Characteristics of the Patients with Confirmed or Highly Suspected COVID-19 and IBD
. | Total (n = 83) . | Ambulatory (n = 78) . | Hospitalized (n = 5) . |
---|---|---|---|
Demographics | |||
Age (median, IQR) | 35 (27–45) | 35 (27–44) | 49 (25–76) |
Sex | |||
Male | 44 (53%) | 40 (51%) | 4 (80%) |
Female | 39 (47%) | 38 (49%) | 1 (20%) |
Race | |||
White | 58 (70%) | 54 (70%) | 4 (80%) |
Black | 5 (6%) | 5 (6%) | 0 |
Asian | 3 (4%) | 3 (4%) | 0 |
Other | 17 (20%) | 16 (21%) | 1 (20%) |
Ethnicity | |||
Hispanic | 9 (11%) | 7 (9%) | 2 (40%) |
Non-Hispanic | 74 (89%) | 71 (91%) | 3 (60%) |
Comorbidities | |||
Organ transplantation | 2 (2%) | 2 (3%) | 0 |
Kidney disease | 1 (2%) | 1 (1%) | 0 |
Pregnancy | 4 (5%) | 3 (4%) | 1 (20%) |
Current malignancy | 1 (2%) | 0 | 1 (20%) |
Hypertension | 3 (4%) | 3 (4%) | 0 |
Diabetes mellitus | 1 (2%) | 1 (1%) | 0 |
COPD | 1 (2%) | 1 (1%) | 0 |
Asthma | 9 (11%) | 9 (12%) | 0 |
ACE inhibitor/ARB use | 6 (7%) | 5 (6%) | 1 (20%) |
IBD Characteristics | |||
IBD subtype | |||
Crohn’s disease | 56 (67%) | 52 (67%) | 4 (80%) |
Ulcerative colitis | 27 (33%) | 26 (33%) | 1 (20%) |
IBD disease status by physician assessment | |||
Remission | 30 (36%) | 30 (38%) | 0 |
Mild | 26 (31%) | 24 (31%) | 2 (40%) |
Moderate | 14 (17%) | 13 (17%) | 1 (20%) |
Severe | 6 (7%) | 4 (5%) | 2 (40%) |
Unknown | 7 (8%) | 7 (9%) | 0 |
IBD medication use | |||
None | 4 (5%) | 3 (4%) | 1 (20%) |
5-ASA | 13 (16%) | 11 (14%) | 1 (20%) |
Immunomodulators | 6 (7%) | 5 (6%) | 1 (20%) |
Azathioprine/Mercaptopurine | 2 (2%) | 2 (3%) | 0 |
Methotrexate | 4 (5%) | 3 (4%) | 1 (20%) |
Corticosteroids | 10 (12%) | 8 (10%) | 1 (20%) |
Prednisone | 6 (6%) | 4 (5%) | 1 (20%) |
>20 mg/daily | 5 (4%) | 3 (4%) | 1 (20%) |
Oral budesonide | 4 (6%) | 4 (5%) | 0 |
Biologics | 58 (70%) | 56 (71%) | 2 (40%) |
Vedolizumab | 5 (6%) | 5 (6%) | 0 |
Anti-TNF | 44 (53%) | 42 (53%) | 2 (40%) |
Infliximab | 23 (28%) | 23 (29%) | 0 |
Adalimumab | 21 (25%) | 19 (24%) | 2 (40%) |
Ustekinumab | 9 (11%) | 9 (11%) | 0 |
Tofacitinib | 4 (5%) | 4 (5%) | 0 |
COVID-19 Characteristics | |||
COVID-19 symptoms | |||
Fever >99 F | 55 (66%) | 52 (66%) | 3 (60%) |
Cough | 46 (55%) | 44 (56%) | 2 (20%) |
Pharyngitis | 21 (25%) | 21 (27%) | 0 |
Rhinorrhea | 15 (18%) | 15 (19%) | 0 |
Diarrhea | 26 (31%) | 24 (30%) | 2 (40%) |
Ageusia | 18 (22%) | 18 (23%) | 0 |
Anosmia | 25 (30%) | 25 (32%) | 0 |
Shortness of breath | 21 (25%) | 17 (22%) | 4 (80%) |
Days of symptoms (median, IQR) | 11 (5–15) | 11 (6–15) | 17 (9–32) |
Positive SARS-CoV-2 testing | 45 (54%) | 40 (51%) | 5 (100%) |
Highly suspected COVID-19 | 38 (46%) | 39 (49%) | 0 |
Level of care | |||
Notified provider | 28 (34%) | 28 (36%) | - |
Outpatient provider visit | 48 (58%) | 48 (61%) | - |
Severe outcomes | 7 (8%) | 2 (3%) | 5 (100%) |
ER only | 2 (2%) | 2 (3%) | - |
Hospitalized | 5 (6%) | - | 5 (100%) |
ICU with intubation | 1 (1%) | - | 1 (20%) |
IBD medication management | |||
Continued | 58 (70%) | 57 (72%) | 1 (20%) |
Held | 13 (16%) | 10 (13%) | 3 (60%) |
Reduced dose/frequency | 7 (8%) | 7 (9%) | 0 |
After reduction, required holding | 3 (4%) | 3 (4%) | 0 |
Medical therapies for COVID-19 | |||
None | 75 (90%) | 74 (94%) | 2 (40%) |
Any COVID-19 therapy | 8 (10%) | 5 (6%) | 3 (60%) |
Hydroxycholorquine + Azithromycin | 4 (5%) | 2 (3%) | 2 (40%) |
Hydroxycholorquine | 2 (2%) | 2 (3%) | 0 |
Azithromycin | 1 (1%) | 1 (1%) | 0 |
Hydroxycholorquine + Azithromycin + Tocilizumab | 1 (1%) | 0 | 1 (20%) |
Death | 1 (2%) | 0 | 1 (20%) |
Days of follow-up (median, range) | 52 (11–72) | 52 (13–72) | 47 (11–55) |
. | Total (n = 83) . | Ambulatory (n = 78) . | Hospitalized (n = 5) . |
---|---|---|---|
Demographics | |||
Age (median, IQR) | 35 (27–45) | 35 (27–44) | 49 (25–76) |
Sex | |||
Male | 44 (53%) | 40 (51%) | 4 (80%) |
Female | 39 (47%) | 38 (49%) | 1 (20%) |
Race | |||
White | 58 (70%) | 54 (70%) | 4 (80%) |
Black | 5 (6%) | 5 (6%) | 0 |
Asian | 3 (4%) | 3 (4%) | 0 |
Other | 17 (20%) | 16 (21%) | 1 (20%) |
Ethnicity | |||
Hispanic | 9 (11%) | 7 (9%) | 2 (40%) |
Non-Hispanic | 74 (89%) | 71 (91%) | 3 (60%) |
Comorbidities | |||
Organ transplantation | 2 (2%) | 2 (3%) | 0 |
Kidney disease | 1 (2%) | 1 (1%) | 0 |
Pregnancy | 4 (5%) | 3 (4%) | 1 (20%) |
Current malignancy | 1 (2%) | 0 | 1 (20%) |
Hypertension | 3 (4%) | 3 (4%) | 0 |
Diabetes mellitus | 1 (2%) | 1 (1%) | 0 |
COPD | 1 (2%) | 1 (1%) | 0 |
Asthma | 9 (11%) | 9 (12%) | 0 |
ACE inhibitor/ARB use | 6 (7%) | 5 (6%) | 1 (20%) |
IBD Characteristics | |||
IBD subtype | |||
Crohn’s disease | 56 (67%) | 52 (67%) | 4 (80%) |
Ulcerative colitis | 27 (33%) | 26 (33%) | 1 (20%) |
IBD disease status by physician assessment | |||
Remission | 30 (36%) | 30 (38%) | 0 |
Mild | 26 (31%) | 24 (31%) | 2 (40%) |
Moderate | 14 (17%) | 13 (17%) | 1 (20%) |
Severe | 6 (7%) | 4 (5%) | 2 (40%) |
Unknown | 7 (8%) | 7 (9%) | 0 |
IBD medication use | |||
None | 4 (5%) | 3 (4%) | 1 (20%) |
5-ASA | 13 (16%) | 11 (14%) | 1 (20%) |
Immunomodulators | 6 (7%) | 5 (6%) | 1 (20%) |
Azathioprine/Mercaptopurine | 2 (2%) | 2 (3%) | 0 |
Methotrexate | 4 (5%) | 3 (4%) | 1 (20%) |
Corticosteroids | 10 (12%) | 8 (10%) | 1 (20%) |
Prednisone | 6 (6%) | 4 (5%) | 1 (20%) |
>20 mg/daily | 5 (4%) | 3 (4%) | 1 (20%) |
Oral budesonide | 4 (6%) | 4 (5%) | 0 |
Biologics | 58 (70%) | 56 (71%) | 2 (40%) |
Vedolizumab | 5 (6%) | 5 (6%) | 0 |
Anti-TNF | 44 (53%) | 42 (53%) | 2 (40%) |
Infliximab | 23 (28%) | 23 (29%) | 0 |
Adalimumab | 21 (25%) | 19 (24%) | 2 (40%) |
Ustekinumab | 9 (11%) | 9 (11%) | 0 |
Tofacitinib | 4 (5%) | 4 (5%) | 0 |
COVID-19 Characteristics | |||
COVID-19 symptoms | |||
Fever >99 F | 55 (66%) | 52 (66%) | 3 (60%) |
Cough | 46 (55%) | 44 (56%) | 2 (20%) |
Pharyngitis | 21 (25%) | 21 (27%) | 0 |
Rhinorrhea | 15 (18%) | 15 (19%) | 0 |
Diarrhea | 26 (31%) | 24 (30%) | 2 (40%) |
Ageusia | 18 (22%) | 18 (23%) | 0 |
Anosmia | 25 (30%) | 25 (32%) | 0 |
Shortness of breath | 21 (25%) | 17 (22%) | 4 (80%) |
Days of symptoms (median, IQR) | 11 (5–15) | 11 (6–15) | 17 (9–32) |
Positive SARS-CoV-2 testing | 45 (54%) | 40 (51%) | 5 (100%) |
Highly suspected COVID-19 | 38 (46%) | 39 (49%) | 0 |
Level of care | |||
Notified provider | 28 (34%) | 28 (36%) | - |
Outpatient provider visit | 48 (58%) | 48 (61%) | - |
Severe outcomes | 7 (8%) | 2 (3%) | 5 (100%) |
ER only | 2 (2%) | 2 (3%) | - |
Hospitalized | 5 (6%) | - | 5 (100%) |
ICU with intubation | 1 (1%) | - | 1 (20%) |
IBD medication management | |||
Continued | 58 (70%) | 57 (72%) | 1 (20%) |
Held | 13 (16%) | 10 (13%) | 3 (60%) |
Reduced dose/frequency | 7 (8%) | 7 (9%) | 0 |
After reduction, required holding | 3 (4%) | 3 (4%) | 0 |
Medical therapies for COVID-19 | |||
None | 75 (90%) | 74 (94%) | 2 (40%) |
Any COVID-19 therapy | 8 (10%) | 5 (6%) | 3 (60%) |
Hydroxycholorquine + Azithromycin | 4 (5%) | 2 (3%) | 2 (40%) |
Hydroxycholorquine | 2 (2%) | 2 (3%) | 0 |
Azithromycin | 1 (1%) | 1 (1%) | 0 |
Hydroxycholorquine + Azithromycin + Tocilizumab | 1 (1%) | 0 | 1 (20%) |
Death | 1 (2%) | 0 | 1 (20%) |
Days of follow-up (median, range) | 52 (11–72) | 52 (13–72) | 47 (11–55) |
Characteristics of the Patients with Confirmed or Highly Suspected COVID-19 and IBD
. | Total (n = 83) . | Ambulatory (n = 78) . | Hospitalized (n = 5) . |
---|---|---|---|
Demographics | |||
Age (median, IQR) | 35 (27–45) | 35 (27–44) | 49 (25–76) |
Sex | |||
Male | 44 (53%) | 40 (51%) | 4 (80%) |
Female | 39 (47%) | 38 (49%) | 1 (20%) |
Race | |||
White | 58 (70%) | 54 (70%) | 4 (80%) |
Black | 5 (6%) | 5 (6%) | 0 |
Asian | 3 (4%) | 3 (4%) | 0 |
Other | 17 (20%) | 16 (21%) | 1 (20%) |
Ethnicity | |||
Hispanic | 9 (11%) | 7 (9%) | 2 (40%) |
Non-Hispanic | 74 (89%) | 71 (91%) | 3 (60%) |
Comorbidities | |||
Organ transplantation | 2 (2%) | 2 (3%) | 0 |
Kidney disease | 1 (2%) | 1 (1%) | 0 |
Pregnancy | 4 (5%) | 3 (4%) | 1 (20%) |
Current malignancy | 1 (2%) | 0 | 1 (20%) |
Hypertension | 3 (4%) | 3 (4%) | 0 |
Diabetes mellitus | 1 (2%) | 1 (1%) | 0 |
COPD | 1 (2%) | 1 (1%) | 0 |
Asthma | 9 (11%) | 9 (12%) | 0 |
ACE inhibitor/ARB use | 6 (7%) | 5 (6%) | 1 (20%) |
IBD Characteristics | |||
IBD subtype | |||
Crohn’s disease | 56 (67%) | 52 (67%) | 4 (80%) |
Ulcerative colitis | 27 (33%) | 26 (33%) | 1 (20%) |
IBD disease status by physician assessment | |||
Remission | 30 (36%) | 30 (38%) | 0 |
Mild | 26 (31%) | 24 (31%) | 2 (40%) |
Moderate | 14 (17%) | 13 (17%) | 1 (20%) |
Severe | 6 (7%) | 4 (5%) | 2 (40%) |
Unknown | 7 (8%) | 7 (9%) | 0 |
IBD medication use | |||
None | 4 (5%) | 3 (4%) | 1 (20%) |
5-ASA | 13 (16%) | 11 (14%) | 1 (20%) |
Immunomodulators | 6 (7%) | 5 (6%) | 1 (20%) |
Azathioprine/Mercaptopurine | 2 (2%) | 2 (3%) | 0 |
Methotrexate | 4 (5%) | 3 (4%) | 1 (20%) |
Corticosteroids | 10 (12%) | 8 (10%) | 1 (20%) |
Prednisone | 6 (6%) | 4 (5%) | 1 (20%) |
>20 mg/daily | 5 (4%) | 3 (4%) | 1 (20%) |
Oral budesonide | 4 (6%) | 4 (5%) | 0 |
Biologics | 58 (70%) | 56 (71%) | 2 (40%) |
Vedolizumab | 5 (6%) | 5 (6%) | 0 |
Anti-TNF | 44 (53%) | 42 (53%) | 2 (40%) |
Infliximab | 23 (28%) | 23 (29%) | 0 |
Adalimumab | 21 (25%) | 19 (24%) | 2 (40%) |
Ustekinumab | 9 (11%) | 9 (11%) | 0 |
Tofacitinib | 4 (5%) | 4 (5%) | 0 |
COVID-19 Characteristics | |||
COVID-19 symptoms | |||
Fever >99 F | 55 (66%) | 52 (66%) | 3 (60%) |
Cough | 46 (55%) | 44 (56%) | 2 (20%) |
Pharyngitis | 21 (25%) | 21 (27%) | 0 |
Rhinorrhea | 15 (18%) | 15 (19%) | 0 |
Diarrhea | 26 (31%) | 24 (30%) | 2 (40%) |
Ageusia | 18 (22%) | 18 (23%) | 0 |
Anosmia | 25 (30%) | 25 (32%) | 0 |
Shortness of breath | 21 (25%) | 17 (22%) | 4 (80%) |
Days of symptoms (median, IQR) | 11 (5–15) | 11 (6–15) | 17 (9–32) |
Positive SARS-CoV-2 testing | 45 (54%) | 40 (51%) | 5 (100%) |
Highly suspected COVID-19 | 38 (46%) | 39 (49%) | 0 |
Level of care | |||
Notified provider | 28 (34%) | 28 (36%) | - |
Outpatient provider visit | 48 (58%) | 48 (61%) | - |
Severe outcomes | 7 (8%) | 2 (3%) | 5 (100%) |
ER only | 2 (2%) | 2 (3%) | - |
Hospitalized | 5 (6%) | - | 5 (100%) |
ICU with intubation | 1 (1%) | - | 1 (20%) |
IBD medication management | |||
Continued | 58 (70%) | 57 (72%) | 1 (20%) |
Held | 13 (16%) | 10 (13%) | 3 (60%) |
Reduced dose/frequency | 7 (8%) | 7 (9%) | 0 |
After reduction, required holding | 3 (4%) | 3 (4%) | 0 |
Medical therapies for COVID-19 | |||
None | 75 (90%) | 74 (94%) | 2 (40%) |
Any COVID-19 therapy | 8 (10%) | 5 (6%) | 3 (60%) |
Hydroxycholorquine + Azithromycin | 4 (5%) | 2 (3%) | 2 (40%) |
Hydroxycholorquine | 2 (2%) | 2 (3%) | 0 |
Azithromycin | 1 (1%) | 1 (1%) | 0 |
Hydroxycholorquine + Azithromycin + Tocilizumab | 1 (1%) | 0 | 1 (20%) |
Death | 1 (2%) | 0 | 1 (20%) |
Days of follow-up (median, range) | 52 (11–72) | 52 (13–72) | 47 (11–55) |
. | Total (n = 83) . | Ambulatory (n = 78) . | Hospitalized (n = 5) . |
---|---|---|---|
Demographics | |||
Age (median, IQR) | 35 (27–45) | 35 (27–44) | 49 (25–76) |
Sex | |||
Male | 44 (53%) | 40 (51%) | 4 (80%) |
Female | 39 (47%) | 38 (49%) | 1 (20%) |
Race | |||
White | 58 (70%) | 54 (70%) | 4 (80%) |
Black | 5 (6%) | 5 (6%) | 0 |
Asian | 3 (4%) | 3 (4%) | 0 |
Other | 17 (20%) | 16 (21%) | 1 (20%) |
Ethnicity | |||
Hispanic | 9 (11%) | 7 (9%) | 2 (40%) |
Non-Hispanic | 74 (89%) | 71 (91%) | 3 (60%) |
Comorbidities | |||
Organ transplantation | 2 (2%) | 2 (3%) | 0 |
Kidney disease | 1 (2%) | 1 (1%) | 0 |
Pregnancy | 4 (5%) | 3 (4%) | 1 (20%) |
Current malignancy | 1 (2%) | 0 | 1 (20%) |
Hypertension | 3 (4%) | 3 (4%) | 0 |
Diabetes mellitus | 1 (2%) | 1 (1%) | 0 |
COPD | 1 (2%) | 1 (1%) | 0 |
Asthma | 9 (11%) | 9 (12%) | 0 |
ACE inhibitor/ARB use | 6 (7%) | 5 (6%) | 1 (20%) |
IBD Characteristics | |||
IBD subtype | |||
Crohn’s disease | 56 (67%) | 52 (67%) | 4 (80%) |
Ulcerative colitis | 27 (33%) | 26 (33%) | 1 (20%) |
IBD disease status by physician assessment | |||
Remission | 30 (36%) | 30 (38%) | 0 |
Mild | 26 (31%) | 24 (31%) | 2 (40%) |
Moderate | 14 (17%) | 13 (17%) | 1 (20%) |
Severe | 6 (7%) | 4 (5%) | 2 (40%) |
Unknown | 7 (8%) | 7 (9%) | 0 |
IBD medication use | |||
None | 4 (5%) | 3 (4%) | 1 (20%) |
5-ASA | 13 (16%) | 11 (14%) | 1 (20%) |
Immunomodulators | 6 (7%) | 5 (6%) | 1 (20%) |
Azathioprine/Mercaptopurine | 2 (2%) | 2 (3%) | 0 |
Methotrexate | 4 (5%) | 3 (4%) | 1 (20%) |
Corticosteroids | 10 (12%) | 8 (10%) | 1 (20%) |
Prednisone | 6 (6%) | 4 (5%) | 1 (20%) |
>20 mg/daily | 5 (4%) | 3 (4%) | 1 (20%) |
Oral budesonide | 4 (6%) | 4 (5%) | 0 |
Biologics | 58 (70%) | 56 (71%) | 2 (40%) |
Vedolizumab | 5 (6%) | 5 (6%) | 0 |
Anti-TNF | 44 (53%) | 42 (53%) | 2 (40%) |
Infliximab | 23 (28%) | 23 (29%) | 0 |
Adalimumab | 21 (25%) | 19 (24%) | 2 (40%) |
Ustekinumab | 9 (11%) | 9 (11%) | 0 |
Tofacitinib | 4 (5%) | 4 (5%) | 0 |
COVID-19 Characteristics | |||
COVID-19 symptoms | |||
Fever >99 F | 55 (66%) | 52 (66%) | 3 (60%) |
Cough | 46 (55%) | 44 (56%) | 2 (20%) |
Pharyngitis | 21 (25%) | 21 (27%) | 0 |
Rhinorrhea | 15 (18%) | 15 (19%) | 0 |
Diarrhea | 26 (31%) | 24 (30%) | 2 (40%) |
Ageusia | 18 (22%) | 18 (23%) | 0 |
Anosmia | 25 (30%) | 25 (32%) | 0 |
Shortness of breath | 21 (25%) | 17 (22%) | 4 (80%) |
Days of symptoms (median, IQR) | 11 (5–15) | 11 (6–15) | 17 (9–32) |
Positive SARS-CoV-2 testing | 45 (54%) | 40 (51%) | 5 (100%) |
Highly suspected COVID-19 | 38 (46%) | 39 (49%) | 0 |
Level of care | |||
Notified provider | 28 (34%) | 28 (36%) | - |
Outpatient provider visit | 48 (58%) | 48 (61%) | - |
Severe outcomes | 7 (8%) | 2 (3%) | 5 (100%) |
ER only | 2 (2%) | 2 (3%) | - |
Hospitalized | 5 (6%) | - | 5 (100%) |
ICU with intubation | 1 (1%) | - | 1 (20%) |
IBD medication management | |||
Continued | 58 (70%) | 57 (72%) | 1 (20%) |
Held | 13 (16%) | 10 (13%) | 3 (60%) |
Reduced dose/frequency | 7 (8%) | 7 (9%) | 0 |
After reduction, required holding | 3 (4%) | 3 (4%) | 0 |
Medical therapies for COVID-19 | |||
None | 75 (90%) | 74 (94%) | 2 (40%) |
Any COVID-19 therapy | 8 (10%) | 5 (6%) | 3 (60%) |
Hydroxycholorquine + Azithromycin | 4 (5%) | 2 (3%) | 2 (40%) |
Hydroxycholorquine | 2 (2%) | 2 (3%) | 0 |
Azithromycin | 1 (1%) | 1 (1%) | 0 |
Hydroxycholorquine + Azithromycin + Tocilizumab | 1 (1%) | 0 | 1 (20%) |
Death | 1 (2%) | 0 | 1 (20%) |
Days of follow-up (median, range) | 52 (11–72) | 52 (13–72) | 47 (11–55) |
This PDF is available to Subscribers Only
View Article Abstract & Purchase OptionsFor full access to this pdf, sign in to an existing account, or purchase an annual subscription.