Variable | All (n = 1491) | Non-ECMO group (n = 1389) | ECMO group (n = 92) | p-value |
---|---|---|---|---|
Demographics | ||||
 Age, years | 55.74 ± 15.25 (15–108) | 56.57 ± 15.18 (15–108) | 43.17 ± 9.35 (17–65) | 0.000* |
  Distribution | ||||
   0–10 years | 12 (0.8) | 12 (0.9) | 0 | 0.000* |
   11–20 years | 11 (0.7) | 9 (0.6) | 2 (2.2) |  |
   21–30 years | 49 (3.3) | 44 (3.2) | 4 (4.3) |  |
   31–40 years | 182 (12.2) | 153 (11) | 29 (31.5) |  |
   41–50 years | 302 (20.3) | 262 (18.9) | 37 (40.2) |  |
   51–60 years | 360 (24.1) | 344 (24.8) | 15 (16.3) |  |
   61–70 years | 294 (19.7) | 287 (20.7) | 5 (5.4) |  |
   71–80 years | 168 (11.3) | 167 (12) | 0 |  |
   81–90 years | 66 (4.4) | 64 (4.6) | 0 |  |
   ≥ 90 years | 15 (1) | 15 (1.1) | 0 |  |
 Height, meters | 1.65 ± 8.8 (1.29–1.98) | 1.65 ± 8.6 (1.29–1.95) | 1.69 ± 10 (1.45–1.98) | 0.001* |
 Weight, kilograms | 82.4 ± 17.98 (36–177) | 81.86 ± 17.73 (36–177) | 91.68 ± 19.43 (51.4–170) | 0.000* |
 BMI, kg/m2 | 28.69 ± 7.03 (23.84–46.1) | 30.01 ± 6.74 (14.61–78.7) | 32.22 ± 7.11 (21.96–66.41) | 0.001* |
  Distribution | ||||
  Underweight | 6 (0.4) | 6 (0.4) | 0 | 0.012* |
  Normal | 334 (22.4) | 316 (22.8) | 14 (15.2) |  |
  Overweight | 426 (28.6) | 402 (28.9) | 22 (23.9) |  |
  Obese | 376 (25.2) | 347 (25) | 27 (29.3) |  |
  Extremely obese | 246 (16.5) | 218 (15.7) | 27 (29.3) |  |
 Gender | ||||
  Male | 1,099 (73.7) | 1,019 (73.4) | 73 (79.3) | 0.000* |
  Female | 388 (26) | 367 (26.4) | 18 (19.6) |  |
 Was patient a national? | ||||
  Saudi | 742 (49.8) | 695 (50) | 43 (46.7) | 0.006* |
  Non-Saudi | 745 (50) | 690 (49.7) | 49 (53.3) |  |
 Nationality | ||||
  Indian | 94 (6.3) | 84 (6) | 7 (7.6) | 0.001* |
  Pakistani | 88 (5.9) | 82 (5.9) | 6 (6.5) |  |
  Bengali | 109 (7.3) | 108 (7.8) | 1 (1.1) |  |
  Cooperation Council for the Arab States of the Gulf | 4 (0.3) | 4 (0.3) | 0 |  |
  Yemeni | 79 (5.3) | 71 (5.1) | 7 (7.6) |  |
  Sudanese | 32 (2.1) | 31 (2.2) | 0 |  |
  Filipino | 56 (3.8) | 54 (3.9) | 2 (2.2) |  |
  Palestinian | 15 (1) | 14 (1) | 1 (1.1) |  |
  Egyptian | 52 (3.5) | 41 (3) | 11 (12) |  |
  Jordanian | 13 (0.9) | 13 (0.9) | 0 |  |
  Syrian | 27 (1.8) | 24 (1.7) | 3 (3.3) |  |
  Afghani | 6 (0.4) | 5 (0.4) | 1 (1.1) |  |
  Lebanese | 4 (0.3) | 1 (0.1) | 2 (2.2) |  |
  Myanmar | 20 (1.3) | 20 (1.4) | 0 |  |
  Nepalese | 4 (0.3) | 2 (0.1) | 2 (2.2) |  |
  Mauritian | 2 (0.1) | 2 (0.1) | 0 |  |
  Chadian | 7 (0.5) | 6 (0.4) | 1 (1.1) |  |
  Senegalese | 7 (0.5) | 7 (0.5) | 0 |  |
  Eritrean | 6 (0.4) | 6 (0.4) | 0 |  |
  Seychellean | 2 (0.1) | 2 (0.1) | 0 |  |
  Indonesian | 3 (0.2) | 3 (0.2) | 0 |  |
  Sri Lankan | 1 (0.1) | 1 (0.1) | 0 |  |
  Ethiopian | 4 (0.3) | 4 (0.3) | 0 |  |
  Canadian/US | 6 (0.4) | 6 (0.4) | 0 |  |
  Turkish | 1 (0.1) | 1 (0.1) | 0 |  |
  Singaporean | 1 (0.1) | 1 (0.1) | 0 |  |
  Serbian | 3 (0.2) | 3 (0.2) | 0 |  |
 For non-Saudis, patient’s entry into Saudi was | ||||
  Legal | 664 (44.5) | 619 (44.5) | 43 (46.7) | 0.000* |
  Illegal | 23 (1.5) | 21 (1.5) | 1 (1.1) |  |
 Source of transmission | ||||
  Case travelled outside Saudi | 8 (0.5) | 8 (0.5) | 0 | 0.000* |
  Case was in close contact with a person with fever and/or cough | 344 (23.1) | 321 (23.1) | 22 (23.9) | 0.000* |
  Case attended an event where a large number of people (i.e., wedding and umrah) | 41 (2.7) | 39 (2.8) | 2 (2.2) | 0.000* |
  Nosocomial infection (admitted with another diagnosis then transmitted COVID-19) | 65 (4.4) | 60 (4.3) | 3 (3.3) | 0.009* |
  No clear data on COVID-19 source | 808 (54.2) | 749 (53.9) | 55 (59.8) | 0.036* |
 Occupation | ||||
  Healthcare worker | 74 (5) | 65 (4.7) | 9 (9.8) | 0.000* |
  Non-healthcare worker | 1,383 (92.8) | 1,294 (93.2) | 81 (88) |  |
 Smoking status | ||||
  Current smoker | 86 (5.8) | 80 (5.8) | 5 (5.4) | 0.000* |
  Not a smoker | 1113 (74.6) | 1,063 (76.5) | 45 (48.9) |  |
 Hospital or medical facility | ||||
  King Faisal Specialist Hospital and Research Centre-Riyadh | 111 (7.4) | 109 (7.8) | 2 (2.2) | 0.000* |
  King Faisal Specialist Hospital and Research Centre-Jeddah | 1 (0.1) | 0 | 1 (1.1) |  |
  National Guard Hospital-Riyadh | 1 (0.1) | 0 | 1 (1.1) |  |
  Armed Forces Hospital-Riyadh | 280 (18.8) | 279 (20.1) | 1 (1.1) |  |
  Habib Medical Group Qassim Hospital-Qassim | 24 (1.6) | 24 (1.7) | 0 |  |
  Habib Medical Group Rayan Hospital-Riyadh | 241 (16.2) | 239 (17.2) | 0 |  |
  Habib Medical Group Takhassusi Hospital-Riyadh | 18 (1.2) | 18 (1.3) | 0 |  |
  Habib Medical Group Olaya Hospital-Riyadh | 80 (5.4) | 78 (5.6) | 0 |  |
  Habib Medical Group Suwaidi Hospital-Riyadh | 56 (3.8) | 56 (4) | 0 |  |
  King Fahd Hospital of the University-Dammam | 97 (6.5) | 97 (7) | 0 |  |
  King Saud Medical City-Riyadh | 229 (15.4) | 213 (15.3) | 16 (17.4) |  |
  Qatif Central Hospital-Qatif | 10 (0.7) | 10 (0.7) | 0 |  |
  Abha Central Hospital-Asir | 4 (0.3) | 0 | 4 (4.3) |  |
  King Fahd Hospital-Madinah | 37 (2.5) | 36 (2.6) | 1 (1.1) |  |
  Ohud Hospital-Madinah | 20 (1.3) | 20 (1.4) | 0 |  |
  King Abdulaziz Hospital-Makkah | 11 (0.7) | 11 (0.8) | 0 |  |
  King Abdullah Medical Complex-Jeddah | 77 (5.2) | 41 (3) | 36 (39.1) |  |
  King Fahad Medical City-Riyadh | 10 (0.7) | 0 | 10 (10.9) |  |
  King Abdullah Medical City Specialist Hospital-Makkah | 71 (4.8) | 56 (4) | 13 (14.1) |  |
  King Fahad General Hospital-Jeddah | 1 (0.1) | 1 (0.1) | 0 |  |
  King Abdulaziz University Hospital-Jeddah | 105 (7) | 101 (7.3) | 0 |  |
  King Khalid Hospital-Najran | 7 (0.5) | 0 | 7 (7.6) |  |
 Hospital admission source | ||||
  Home | 1,254 (84.1) | 1,214 (87.4) | 31 (33.7) | 0.000* |
  Nursing home | 3 (0.2) | 2 (0.1) | 1 (1.1) |  |
  Transfer from other facility | 226 (15.2) | 165 (11.9) | 60 (65.2) |  |
  Other | 3 (0.2) | 3 (0.2) | 0 |  |
Comorbidities | ||||
 Diabetes | 776 (52) | 735 (52.9) | 35 (38) | 0.015* |
 Hypertension | 678 (45.5) | 647 (46.6) | 25 (27.2) | 0.001* |
 Ischemic heart disease | 184 (12.3) | 179 (12.9) | 4 (4.3) | 0.001* |
 Heart failure | 74 (5) | 66 (4.8) | 5 (5.4) | 0.056 |
 Chronic lung disease | 39 (2.6) | 36 (2.6) | 3 (3.3) | 0.007* |
 Chronic obstructive pulmonary disease | 26 (1.7) | 25 (1.8) | 1 (1.1) | 0.001* |
 Bronchial asthma | 131 (8.8) | 124 (8.9) | 7 (7.6) | 0.000* |
 Chronic liver disease | 24 (1.6) | 22 (1.6) | 2 (2.2) | 0.002* |
 Hemoglobinopathy | 5 (0.3) | 5 (0.4) | 0 | 0.001* |
 Chronic kidney disease | 123 (8.2) | 115 (8.3) | 5 (5.4) | 0.147 |
 Renal replacement therapy (dialysis) | 54 (3.6) | 51 (3.7) | 2 (2.2) | 0.184 |
 Post solid organ/bone marrow transplant | 29 (1.9) | 26 (1.9) | 3 (3.3) | 0.038* |
 Immunocompromised status | 73 (4.9) | 68 (4.9) | 5 (5.4) | 0.033* |
 Chronic hematologic disease | 12 (0.8) | 12 (0.9) | 0 | 0.045* |
 HIV/AIDS | 1 (0.1) | 1 (0.1) | 0 | 0.057 |
 Cancer | 48 (3.2) | 45 (3.2) | 2 (2.2) | 0.192 |
 Recent surgery (within 30 days) | 30 (2) | 26 (1.9) | 4 (4.3) | 0.004* |
 Dyslipidemia | 59 (4) | 59 (4.2) | 0 | 0.003* |
 Stroke | 49 (3.3) | 49 (3.5) | 0 | 0.003* |
 Pregnant | 22 (1.47) | 16 (1.1) | 6 (6.5) | 0.157 |
Symptoms on admission day to hospital | ||||
 Asymptomatic | 36 (2.4) | 31 (2.2) | 5 (5.4) | 0.000* |
 Shortness of breath | 1,216 (81.6) | 1,140 (82.1) | 69 (75) | 0.000* |
 Runny nose | 102 (6.8) | 101 (7.3) | 0 | 0.000* |
 Diarrhea or vomiting | 263 (17.6) | 253 (18.2) | 7 (7.6) | 0.000* |
 Fever | 1,100 (73.8) | 1,029 (74.1) | 63 (68.5) | 0.000* |
 Confusion | 198 (13.3) | 189 (13.6) | 7 (7.6) | 0.000* |
 Cough | 972 (65.2) | 906 (65.2) | 59 (64.1) | 0.000* |
 Abdominal pain | 101 (6.8) | 98 (7) | 2 (2.2) | 0.000* |
 Chest pain | 145 (9.7) | 140 (10.1) | 5 (5.4) | 0.000 * |
 Seizures | 17 (1.1) | 17 (1.2) | 0 | 0.000* |
 Headache | 175 (11.7) | 172 (12.4) | 3 (3.3) | 0.000* |
 Joint pain | 115 (7.7) | 115 (8.3) | 0 | 0.000* |
 Muscle pain | 180 (12.1) | 174 (12.5) | 5 (5.4) | 0.000* |
 Fatigue | 279 (18.7) | 269 (19.4) | 10 (10.8) | 0.000* |
 Sore throat | 230 (15.4) | 225 (16.2) | 5 (5.4) | 0.000* |
 Anorexia | 40 (2.7) | 40 (2.9) | 0 | 0.000* |
 Loss of taste or smell | 13 (0.9) | 13 (0.9) | 0 | 0.000* |
 Dizziness | 8 (0.5) | 8 (0.6) | 0 | 0.465 |
 If yes to cough, what is the type |  |  |  |  |
  Dry | 498 (33.4) | 477 (34.3) | 20 (21.7) | 0.000* |
  Wet | 118 (7.9) | 115 (8.3) | 3 (3.3) |  |
  Bloody sputum | 6 (0.4) | 5 (0.3) | 1 (1.1) |  |
 Pre-hospital medications (home medications) | ||||
  Angiotensin converting enzyme inhibitors (ACEIs) | 109 (7.3) | 108 (7.8) | 1 (1.1) | 0.000* |
  Angiotensin II receptor blockers (ARBs) | 122 (8.2) | 120 (8.6) | 2 (2.2) | 0.000* |
  Beta blockers | 147 (9.8) | 142 (10.2) | 4 (4.3) | 0.071 |
  Calcium channel blockers | 166 (11.1) | 163 (11.7) | 3 (3.3) | 0.010* |
  Diuretics | 58 (3.9) | 56 (4) | 2 (2.2) | 0.577 |
  Anticoagulation | 43 (2.9) | 41 (3) | 2 (2.2) | 0.001* |
  Type of anticoagulants | ||||
   Warfarin | 13 (0.9) | 13 (0.9) | 0 | 0.440 |
   Novel oral anticoagulants (NOACs) | 11 (0.7) | 11 (0.8) | 0 |  |
   Low-molecular-weight heparin (LMWH) | 15 (1) | 14 (1) | 1 (1.1) |  |
  Antiplatelet | 228 (15.3) | 224 (16.1) | 4 (4.3) | 0.000* |
Type of antiplatelets | ||||
   Aspirin | 203 (13.6) | 199 (14.3) | 4 (4.3) | 0.004* |
   Clopidogrel | 78 (5.2) | 75 (5.4) | 3 (3.3) | 0.477 |
   Ticagrelor | 5 (0.3) | 5 (0.4) | 0 | 0.725 |
   Non-steroidal anti-inflammatory drugs (NSAIDs) | 57 (3.8) | 56 (4) | 0 | 0.000* |
  Insulin therapy | 243 (16.3) | 233 (16.8) | 7 (7.6) | 0.000* |
  Corticosteroids | 46 (3.1) | 42 (3) | 4 (4.3) | 0.000* |
  Prednisolone | 35 (2.3) | 32 (2.3) | 3 (3.3) | 0.407 |
  Hydrocortisone | 3 (0.2) | 2 (0.1) | 1 (1.1) |  |
  Dexamethasone | 6 (0.4) | 6 (0.4) | 0 |  |
  Prednisolone and fludrocortisone | 1 (0.07) | 1 (0.1) | 0 |  |
  Chemotherapy currently (in the last 3 months) | 13 (0.9) | 13 (0.9) | 0 | 0.000* |
  Immunotherapy (i.e., calcineurin inhibitors, monoclonal antibodies, thymoglobulin, and anti-proliferative | 36 (2.4) | 34 (2.4) | 2 (2.2) | 0.000* |
Radiographic findings for patients on hospital admission | ||||
 Chest X-ray was done | 1186 (79.5) | 1,145 (82.4) | 33 (35.9) | 0.382 |
 Was chest X-ray consolidation present or absent on hospital admission? | ||||
  Present | 1,044 (70) | 1011 (72.8) | 27 (29.3) | 0.162 |
  Absent | 129 (8.7) | 121 (8.7) | 6 (6.5) |  |
 X-ray chest radiography shown | ||||
  Unilateral abnormality | 72 (4.8) | 70 (5) | 2 (2.2) | 0.712 |
  Bilateral abnormality | 967 (64.9) | 936 (67.4) | 25 (27.2) |  |
Laboratory data for patients on hospital admission | ||||
 Blood group | ||||
  A +  | 249 (16.7) | 226 (16.3) | 22 (23.9) | 0.158 |
  A− | 29 (1.9) | 27 (1.9) | 2 (2.2) |  |
  B +  | 157 (10.5) | 142 (10.2) | 15 (16.3) |  |
  B− | 13 (0.9) | 12 (0.9) | 1 (1.1) |  |
  AB +  | 44 (3) | 35 (2.5) | 9 (9.8) |  |
  AB- | 6 (0.4) | 6 (0.4) | 0 |  |
  O +  | 307 (20.6) | 284 (20.4) | 20 (21.7) |  |
  O− | 31 (2.1) | 29 (2.1) | 2 (2.2) |  |
 Lipase level, U/l | 584.3 ± 3,441.9 (1–29,654) | 658.6 ± 3,691.4 (1–29,654) | 91.2 ± 99.5 (11–363) | 0.888 |
 Triglycerides, mg/dl | 227 ± 295.5 (0.7–3,464) | 227 ± 301 (0.7–3,464) | 258 ± 126 (129–531) | 0.006* |
 HbA1C, % | 7.95 ± 2.3 (4.3–16.3) | 7.96 ± 2.3 (4.3–16.3) | 7 ± (5.1–9.2) | 0.292 |
 Hemoglobin level, g/dl | 12.5 ± 2.6 (1.2–42.3) | 12.6 ± 2.6 (1.2–42.3) | 11.4 ± (7.5–17.4) | 0.000* |
 White blood cell count, × 109/L | 11.21 ± 37.5 (0.62–1,036) | 10.4 ± 25.8 (0.6–878) | 12.4 ± (2.6–39.6) | 0.001* |
 Lymphocyte absolute count, × 109/L | 6.75 ± 123.4 (0.06–3,830) | 7 ± 126.4 (0.06–3,830) | 1.9 ± (0.09–15.3) | 0.881 |
 Absolute neutrophil count, × 109/L | 11.6 ± 69 (0.1–2,024) | 11.2 ± 70.4 (0.1–2,024) | 21 ± (1.7–94.4) | 0.000* |
 Platelets, × 109/L | 232.3 ± 103.9 (3.13–831) | 233.3 ± 103.6 (3.1–831) | 206.4 ± (5–401) | 0.090 |
 Activated partial thromboplastin time, seconds | 39.6 ± 26.9 (10.5–489) | 39.5 ± 27.1 (10.5–489) | 43.1 ± (16.3–160) | 0.383 |
 Prothrombin time, seconds | 15.4 ± 12 (1.14–178) | 15.5 ± 12.3 (1.1–178) | 13.6 ± (8.8–29) | 0.046* |
 Fibrinogen, mg/dl | 60.7 ± 211.8 (0.92–1028) | 66.3 ± 221.5 (1–1,028) | 5 ± (0.9–9.8) | 0.014* |
 Aspartate transaminase, U/l | 93.1 ± 250.3 (2.3–5156) | 87.9 ± 233 (2.3–5,156) | 177.1 ± (6.3–2,790) | 0.178 |
 Alanine transaminase, U/l | 68.9 ± 170.3 (3.4–3097) | 65.8 ± 153.8 (3.4–3097) | 136.1 ± (5–2,501) | 0.056 |
 Bilirubin, mg/dl | 14.6 ± 25 (0.4–468) | 13.9 ± 20.9 (0.86–430) | 27 ± (0.4–468) | 0.003* |
 Erythrocyte sedimentation rate, mm/hour | 51.4 ± 69 (1–1221.6) | 50.9 ± 70.4 (1–1221.6) | 59.6 ± (1–157) | 0.234 |
 Creatinine, mg/dl | 145.4 ± 280.3 (1.6–7606) | 144.3 ± 283.7 (1.6–7606) | 157.1 ± (29–1,038) | 0.685 |
 Lactate, mmol/l | 16.4 ± 99.9 (0.4–1964) | 17.2 ± 103 (0.4–1964) | 2.3 ± (0.4–10.8) | 0.065 |
 Procalcitonin, ng/ml | 7.5 ± 46.3 (0.03–540) | 6.2 ± 40.7 (0.03–540) | 55.5 ± (0.1–387) | 0.000* |
 Lactate dehydrogenase, U/l | 530.1 ± 468.5 (12.7–5541) | 515.1 ± 439.1 (12.7–5541) | 817.6 ± (14.3–5040) | 0.000* |
 C-reactive protein, mg/L | 139.2 ± 218.2 (0.01–2761.3) | 140.6 ± 219.9 (0.2–2761) | 89.5 ± (0.01–675) | 0.016* |
 Troponin I, ng/ml | 24.3 ± 421.4 (0.001–8727) | 4.2 ± 26.4 (0.001–253.6) | 515.3 ± (0.01–8727) | 0.001* |
 Troponin T, ng/ml | 9.5 ± 38.1 (0.002–539) | 9.4 ± 38.5 (0.002–539) | 16.5 ± (0.05–65) | 0.004* |
 High-sensitivity cardiac troponin T test (hs-cTnT), ng/l | 25.8 ± 37.3 (0.01–115) | 30.5 ± 39.5 (0.01–115) | 2.4 ± (0.7–4.1) | 0.519 |
 Creatine kinase, U/l | 489.3 ± 950.6 (0.01–11,535) | 459.2 ± 880.2 (0.01–11,535) | 867.4 ± (11.4–8270) | 0.005* |
 D-dimer, mg/l | 14.9 ± 114.3 (0.046–2520) | 14.1 ± 114.9 (0.05–2520) | 32.4 ± (0.4–639) | 0.000* |
 Ferritin, µg/L | 1,413.5 ± 3504.3 (0.33–64165) | 1393.1 ± 3509.2 (0.33–64,165) | 2058.1 ± (50–14,094) | 0.648 |
 NT-proBNP, (pg/ml) | 2026.5 ± 5229.4 (1.9–35,000) | 2013.2 ± 5239.1 (1.9–35,000) | 1044.3 ± (109–2448) | 0.590 |
 BNP, (pg/ml) | 1191.7 ± 2082 (19–9675) | 1400 ± 2218.4 (38–9675) | 99.2 ± (19–393) | 0.002* |
Microbiological testing for patients on hospital admission | ||||
 Viral PCR was done | 377 (25.3) | 358 (25.8) | 18 (19.6) | 0.215 |
  PCR was negative | 128 (8.6) | 116 (8.4) | 12 (13) | 0.125 |
 Atypical pneumonia PCR was done | 28 (1.8) | 22 (1.6) | 3 (3.3) | 0.200 |
  PCR was negative | 27 (1.7) | 24 (1.7) | 3 (3.3) | 0.233 |
  Legionella Pneumophila, positive | 1 (0.1) | 1 (0.1) | 0 | 0.062 |
 MERS-CoV PCR was done | 68 (4.6) | 63 (4.5) | 5 (5.4) | 0.611 |
  PCR was negative | 59 (4) | 54 (3.9) | 5 (5.4) | 0.518 |
  PCR was positive | 8 (0.5) | 8 (0.6) | 0 | – |
Testing and specimen collection for SARS-CoV-2 | ||||
 Nasopharyngeal swab | 1380 (92.6) | 1298 (93.4) | 72 (78.3) | 0.000* |
 Sputum and tracheal aspirate | 32 (2.1) | 28 (2) | 4 (4.3) |  |
 Bronchoalveolar lavage | 9 (0.6) | 8 (0.6) | 1 (1.1) |  |
Days of symptoms before hospital admission | ||||
 Less than 3 days | 268 (18) | 251 (18.1) | 14 (15.2) | 0.000* |
 3–5 days | 516 (34.6) | 499 (35.9) | 15 (16.3) |  |
 6–8 days | 225 (15.1) | 215 (15.4) | 9 (9.7) |  |
 More than 8 days | 184 (12.3) | 171 (12.3) | 11 (11.9) |  |
 Unknown | 260 (17.4) | 219 (15.7) | 41 (44.5) |  |