First results of the "Lean European Open Survey on SARS-CoV-2-Infected Patients (LEOSS)"
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First results of the "Lean European Open Survey on SARS-CoV-2-Infected Patients (LEOSS)". / Jakob, Carolin E M; Borgmann, Stefan; Duygu, Fazilet; Behrends, Uta; Hower, Martin; Merle, Uta; Friedrichs, Anette; Tometten, Lukas; Hanses, Frank; Jung, Norma; Rieg, Siegbert; Wille, Kai; Grüner, Beate; Klinker, Hartwig; Gersbacher-Runge, Nicole; Hellwig, Kerstin; Eberwein, Lukas; Dolff, Sebastian; Rauschning, Dominic; von Bergwelt-Baildon, Michael; Lanznaster, Julia; Strauß, Richard; Trauth, Janina; de With, Katja; Ruethrich, Maria; Lueck, Catherina; Nattermann, Jacob; Tscharntke, Lene; Pilgram, Lisa; Fuhrmann, Sandra; Classen, Annika; Stecher, Melanie; Schons, Maximilian; Spinner, Christoph; Vehreschild, Jörg Janne.
in: INFECTION, Jahrgang 49, Nr. 1, 02.2021, S. 63-73.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - First results of the "Lean European Open Survey on SARS-CoV-2-Infected Patients (LEOSS)"
AU - Jakob, Carolin E M
AU - Borgmann, Stefan
AU - Duygu, Fazilet
AU - Behrends, Uta
AU - Hower, Martin
AU - Merle, Uta
AU - Friedrichs, Anette
AU - Tometten, Lukas
AU - Hanses, Frank
AU - Jung, Norma
AU - Rieg, Siegbert
AU - Wille, Kai
AU - Grüner, Beate
AU - Klinker, Hartwig
AU - Gersbacher-Runge, Nicole
AU - Hellwig, Kerstin
AU - Eberwein, Lukas
AU - Dolff, Sebastian
AU - Rauschning, Dominic
AU - von Bergwelt-Baildon, Michael
AU - Lanznaster, Julia
AU - Strauß, Richard
AU - Trauth, Janina
AU - de With, Katja
AU - Ruethrich, Maria
AU - Lueck, Catherina
AU - Nattermann, Jacob
AU - Tscharntke, Lene
AU - Pilgram, Lisa
AU - Fuhrmann, Sandra
AU - Classen, Annika
AU - Stecher, Melanie
AU - Schons, Maximilian
AU - Spinner, Christoph
AU - Vehreschild, Jörg Janne
PY - 2021/2
Y1 - 2021/2
N2 - PURPOSE: Knowledge regarding patients' clinical condition at severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection is sparse. Data in the international, multicenter Lean European Open Survey on SARS-CoV-2-Infected Patients (LEOSS) cohort study may enhance the understanding of COVID-19.METHODS: Sociodemographic and clinical characteristics of SARS-CoV-2-infected patients, enrolled in the LEOSS cohort study between March 16, 2020, and May 14, 2020, were analyzed. Associations between baseline characteristics and clinical stages at diagnosis (uncomplicated vs. complicated) were assessed using logistic regression models.RESULTS: We included 2155 patients, 59.7% (1,287/2,155) were male; the most common age category was 66-85 years (39.6%; 500/2,155). The primary COVID-19 diagnosis was made in 35.0% (755/2,155) during complicated clinical stages. A significant univariate association between age; sex; body mass index; smoking; diabetes; cardiovascular, pulmonary, neurological, and kidney diseases; ACE inhibitor therapy; statin intake and an increased risk for complicated clinical stages of COVID-19 at diagnosis was found. Multivariable analysis revealed that advanced age [46-65 years: adjusted odds ratio (aOR): 1.73, 95% CI 1.25-2.42, p = 0.001; 66-85 years: aOR 1.93, 95% CI 1.36-2.74, p < 0.001; > 85 years: aOR 2.38, 95% CI 1.49-3.81, p < 0.001 vs. individuals aged 26-45 years], male sex (aOR 1.23, 95% CI 1.01-1.50, p = 0.040), cardiovascular disease (aOR 1.37, 95% CI 1.09-1.72, p = 0.007), and diabetes (aOR 1.33, 95% CI 1.04-1.69, p = 0.023) were associated with complicated stages of COVID-19 at diagnosis.CONCLUSION: The LEOSS cohort identified age, cardiovascular disease, diabetes and male sex as risk factors for complicated disease stages at SARS-CoV-2 diagnosis, thus confirming previous data. Further data regarding outcomes of the natural course of COVID-19 and the influence of treatment are required.
AB - PURPOSE: Knowledge regarding patients' clinical condition at severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) detection is sparse. Data in the international, multicenter Lean European Open Survey on SARS-CoV-2-Infected Patients (LEOSS) cohort study may enhance the understanding of COVID-19.METHODS: Sociodemographic and clinical characteristics of SARS-CoV-2-infected patients, enrolled in the LEOSS cohort study between March 16, 2020, and May 14, 2020, were analyzed. Associations between baseline characteristics and clinical stages at diagnosis (uncomplicated vs. complicated) were assessed using logistic regression models.RESULTS: We included 2155 patients, 59.7% (1,287/2,155) were male; the most common age category was 66-85 years (39.6%; 500/2,155). The primary COVID-19 diagnosis was made in 35.0% (755/2,155) during complicated clinical stages. A significant univariate association between age; sex; body mass index; smoking; diabetes; cardiovascular, pulmonary, neurological, and kidney diseases; ACE inhibitor therapy; statin intake and an increased risk for complicated clinical stages of COVID-19 at diagnosis was found. Multivariable analysis revealed that advanced age [46-65 years: adjusted odds ratio (aOR): 1.73, 95% CI 1.25-2.42, p = 0.001; 66-85 years: aOR 1.93, 95% CI 1.36-2.74, p < 0.001; > 85 years: aOR 2.38, 95% CI 1.49-3.81, p < 0.001 vs. individuals aged 26-45 years], male sex (aOR 1.23, 95% CI 1.01-1.50, p = 0.040), cardiovascular disease (aOR 1.37, 95% CI 1.09-1.72, p = 0.007), and diabetes (aOR 1.33, 95% CI 1.04-1.69, p = 0.023) were associated with complicated stages of COVID-19 at diagnosis.CONCLUSION: The LEOSS cohort identified age, cardiovascular disease, diabetes and male sex as risk factors for complicated disease stages at SARS-CoV-2 diagnosis, thus confirming previous data. Further data regarding outcomes of the natural course of COVID-19 and the influence of treatment are required.
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Angiotensin-Converting Enzyme Inhibitors/adverse effects
KW - Body Mass Index
KW - COVID-19/diagnosis
KW - Cardiovascular Diseases/diagnosis
KW - Cohort Studies
KW - Comorbidity
KW - Diabetes Mellitus/diagnosis
KW - Europe/epidemiology
KW - Female
KW - Humans
KW - Hydroxymethylglutaryl-CoA Reductase Inhibitors/adverse effects
KW - Kidney Diseases/diagnosis
KW - Logistic Models
KW - Lung Diseases/diagnosis
KW - Male
KW - Middle Aged
KW - Pandemics
KW - SARS-CoV-2/pathogenicity
KW - Severity of Illness Index
KW - Sex Factors
U2 - 10.1007/s15010-020-01499-0
DO - 10.1007/s15010-020-01499-0
M3 - SCORING: Journal article
C2 - 33001409
VL - 49
SP - 63
EP - 73
JO - INFECTION
JF - INFECTION
SN - 0300-8126
IS - 1
ER -