Skip to main content

Table 2 The risk factors for developing severe COVID–19 cases based on surveillance data from January 19 to March 9 in 2020 in China

From: Risk factors for developing severe COVID-19 in China: an analysis of disease surveillance data

Variable

Severe cases (n)/all cases (N) (%)

Crude OR (95% CI)

P value

aOR (95% CI)

Gender

 Female

697/6066 (11.5)

1

 

1

 Male

965/6581 (14.7)

1.33 (1.2–1.5)

0.000

1.34 (1.2–1.5)

Age group, years

 0–19

6/826 (0.8)

1

 

1

 20–39

253/4132 (6.1)

7.63 (3.6–16.2)

0.000

3.90 (1.8–8.4)

 40–59

686/5241 (13.1)

17.62 (8.3–37.2)

0.000

7.63 (3.6–16.3)

 ≥ 60

717/2448 (29.3)

48.46 (22.9–102.5)

0.000

20.42 (9.5–43.7)

Living area

 Rural

703/5724 (12.3)

1

 

1

 Urban

959/6923 (13.9)

1.15 (1.0–1.3)

0.010

0.94 (0.8–1.1)

Region

 East

590/4860 (12.1)

1

 

1

 Central

730/5351 (13.7)

1.14 (1.0–1.3)

0.022

1.12 (1.0–1.3)

 West

342/2436 (14.0)

1.18 (1.0–1.4)

0.022

1.40 (1.2–1.6)

The symptom onset to diagnosis, days

 0–2

272/3811 (7.1)

1

 

1

 3–5

447/3610 (12.4)

1.84 (1.6–2.2)

0.000

1.41 (1.2–1.7)

 6–8

451/2583 (17.5)

2.75 (2.4–3.2)

0.000

1.79(1.5–2.1)

 ≥ 9

492/2643 (18.6)

2.98 (2.5–3.5)

0.000

1.91(1.6–2.3)

Fever

 No

265/4376 (6.1)

1

 

1

 Yes

1397/8271 (16.9)

3.14 (2.7–3.6)

0.000

2.30(2.0–2.7)

Fatigue, joint or muscle soreness

 No

1034/9397 (11.0)

1

 

1

 Yes

628/3250 (19.3)

1.94 (1.7–2.2)

0.000

1.33(1.2–1.5)

Cough or respiratory symptoms

 No

520/5597 (9.3)

1

 

1

 Yes

1142/7050 (16.2)

1.75 (1.6–1.9)

0.000

1.40(1.2–1.6)

Gastrointestinal symptoms

 No

1495/11712 (12.8)

1

 

1

 Yes

167/935 (17.9)

1.48 (1.3–1.8)

0.000

1.09(0.9–1.3)

Headache

 No

1446/11308 (12.8)

1

 

1

 Yes

216/1339 (16.1)

1.31 (1.1–1.5)

0.001

1.15(1.0–1.4)

Conjunctival congestion

 No

1658/12625 (13.1)

1

  

 Yes

4/22 (18.2)

1.47 (0.5–4.4)

0.487

 

White blood cell count (109/L)a

  4–10

1088/7981 (13.6)

1.0

 

1

 < 4

356/2477 (14.4)

1.06 (0.9–1.2)

0.351

1.03(0.9–1.2)

 > 10

87/400 (21.8)

1.76 (1.4–2.3)

0.000

1.47(1.1–2.0)

 Unavailable

131/1789 (7.4)

0.51 (0.4–0.6)

0.000

0.54(0.2–1.5)

Lymphocyte count (109/L)b

 0.8–3.5

1029/8632 (11.9)

1

 

1

 < 0.8

431/1752 (24.6)

2.41 (2.1–2.7)

0.000

1.28 (1.1–1.5)

 > 3.5

62/444 (14.0)

1.20 (0.9–1.6)

0.197

1.22 (0.9–1.7)

 Unavailable

140/1819 (7.8)

0.62 (0.5–0.8)

0.000

1.72 (0.8–3.6)

Lymphocyte percentage(%)c

 20–40

690/6084 (11.3)

1

 

1

 < 20

739/3441 (21.5)

2.14 (1.9–2.4)

0.000

1.19 (1.0–1.4)

 > 40

100/1333 (7.5)

0.63 (0.5–0.8)

0.000

0.77 (0.60–1.0)

 Unavailable

133/1789 (7.5)

0.63 (0.5–0.8)

0.000

1.22 (0.4–3.8)

Neutrophil percentage (%)d

 40–75

914/7928 (11.5)

1

 

1

 < 40

117/944 (12.4)

1.09 (0.9–1.3)

0.433

1.27 (1.0–1.6)

 > 75

498/1984 (25.1)

2.57 (2.3–2.9)

0.000

1.55 (1.3–1.9)

 Unavailable

133/1791 (7.5)

0.62 (0.5–0.8)

0.000

0.98 (0.3–2.8)

Abnormal X-ray

 No

326/2576 (12.7)

1

 

1

 Yes

239/1319 (18.1)

1.53 (1.3–1.8)

0.000

1.29 (1.1–1.6)

 Unavailable

1097/8752 (12.5)

0.99 (0.9–1.1)

0.883

0.96 (0.8–1.1)

Abnormal CT imaging

 No

326/2576 (12.7)

1

 

1

 Yes

239/1319 (18.1)

3.21 (2.4–4.3)

0.000

1.57(1.2–2.1)

 Unavailable

1097/8752 (12.5)

2.14 (1.6–2.9)

0.000

1.53(1.1–2.2)

Underlying diseases

 No

927/9664 (9.6)

1

 

1

 Yes

735/2983 (24.6)

3.08 (2.8–3.4)

0.000

0.88 (0.7–1.1)

Diabetes

 No

1447/12 098 (12.0)

1

 

1

 Yes

215/549 (39.2)

4.73(4.0–5. 7)

0.000

1.96 (1.6–2.4)

Hypertension and other cardiovascular and cerebrovascular diseases

 No

1195/11126 (10.7)

1

 

1

 Yes

467/1521 (30.7)

3.68 (3.3–4.2)

0.000

1.46 (1.2–1.8)

Lung diseases

 No

1574/12350 (12.8)

1

 

1

 Yes

88/297 (29.6)

2.88 (2.2–3.7)

0.000

1.42 (1.1–1.9)

Chronic liver diseases

 No

1648/12 550 (13.1)

1

  

 Yes

14/97 (14.4)

1.12 (0.6–2.0)

0.707

 

Chronic kidney diseases

 No

1637/12 594 (13.0)

1

 

1

 Yes

25/53 (47.2)

5.97 (3.5–10.3)

0.000

2.50 (1.4–4.6)

Exposure history

 No

215/1009 (21.3)

1

 

1

 Yes

1447/11 638 (12.4)

0.53 (0.5–0.6)

0.000

0.63 (0.5–0.8)

  1. a The normal range of the white blood cell count is 4 × 109/L to 10 × 109/L
  2. b The lymphocyte count normal range is 0.8 × 109/L to 3.5 × 109/L
  3. c The lymphocyte percentage normal range is 20% to 40%
  4. d The normal range of percent neutrophils is 40% to 75% [23]