TABLE 1.

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
 Male44 (53%)40 (51%)4 (80%)
 Female39 (47%)38 (49%)1 (20%)
Race
 White58 (70%)54 (70%)4 (80%)
 Black5 (6%)5 (6%)0
 Asian3 (4%)3 (4%)0
 Other17 (20%)16 (21%)1 (20%)
Ethnicity
 Hispanic9 (11%)7 (9%)2 (40%)
 Non-Hispanic74 (89%)71 (91%)3 (60%)
Comorbidities
 Organ transplantation2 (2%)2 (3%)0
 Kidney disease1 (2%)1 (1%)0
 Pregnancy4 (5%)3 (4%)1 (20%)
 Current malignancy1 (2%)01 (20%)
 Hypertension3 (4%)3 (4%)0
 Diabetes mellitus1 (2%)1 (1%)0
 COPD1 (2%)1 (1%)0
 Asthma9 (11%)9 (12%)0
ACE inhibitor/ARB use6 (7%)5 (6%)1 (20%)
IBD Characteristics
IBD subtype
 Crohn’s disease56 (67%)52 (67%)4 (80%)
 Ulcerative colitis27 (33%)26 (33%)1 (20%)
IBD disease status by physician assessment
 Remission30 (36%)30 (38%)0
 Mild26 (31%)24 (31%)2 (40%)
 Moderate14 (17%)13 (17%)1 (20%)
 Severe6 (7%)4 (5%)2 (40%)
 Unknown7 (8%)7 (9%)0
IBD medication use
 None4 (5%)3 (4%)1 (20%)
 5-ASA13 (16%)11 (14%)1 (20%)
 Immunomodulators6 (7%)5 (6%)1 (20%)
  Azathioprine/Mercaptopurine2 (2%)2 (3%)0
  Methotrexate4 (5%)3 (4%)1 (20%)
 Corticosteroids10 (12%)8 (10%)1 (20%)
  Prednisone6 (6%)4 (5%)1 (20%)
   >20 mg/daily5 (4%)3 (4%)1 (20%)
  Oral budesonide4 (6%)4 (5%)0
 Biologics58 (70%)56 (71%)2 (40%)
  Vedolizumab5 (6%)5 (6%)0
  Anti-TNF44 (53%)42 (53%)2 (40%)
   Infliximab23 (28%)23 (29%)0
   Adalimumab21 (25%)19 (24%)2 (40%)
  Ustekinumab9 (11%)9 (11%)0
 Tofacitinib4 (5%)4 (5%)0
COVID-19 Characteristics
COVID-19 symptoms
 Fever >99 F55 (66%)52 (66%)3 (60%)
 Cough46 (55%)44 (56%)2 (20%)
 Pharyngitis21 (25%)21 (27%)0
 Rhinorrhea15 (18%)15 (19%)0
 Diarrhea26 (31%)24 (30%)2 (40%)
 Ageusia18 (22%)18 (23%)0
 Anosmia25 (30%)25 (32%)0
 Shortness of breath21 (25%)17 (22%)4 (80%)
Days of symptoms (median, IQR)11 (5–15)11 (6–15)17 (9–32)
Positive SARS-CoV-2 testing45 (54%)40 (51%)5 (100%)
Highly suspected COVID-1938 (46%)39 (49%)0
Level of care
 Notified provider28 (34%)28 (36%)-
 Outpatient provider visit48 (58%)48 (61%)-
 Severe outcomes7 (8%)2 (3%)5 (100%)
  ER only2 (2%)2 (3%)-
  Hospitalized5 (6%)-5 (100%)
   ICU with intubation1 (1%)-1 (20%)
IBD medication management
 Continued58 (70%)57 (72%)1 (20%)
 Held13 (16%)10 (13%)3 (60%)
 Reduced dose/frequency7 (8%)7 (9%)0
  After reduction, required holding3 (4%)3 (4%)0
Medical therapies for COVID-19
 None75 (90%)74 (94%)2 (40%)
 Any COVID-19 therapy8 (10%)5 (6%)3 (60%)
  Hydroxycholorquine + Azithromycin4 (5%)2 (3%)2 (40%)
  Hydroxycholorquine2 (2%)2 (3%)0
  Azithromycin1 (1%)1 (1%)0
  Hydroxycholorquine + Azithromycin + Tocilizumab1 (1%)01 (20%)
Death1 (2%)01 (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
 Male44 (53%)40 (51%)4 (80%)
 Female39 (47%)38 (49%)1 (20%)
Race
 White58 (70%)54 (70%)4 (80%)
 Black5 (6%)5 (6%)0
 Asian3 (4%)3 (4%)0
 Other17 (20%)16 (21%)1 (20%)
Ethnicity
 Hispanic9 (11%)7 (9%)2 (40%)
 Non-Hispanic74 (89%)71 (91%)3 (60%)
Comorbidities
 Organ transplantation2 (2%)2 (3%)0
 Kidney disease1 (2%)1 (1%)0
 Pregnancy4 (5%)3 (4%)1 (20%)
 Current malignancy1 (2%)01 (20%)
 Hypertension3 (4%)3 (4%)0
 Diabetes mellitus1 (2%)1 (1%)0
 COPD1 (2%)1 (1%)0
 Asthma9 (11%)9 (12%)0
ACE inhibitor/ARB use6 (7%)5 (6%)1 (20%)
IBD Characteristics
IBD subtype
 Crohn’s disease56 (67%)52 (67%)4 (80%)
 Ulcerative colitis27 (33%)26 (33%)1 (20%)
IBD disease status by physician assessment
 Remission30 (36%)30 (38%)0
 Mild26 (31%)24 (31%)2 (40%)
 Moderate14 (17%)13 (17%)1 (20%)
 Severe6 (7%)4 (5%)2 (40%)
 Unknown7 (8%)7 (9%)0
IBD medication use
 None4 (5%)3 (4%)1 (20%)
 5-ASA13 (16%)11 (14%)1 (20%)
 Immunomodulators6 (7%)5 (6%)1 (20%)
  Azathioprine/Mercaptopurine2 (2%)2 (3%)0
  Methotrexate4 (5%)3 (4%)1 (20%)
 Corticosteroids10 (12%)8 (10%)1 (20%)
  Prednisone6 (6%)4 (5%)1 (20%)
   >20 mg/daily5 (4%)3 (4%)1 (20%)
  Oral budesonide4 (6%)4 (5%)0
 Biologics58 (70%)56 (71%)2 (40%)
  Vedolizumab5 (6%)5 (6%)0
  Anti-TNF44 (53%)42 (53%)2 (40%)
   Infliximab23 (28%)23 (29%)0
   Adalimumab21 (25%)19 (24%)2 (40%)
  Ustekinumab9 (11%)9 (11%)0
 Tofacitinib4 (5%)4 (5%)0
COVID-19 Characteristics
COVID-19 symptoms
 Fever >99 F55 (66%)52 (66%)3 (60%)
 Cough46 (55%)44 (56%)2 (20%)
 Pharyngitis21 (25%)21 (27%)0
 Rhinorrhea15 (18%)15 (19%)0
 Diarrhea26 (31%)24 (30%)2 (40%)
 Ageusia18 (22%)18 (23%)0
 Anosmia25 (30%)25 (32%)0
 Shortness of breath21 (25%)17 (22%)4 (80%)
Days of symptoms (median, IQR)11 (5–15)11 (6–15)17 (9–32)
Positive SARS-CoV-2 testing45 (54%)40 (51%)5 (100%)
Highly suspected COVID-1938 (46%)39 (49%)0
Level of care
 Notified provider28 (34%)28 (36%)-
 Outpatient provider visit48 (58%)48 (61%)-
 Severe outcomes7 (8%)2 (3%)5 (100%)
  ER only2 (2%)2 (3%)-
  Hospitalized5 (6%)-5 (100%)
   ICU with intubation1 (1%)-1 (20%)
IBD medication management
 Continued58 (70%)57 (72%)1 (20%)
 Held13 (16%)10 (13%)3 (60%)
 Reduced dose/frequency7 (8%)7 (9%)0
  After reduction, required holding3 (4%)3 (4%)0
Medical therapies for COVID-19
 None75 (90%)74 (94%)2 (40%)
 Any COVID-19 therapy8 (10%)5 (6%)3 (60%)
  Hydroxycholorquine + Azithromycin4 (5%)2 (3%)2 (40%)
  Hydroxycholorquine2 (2%)2 (3%)0
  Azithromycin1 (1%)1 (1%)0
  Hydroxycholorquine + Azithromycin + Tocilizumab1 (1%)01 (20%)
Death1 (2%)01 (20%)
Days of follow-up (median, range)52 (11–72)52 (13–72)47 (11–55)
TABLE 1.

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
 Male44 (53%)40 (51%)4 (80%)
 Female39 (47%)38 (49%)1 (20%)
Race
 White58 (70%)54 (70%)4 (80%)
 Black5 (6%)5 (6%)0
 Asian3 (4%)3 (4%)0
 Other17 (20%)16 (21%)1 (20%)
Ethnicity
 Hispanic9 (11%)7 (9%)2 (40%)
 Non-Hispanic74 (89%)71 (91%)3 (60%)
Comorbidities
 Organ transplantation2 (2%)2 (3%)0
 Kidney disease1 (2%)1 (1%)0
 Pregnancy4 (5%)3 (4%)1 (20%)
 Current malignancy1 (2%)01 (20%)
 Hypertension3 (4%)3 (4%)0
 Diabetes mellitus1 (2%)1 (1%)0
 COPD1 (2%)1 (1%)0
 Asthma9 (11%)9 (12%)0
ACE inhibitor/ARB use6 (7%)5 (6%)1 (20%)
IBD Characteristics
IBD subtype
 Crohn’s disease56 (67%)52 (67%)4 (80%)
 Ulcerative colitis27 (33%)26 (33%)1 (20%)
IBD disease status by physician assessment
 Remission30 (36%)30 (38%)0
 Mild26 (31%)24 (31%)2 (40%)
 Moderate14 (17%)13 (17%)1 (20%)
 Severe6 (7%)4 (5%)2 (40%)
 Unknown7 (8%)7 (9%)0
IBD medication use
 None4 (5%)3 (4%)1 (20%)
 5-ASA13 (16%)11 (14%)1 (20%)
 Immunomodulators6 (7%)5 (6%)1 (20%)
  Azathioprine/Mercaptopurine2 (2%)2 (3%)0
  Methotrexate4 (5%)3 (4%)1 (20%)
 Corticosteroids10 (12%)8 (10%)1 (20%)
  Prednisone6 (6%)4 (5%)1 (20%)
   >20 mg/daily5 (4%)3 (4%)1 (20%)
  Oral budesonide4 (6%)4 (5%)0
 Biologics58 (70%)56 (71%)2 (40%)
  Vedolizumab5 (6%)5 (6%)0
  Anti-TNF44 (53%)42 (53%)2 (40%)
   Infliximab23 (28%)23 (29%)0
   Adalimumab21 (25%)19 (24%)2 (40%)
  Ustekinumab9 (11%)9 (11%)0
 Tofacitinib4 (5%)4 (5%)0
COVID-19 Characteristics
COVID-19 symptoms
 Fever >99 F55 (66%)52 (66%)3 (60%)
 Cough46 (55%)44 (56%)2 (20%)
 Pharyngitis21 (25%)21 (27%)0
 Rhinorrhea15 (18%)15 (19%)0
 Diarrhea26 (31%)24 (30%)2 (40%)
 Ageusia18 (22%)18 (23%)0
 Anosmia25 (30%)25 (32%)0
 Shortness of breath21 (25%)17 (22%)4 (80%)
Days of symptoms (median, IQR)11 (5–15)11 (6–15)17 (9–32)
Positive SARS-CoV-2 testing45 (54%)40 (51%)5 (100%)
Highly suspected COVID-1938 (46%)39 (49%)0
Level of care
 Notified provider28 (34%)28 (36%)-
 Outpatient provider visit48 (58%)48 (61%)-
 Severe outcomes7 (8%)2 (3%)5 (100%)
  ER only2 (2%)2 (3%)-
  Hospitalized5 (6%)-5 (100%)
   ICU with intubation1 (1%)-1 (20%)
IBD medication management
 Continued58 (70%)57 (72%)1 (20%)
 Held13 (16%)10 (13%)3 (60%)
 Reduced dose/frequency7 (8%)7 (9%)0
  After reduction, required holding3 (4%)3 (4%)0
Medical therapies for COVID-19
 None75 (90%)74 (94%)2 (40%)
 Any COVID-19 therapy8 (10%)5 (6%)3 (60%)
  Hydroxycholorquine + Azithromycin4 (5%)2 (3%)2 (40%)
  Hydroxycholorquine2 (2%)2 (3%)0
  Azithromycin1 (1%)1 (1%)0
  Hydroxycholorquine + Azithromycin + Tocilizumab1 (1%)01 (20%)
Death1 (2%)01 (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
 Male44 (53%)40 (51%)4 (80%)
 Female39 (47%)38 (49%)1 (20%)
Race
 White58 (70%)54 (70%)4 (80%)
 Black5 (6%)5 (6%)0
 Asian3 (4%)3 (4%)0
 Other17 (20%)16 (21%)1 (20%)
Ethnicity
 Hispanic9 (11%)7 (9%)2 (40%)
 Non-Hispanic74 (89%)71 (91%)3 (60%)
Comorbidities
 Organ transplantation2 (2%)2 (3%)0
 Kidney disease1 (2%)1 (1%)0
 Pregnancy4 (5%)3 (4%)1 (20%)
 Current malignancy1 (2%)01 (20%)
 Hypertension3 (4%)3 (4%)0
 Diabetes mellitus1 (2%)1 (1%)0
 COPD1 (2%)1 (1%)0
 Asthma9 (11%)9 (12%)0
ACE inhibitor/ARB use6 (7%)5 (6%)1 (20%)
IBD Characteristics
IBD subtype
 Crohn’s disease56 (67%)52 (67%)4 (80%)
 Ulcerative colitis27 (33%)26 (33%)1 (20%)
IBD disease status by physician assessment
 Remission30 (36%)30 (38%)0
 Mild26 (31%)24 (31%)2 (40%)
 Moderate14 (17%)13 (17%)1 (20%)
 Severe6 (7%)4 (5%)2 (40%)
 Unknown7 (8%)7 (9%)0
IBD medication use
 None4 (5%)3 (4%)1 (20%)
 5-ASA13 (16%)11 (14%)1 (20%)
 Immunomodulators6 (7%)5 (6%)1 (20%)
  Azathioprine/Mercaptopurine2 (2%)2 (3%)0
  Methotrexate4 (5%)3 (4%)1 (20%)
 Corticosteroids10 (12%)8 (10%)1 (20%)
  Prednisone6 (6%)4 (5%)1 (20%)
   >20 mg/daily5 (4%)3 (4%)1 (20%)
  Oral budesonide4 (6%)4 (5%)0
 Biologics58 (70%)56 (71%)2 (40%)
  Vedolizumab5 (6%)5 (6%)0
  Anti-TNF44 (53%)42 (53%)2 (40%)
   Infliximab23 (28%)23 (29%)0
   Adalimumab21 (25%)19 (24%)2 (40%)
  Ustekinumab9 (11%)9 (11%)0
 Tofacitinib4 (5%)4 (5%)0
COVID-19 Characteristics
COVID-19 symptoms
 Fever >99 F55 (66%)52 (66%)3 (60%)
 Cough46 (55%)44 (56%)2 (20%)
 Pharyngitis21 (25%)21 (27%)0
 Rhinorrhea15 (18%)15 (19%)0
 Diarrhea26 (31%)24 (30%)2 (40%)
 Ageusia18 (22%)18 (23%)0
 Anosmia25 (30%)25 (32%)0
 Shortness of breath21 (25%)17 (22%)4 (80%)
Days of symptoms (median, IQR)11 (5–15)11 (6–15)17 (9–32)
Positive SARS-CoV-2 testing45 (54%)40 (51%)5 (100%)
Highly suspected COVID-1938 (46%)39 (49%)0
Level of care
 Notified provider28 (34%)28 (36%)-
 Outpatient provider visit48 (58%)48 (61%)-
 Severe outcomes7 (8%)2 (3%)5 (100%)
  ER only2 (2%)2 (3%)-
  Hospitalized5 (6%)-5 (100%)
   ICU with intubation1 (1%)-1 (20%)
IBD medication management
 Continued58 (70%)57 (72%)1 (20%)
 Held13 (16%)10 (13%)3 (60%)
 Reduced dose/frequency7 (8%)7 (9%)0
  After reduction, required holding3 (4%)3 (4%)0
Medical therapies for COVID-19
 None75 (90%)74 (94%)2 (40%)
 Any COVID-19 therapy8 (10%)5 (6%)3 (60%)
  Hydroxycholorquine + Azithromycin4 (5%)2 (3%)2 (40%)
  Hydroxycholorquine2 (2%)2 (3%)0
  Azithromycin1 (1%)1 (1%)0
  Hydroxycholorquine + Azithromycin + Tocilizumab1 (1%)01 (20%)
Death1 (2%)01 (20%)
Days of follow-up (median, range)52 (11–72)52 (13–72)47 (11–55)
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