001 | 2.376 (0.936 to 3.815) | .001 |
Diabetes mellitus | 4.479 (3.991 to 4.967) | <.001 | 0.538 (0.071 to 1.004) | .024 |
Hypertension | 3.815 (3.400 to 4.229) | <.001 | 0.790 (0.403 to 1.176) | <.001 |
Use of corticosteroids | 7.604 (7.133 to 8.075) | <.001 | 4.336 (3.831 to 4.841) | <.001 |
Use of remdesivir | 4.851 (4.120 to 5.583) | <.001 | –1.254 (–1.907 to –0.602) | <.001 |
Use of other antiviral agents for COVID-19 | 4.673 (4.320 to 5.026) | <.001 | 0.738 (0.407 to 1.068) | <.001 |
Mechanical ventilation | 12.806 (11.479 to 14.133) | <.001 | 5.245 (4.085 to 6.404) | <.001 |
Renal replacement | 9.241 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.440 (3.916 to 4.963) | <.001 | 1.034 (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 |
Age | 0.104 (0.093 to 0.115) | <.001 | ||
Male gender | 1.147 (0.743 to 1.551) | <.001 | ||
Liver cirrhosis | 4.585 (2.551 to 6.618) | <.001 | 1.908 (0.166 to 3.649) | .032 |
Diabetes mellitus | 4.624 (4.074 to 5.175) | <.001 | ||
Hypertension | 4.125 (3.658 to 4.592) | <.001 | 1.241 (0.806 to 1.677) | <.001 |
Use of corticosteroids | 7.826 (7.291 to 8.362) | <.001 | 4.572 (3.965 to 5.178) | <.001 |
Use of remdesivir | 4.363 (3.537 to 5.189) | <.001 | –1.831 (–2.620 to –1.041) | <.001 |
Use of other antiviral agents for COVID-19 | 5.040 (4.642 to 5.438) | <.001 | 1.302 (0.903 to 1.701) | <.001 |
Mechanical ventilation | 13.789 (12.294 to 15.284) | <.001 | 6.350 (4.965 to 7.734) | <.001 |
Renal replacement | 10.780 (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.
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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.358 (3.894 to 4.822) | <.001 | 1.017 (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 |
Age | 0.098 (0.088 to 0.107) | <.001 | ||
Male gender | 1.044 (0.684 to 1.403) | <.001 | ||
Liver cirrhosis | 5.011 (3.201 to 6.820) | <.001 | 2.226 (0.798 to 3.654) | .002 |
Diabetes mellitus | 4.519 (4.030 to 5.007) | <.001 | 0.537 (0.075 to 1.000) | .023 |
Hypertension | 3.838 (3.423 to 4.253) | <.001 | 0.763 (0.380 to 1.147) | <.001 |
Use of corticosteroids | 7.673 (7.202 to 8.144) | <.001 | 4.347 (3.846 to 4.848) | <.001 |
Use of remdesivir | 4.833 (4.100 to 5.565) | <.001 | –1.335 (–1.982 to –0.687) | <.001 |
Use of other antiviral agents for COVID-19 | 4.824 (4.472 to 5.177) | <.001 | 0.858 (0.530 to 1.186) | <.001 |
Mechanical ventilation | 12.885 (11.557 to 14.213) | <.001 | 5.234 (4.083 to 6.384) | <.001 |
Renal replacement | 8.785 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.295 (3.831 to 4.759) | <.001 | 1.005 (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 |
Age | 0.096 (0.086 to 0.105) | <.001 | ||
Male gender | 1.064 (0.705 to 1.423) | <.001 | ||
Liver cirrhosis | 5.100 (3.293 to 6.908) | <.001 | 2.376 (0.936 to 3.815) | .001 |
Diabetes mellitus | 4.479 (3.991 to 4.967) | <.001 | 0.538 (0.071 to 1.004) | .024 |
Hypertension | 3.815 (3.400 to 4.229) | <.001 | 0.790 (0.403 to 1.176) | <.001 |
Use of corticosteroids | 7.604 (7.133 to 8.075) | <.001 | 4.336 (3.831 to 4.841) | <.001 |
Use of remdesivir | 4.851 (4.120 to 5.583) | <.001 | –1.254 (–1.907 to –0.602) | <.001 |
Use of other antiviral agents for COVID-19 | 4.673 (4.320 to 5.026) | <.001 | 0.738 (0.407 to 1.068) | <.001 |
Mechanical ventilation | 12.806 (11.479 to 14.133) | <.001 | 5.245 (4.085 to 6.404) | <.001 |
Renal replacement | 9.241 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.440 (3.916 to 4.963) | <.001 | 1.034 (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 |
Age | 0.104 (0.093 to 0.115) | <.001 | ||
Male gender | 1.147 (0.743 to 1.551) | <.001 | ||
Liver cirrhosis | 4.585 (2.551 to 6.618) | <.001 | 1.908 (0.166 to 3.649) | .032 |
Diabetes mellitus | 4.624 (4.074 to 5.175) | <.001 | ||
Hypertension | 4.125 (3.658 to 4.592) | <.001 | 1.241 (0.806 to 1.677) | <.001 |
Use of corticosteroids | 7.826 (7.291 to 8.362) | <.001 | 4.572 (3.965 to 5.178) | <.001 |
Use of remdesivir | 4.363 (3.537 to 5.189) | <.001 | –1.831 (–2.620 to –1.041) | <.001 |
Use of other antiviral agents for COVID-19 | 5.040 (4.642 to 5.438) | <.001 | 1.302 (0.903 to 1.701) | <.001 |
Mechanical ventilation | 13.789 (12.294 to 15.284) | <.001 | 6.350 (4.965 to 7.734) | <.001 |
Renal replacement | 10.780 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.358 (3.894 to 4.822) | <.001 | 1.017 (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 |
Age | 0.098 (0.088 to 0.107) | <.001 | ||
Male gender | 1.044 (0.684 to 1.403) | <.001 | ||
Liver cirrhosis | 5.011 (3.201 to 6.820) | <.001 | 2.226 (0.798 to 3.654) | .002 |
Diabetes mellitus | 4.519 (4.030 to 5.007) | <.001 | 0.537 (0.075 to 1.000) | .023 |
Hypertension | 3.838 (3.423 to 4.253) | <.001 | 0.763 (0.380 to 1.147) | <.001 |
Use of corticosteroids | 7.673 (7.202 to 8.144) | <.001 | 4.347 (3.846 to 4.848) | <.001 |
Use of remdesivir | 4.833 (4.100 to 5.565) | <.001 | –1.335 (–1.982 to –0.687) | <.001 |
Use of other antiviral agents for COVID-19 | 4.824 (4.472 to 5.177) | <.001 | 0.858 (0.530 to 1.186) | <.001 |
Mechanical ventilation | 12.885 (11.557 to 14.213) | <.001 | 5.234 (4.083 to 6.384) | <.001 |
Renal replacement | 8.785 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.295 (3.831 to 4.759) | <.001 | 1.005 (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 |
Age | 0.096 (0.086 to 0.105) | <.001 | ||
Male gender | 1.064 (0.705 to 1.423) | <.001 | ||
Liver cirrhosis | 5.100 (3.293 to 6.908) | <.001 | 2.376 (0.936 to 3.815) | .001 |
Diabetes mellitus | 4.479 (3.991 to 4.967) | <.001 | 0.538 (0.071 to 1.004) | .024 |
Hypertension | 3.815 (3.400 to 4.229) | <.001 | 0.790 (0.403 to 1.176) | <.001 |
Use of corticosteroids | 7.604 (7.133 to 8.075) | <.001 | 4.336 (3.831 to 4.841) | <.001 |
Use of remdesivir | 4.851 (4.120 to 5.583) | <.001 | –1.254 (–1.907 to –0.602) | <.001 |
Use of other antiviral agents for COVID-19 | 4.673 (4.320 to 5.026) | <.001 | 0.738 (0.407 to 1.068) | <.001 |
Mechanical ventilation | 12.806 (11.479 to 14.133) | <.001 | 5.245 (4.085 to 6.404) | <.001 |
Renal replacement | 9.241 (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 Analysis . | Multivariable Analysis . | ||
Parameters . | Coefficient (95% CI) . | P Value . | Adjusted Coefficient (95% CI) . | P Value . |
ALT/AST elevation | 4.440 (3.916 to 4.963) | <.001 | 1.034 (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 |
Age | 0.104 (0.093 to 0.115) | <.001 | ||
Male gender | 1.147 (0.743 to 1.551) | <.001 | ||
Liver cirrhosis | 4.585 (2.551 to 6.618) | <.001 | 1.908 (0.166 to 3.649) | .032 |
Diabetes mellitus | 4.624 (4.074 to 5.175) | <.001 | ||
Hypertension | 4.125 (3.658 to 4.592) | <.001 | 1.241 (0.806 to 1.677) | <.001 |
Use of corticosteroids | 7.826 (7.291 to 8.362) | <.001 | 4.572 (3.965 to 5.178) | <.001 |
Use of remdesivir | 4.363 (3.537 to 5.189) | <.001 | –1.831 (–2.620 to –1.041) | <.001 |
Use of other antiviral agents for COVID-19 | 5.040 (4.642 to 5.438) | <.001 | 1.302 (0.903 to 1.701) | <.001 |
Mechanical ventilation | 13.789 (12.294 to 15.284) | <.001 | 6.350 (4.965 to 7.734) | <.001 |
Renal replacement | 10.780 (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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