Cardiology Research, ISSN 1923-2829 print, 1923-2837 online, Open Access |
Article copyright, the authors; Journal compilation copyright, Cardiol Res and Elmer Press Inc |
Journal website https://www.cardiologyres.org |
Original Article
Volume 15, Number 3, June 2024, pages 179-188
Effect of Aspirin Use on the Adverse Outcomes in Patients Hospitalized for COVID-19
Figure
Tables
On aspirin (n = 128) | Not on aspirin (n = 248) | |
---|---|---|
BMI: body mass index; CAD: coronary artery disease; CHF: congestive heart failure; CKD: chronic kidney disease; COVID-19: coronavirus disease 2019; DVT: deep vein thrombosis; PE: pulmonary embolism; SD: standard deviation. | ||
Gender, % (n) | ||
Male | 47.7 (61) | 40.7 (101) |
Female | 52.3 (67) | 59.3 (147) |
Age (mean ± SD) | 66.79 ± 12.27 | 59.79 ± 18.80 |
Race/ethnicity, % (n) | ||
Non-Hispanic Whites | 35.2 (45) | 28.2 (70) |
Non-Hispanic Blacks | 40.6 (52) | 35.1 (87) |
Native American | 22.7 (29) | 24.6 (61) |
Others/Hispanic-Latino/Asian | 1.6 (2) | 12.1 (30) |
BMI (mean ± SD) | 32.71 ± 8.84 | 32.40 ± 9.78 |
Obesity | ||
Overweight (BMI 25.0 - 29.9), % (n) | 26.6 (34) | 27.8 (69) |
Class I obesity (BMI 30 - 34.9), % (n) | 28.9 (37) | 19.8 (49) |
Class II obesity (BMI 35 - 39.9), % (n) | 13.3 (17) | 10.9 (27) |
Class III obesity (BMI ≥ 40), % (n) | 16.4 (21) | 17.3 (43) |
Pre-existing/chronic medical problems, % (n) | ||
Diabetes mellites | 63.3 (81) | 41.9 (104) |
Hypertension | 89.8 (115) | 73.8 (183) |
Hyperlipidemia | 70.3 (90) | 48.4 (120) |
Atrial fibrillation | 10.9 (14) | 5.6 (14) |
History of DVT/PE | 3.9 (5) | 5.2 (13) |
CAD | 41.4 (53) | 15.7 (39) |
CHF | 18.8 (24) | 10.1 (25) |
Chronic lung disease | 28.1 (36) | 15.7 (39) |
CKD | 21.1 (27) | 21.4 (53) |
On chronic dialysis | 3.1 (4) | 6.9 (17) |
Medication prior to admission | ||
On antiplatelet therapy, % (n) | ||
Clopidogrel | 0 | 13.3 (33) |
Ticagrelor | 0 | 1.6 (4) |
Dual antiplatelet therapy | 10.9 (14) | 0 |
On anticoagulation, % (n) | ||
Coumadin | 2.3 (3) | 1.2 (3) |
Apixaban | 4.7 (6) | 6.0 (15) |
Rivaroxaban | 3.1 (4) | 1.2 (3) |
Enoxaparin | 0.8 (1) | 0.8 (2) |
On aspirin (n = 128) | Not on aspirin (n = 248) | P | |
---|---|---|---|
AKI: acute kidney injury; CHF: congestive heart failure; COVID-19: coronavirus disease 2019; CVA: cerebrovascular accident; DVT: deep vein thrombosis; IQR: interquartile range; LDH: lactate dehydrogenase; NSTEMI: non-ST elevation myocardial infarction; PE: pulmonary embolism; SD: standard deviation; STEMI: ST-segment elevation myocardial infarction. | |||
Hypoxia (SpO2 < 94%), % (n) | 71.1 (91) | 54.4 (135) | 0.002 |
O2 support, % (n) | |||
On nasal cannula O2 support | 64.1 (82) | 57.3 (142) | 0.204 |
On high flow oxygen (≥ 6 L/min) | 35.2 (45) | 28.2 (70) | 0.163 |
On mechanical ventilation, % (n) | 21.1 (27) | 15.3 (38) | 0.159 |
Duration of mechanical ventilation (days) (median (IQR)) | 7 (7) | 9 (11) | 0.036 |
Inflammatory markers | |||
D-dimer | |||
On presentation (median (IQR)) | 0.990 (1.71) | 1.12 (1.415) | 0.905 |
Peak (median (IQR)) | 1.63 (3.458) | 1.32 (1.752) | 0.241 |
LDH | |||
On presentation (mean ± SD) | 300.57 (168.05) | 315.89 (244.78) | 0.930 |
Peak (mean ± SD) | 331.33 (150.22) | 382.15 (379.18) | 0.886 |
Ferritin | |||
On presentation (median (IQR)) | 490.6 (666.95) | 581.6 (1,265.1) | 0.450 |
Peak (median (IQR)) | 649.1 (900.73) | 818.4 (1,715.0) | 0.561 |
Procalcitonin | |||
On presentation (median (IQR)) | 0.505 (0.355) | 0.74 (0.768) | 0.976 |
Peak (median (IQR)) | 0.83 (0.99) | 0.90 (2.515) | 0.764 |
Positive chest X-ray findings, % (n) | 82.8 (106) | 74.2 (184) | 0.060 |
Inpatient medications | |||
Received therapeutic enoxaparin | 35.9 (46) | 29.8 (74) | 0.230 |
Received antibiotics | 88.3 (113) | 79.0 (196) | 0.026 |
Received remdesivir | 52.3 (67) | 33.9 (84) | 0.001 |
Received dexamethasone | 71.9 (92) | 52.4 (130) | 0.000 |
Received convalescent plasma | 5.5 (7) | 8.5 (21) | 0.295 |
Acute medical problems, % (n) | |||
Cardiovascular events (STEMI, type 1 NSTEMI, CHF, CVA) | 7.8 (10) | 5.2 (13) | 0.318 |
DVT/PE | 3.9 (5) | 5.2 (13) | 0.575 |
AKI | 44.5 (57) | 30.2 (75) | 0.006 |
Needed dialysis for AKI | 3.9 (5) | 6.9 (17) | 0.242 |
Length of hospitalization (days) (median (IQR)) | 5.50 (7.75) | 4.00 (6.00) | 0.011 |
Readmissions, % (n) | 13.3 (17) | 12.9 (32) | 0.913 |
Death, % (n) | 23.4 (30) | 20.2 (50) | 0.473 |
B | SE | Wald | df | Sig. (P) | Exp(B) (OR) | 95% CI for EXP(B) | ||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
CI: confidence interval; COVID-19: coronavirus disease 2019; OR: odds ratio; SE: standard error. | ||||||||
On aspirin | -0.504 | 0.258 | 3.824 | 1 | 0.051 | 0.604 | 0.365 | 1.001 |
Gender (male) | -0.200 | 0.229 | 0.763 | 1 | 0.382 | 0.818 | 0.522 | 1.283 |
Recategorized race | 3.965 | 3 | 0.265 | |||||
Non-Hispanic Whites | 0.886 | 0.450 | 3.878 | 1 | 0.049 | 2.426 | 1.004 | 5.859 |
Non-Hispanic Blacks | 0.663 | 0.449 | 2.183 | 1 | 0.140 | 1.940 | 0.805 | 4.675 |
Native Americans | 0.752 | 0.470 | 2.562 | 1 | 0.109 | 2.121 | 0.845 | 5.329 |
Diabetes mellitus | -0.367 | 0.238 | 2.381 | 1 | 0.123 | 0.693 | 0.434 | 1.104 |
Hypertension | -0.569 | 0.304 | 3.514 | 1 | 0.061 | 0.566 | 0.312 | 1.026 |
Coronary artery disease | -0.103 | 0.297 | 0.120 | 1 | 0.729 | 0.903 | 0.505 | 1.614 |
Chronic kidney disease | -0.198 | 0.296 | 0.450 | 1 | 0.502 | 0.820 | 0.459 | 1.464 |
Age dichotomized (< 65 years) | 0.668 | 0.243 | 7.547 | 1 | 0.006 | 1.950 | 1.211 | 3.141 |
Constant | -0.520 | 0.469 | 1.226 | 1 | 0.268 | 0.595 |
B | SE | Wald | df | Sig. (P) | Exp(B) (OR) | 95% CI for EXP(B) | ||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
CI: confidence interval; COVID-19: coronavirus disease 2019; OR: odds ratio; SE: standard error. | ||||||||
On aspirin | -0.361 | 0.308 | 1.378 | 1 | 0.240 | 0.697 | 0.381 | 1.274 |
Gender (male) | -0.545 | 0.287 | 3.610 | 1 | 0.057 | 0.580 | 0.331 | 1.017 |
Recategorized race | 0.456 | 3 | 0.928 | |||||
Non-Hispanic Whites | 0.300 | 0.589 | 0.260 | 1 | 0.610 | 1.350 | 0.425 | 4.286 |
Non-Hispanic Blacks | 0.105 | 0.575 | 0.033 | 1 | 0.855 | 1.111 | 0.360 | 3.426 |
Native Americans | 0.227 | 0.602 | 0.142 | 1 | 0.707 | 1.254 | 0.385 | 4.084 |
Diabetes mellitus | -0.161 | 0.295 | 0.298 | 1 | 0.585 | 0.851 | 0.477 | 1.518 |
Hypertension | -0.343 | 0.432 | 0.631 | 1 | 0.427 | 0.710 | 0.305 | 1.654 |
Coronary artery disease | 0.575 | 0.360 | 2.554 | 1 | 0.110 | 1.777 | 0.878 | 3.596 |
Chronic kidney disease | -0.437 | 0.338 | 1.669 | 1 | 0.196 | 0.646 | 0.333 | 1.253 |
Age dichotomized (< 65 years) | 0.514 | 0.305 | 2.843 | 1 | 0.092 | 1.671 | 0.920 | 3.037 |
Constant | 1.863 | 0.626 | 8.846 | 1 | 0.003 | 6.440 |
B | SE | Wald | df | Sig. (P) | Exp(B) (OR) | 95% CI for EXP(B) | ||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
CI: confidence interval; COVID-19: coronavirus disease 2019; OR: odds ratio; SE: standard error. | ||||||||
On aspirin | -0.195 | 0.622 | 0.099 | 1 | 0.753 | 0.823 | 0.243 | 2.781 |
Gender (male) | 2.049 | 0.804 | 6.501 | 1 | 0.011 | 7.759 | 1.606 | 37.483 |
Recategorized race | 2.613 | 3 | 0.455 | |||||
Non-Hispanic Whites | -18.030 | 6374.539 | 0.000 | 1 | 0.998 | 0.000 | 0.000 | |
Non-Hispanic Blacks | -18.406 | 6374.539 | 0.000 | 1 | 0.998 | 0.000 | 0.000 | |
Native Americans | -17.258 | 6374.539 | 0.000 | 1 | 0.998 | 0.000 | 0.000 | |
Diabetes mellitus | 0.731 | 0.562 | 1.693 | 1 | 0.193 | 2.077 | 0.691 | 6.244 |
Hypertension | -0.666 | 0.849 | 0.614 | 1 | 0.433 | 0.514 | 0.097 | 2.716 |
Coronary artery disease | 0.452 | 0.689 | 0.431 | 1 | 0.512 | 1.572 | 0.407 | 6.067 |
Chronic kidney disease | -1.934 | 0.601 | 10.363 | 1 | 0.001 | 0.145 | 0.045 | 0.469 |
Age dichotomized (< 65 years) | -0.957 | 0.591 | 2.618 | 1 | 0.106 | 0.384 | 0.121 | 1.224 |
Constant | 21.833 | 6374.539 | 0.000 | 1 | 0.997 | 3,033,928,723.49 |
B | SE | Wald | df | Sig. (P) | Exp(B) (OR) | 95% CI for EXP(B) | ||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
CI: confidence interval; COVID-19: coronavirus disease 2019; OR: odds ratio; SE: standard error. | ||||||||
On aspirin | 0.057 | 0.357 | 0.025 | 1 | 0.874 | 1.058 | 0.525 | 2.132 |
Gender (male) | -0.068 | 0.328 | 0.043 | 1 | 0.836 | 0.934 | 0.491 | 1.777 |
Recategorized race | 1.089 | 3 | 0.780 | |||||
Non-Hispanic Whites | 0.622 | 0.657 | 0.898 | 1 | 0.343 | 1.863 | 0.514 | 6.745 |
Non-Hispanic Blacks | 0.468 | 0.634 | 0.544 | 1 | 0.461 | 1.596 | 0.461 | 5.527 |
Native Americans | 0.320 | 0.655 | 0.239 | 1 | 0.625 | 1.377 | 0.381 | 4.976 |
Diabetes mellitus | 0.221 | 0.334 | 0.436 | 1 | 0.509 | 1.247 | 0.647 | 2.401 |
Hypertension | -0.650 | 0.545 | 1.420 | 1 | 0.233 | 0.522 | 0.179 | 1.520 |
Coronary artery disease | -0.259 | 0.373 | 0.480 | 1 | 0.488 | 0.772 | 0.371 | 1.605 |
Chronic kidney disease | -0.918 | 0.352 | 6.807 | 1 | 0.009 | 0.400 | 0.201 | 0.796 |
Age dichotomized (< 65 years) | 0.337 | 0.353 | 0.908 | 1 | 0.341 | 1.401 | 0.700 | 2.800 |
Constant | 2.101 | 0.724 | 8.434 | 1 | 0.004 | 8.175 |
B | SE | Wald | df | Sig. (P) | Exp(B) (OR) | 95% CI for EXP(B) | ||
---|---|---|---|---|---|---|---|---|
Lower | Upper | |||||||
CI: confidence interval; COVID-19: coronavirus disease 2019; OR: odds ratio; SE: standard error. | ||||||||
On aspirin | -0.155 | 0.294 | 0.278 | 1 | 0.598 | 0.856 | 0.481 | 1.524 |
Gender (male) | -0.319 | 0.272 | 1.369 | 1 | 0.242 | 0.727 | 0.427 | 1.240 |
Recategorized race | 2.967 | 3 | 0.397 | |||||
Non-Hispanic Whites | 0.026 | 0.625 | 0.002 | 1 | 0.966 | 1.027 | 0.302 | 3.495 |
Non-Hispanic Blacks | -0.474 | 0.609 | 0.606 | 1 | 0.436 | 0.622 | 0.188 | 2.054 |
Native Americans | -0.487 | 0.627 | 0.603 | 1 | 0.437 | 0.615 | 0.180 | 2.099 |
Diabetes mellitus | 0.065 | 0.278 | 0.054 | 1 | 0.816 | 1.067 | 0.618 | 1.841 |
Hypertension | 0.026 | 0.393 | 0.004 | 1 | 0.947 | 1.026 | 0.475 | 2.216 |
Coronary artery disease | 0.377 | 0.330 | 1.303 | 1 | 0.254 | 1.458 | 0.763 | 2.785 |
Chronic kidney disease | -0.559 | 0.312 | 3.195 | 1 | 0.074 | 0.572 | 0.310 | 1.055 |
Age dichotomized (< 65 years) | 1.058 | 0.296 | 12.761 | 1 | < 0.001 | 2.881 | 1.612 | 5.148 |
Constant | 1.361 | 0.642 | 4.500 | 1 | 0.034 | 3.899 |