Risk factors for COVID-19 in inflammatory bowel disease: A national, ENEIDA-based case-control study (COVID-19-EII)

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• dc.contributor.author Zabana, Yamile
• dc.contributor.author López, Alicia
• dc.contributor.author The Eneida Registry Of Geteccu
• dc.date.accessioned 2023-04-14T06:21:19Z
• dc.date.available 2023-04-14T06:21:19Z
• dc.date.issued 2022
• dc.description.abstract (1) Scant information is available concerning the characteristics that may favour the acquisition of COVID-19 in patients with inflammatory bowel disease (IBD). Therefore, the aim of this study was to assess these differences between infected and noninfected patients with IBD. (2) This nationwide case−control study evaluated patients with inflammatory bowel disease with COVID-19 (cases) and without COVID-19 (controls) during the period March−July 2020 included in the ENEIDA of GETECCU. (3) A total of 496 cases and 964 controls from 73 Spanish centres were included. No differences were found in the basal characteristics between cases and controls. Cases had higher comorbidity Charlson scores (24% vs. 19%; p = 0.02) and occupational risk (28% vs. 10.5%; p < 0.0001) more frequently than did controls. Lockdown was the only protective measure against COVID-19 (50% vs. 70%; p < 0.0001). No differences were found in the use of systemic steroids, immunosuppressants or biologics between cases and controls. Cases were more often treated with 5-aminosalicylates (42% vs. 34%; p = 0.003). Having a moderate Charlson score (OR: 2.7; 95%CI: 1.3−5.9), occupational risk (OR: 2.9; 95%CI: 1.8−4.4) and the use of 5-aminosalicylates (OR: 1.7; 95%CI: 1.2−2.5) were factors for COVID-19. The strict lockdown was the only protective factor (OR: 0.1; 95%CI: 0.09−0.2). (4) Comorbidities and occupational exposure are the most relevant factors for COVID-19 in patients with IBD. The risk of COVID-19 seems not to be increased by immunosuppressants or biologics, with a potential effect of 5-aminosalicylates, which should be investigated further and interpreted with caution.
• dc.format.mimetype application/pdf
• dc.identifier.citation Zabana Y, Marín-Jiménez I, Rodríguez-Lago I, Vera I, Martín-Arranz MD, Guerra I, et al. Risk factors for COVID-19 in inflammatory bowel disease: A national, ENEIDA-based case-control study (COVID-19-EII). J Clin Med. 2022 Dec 19;11(24):7540. DOI: 10.3390/jcm11247540
• dc.identifier.doi http://dx.doi.org/10.3390/jcm11247540
• dc.identifier.issn 2077-0383
• dc.identifier.uri http://hdl.handle.net/10230/56463
• dc.language.iso eng
• dc.publisher MDPI
• dc.relation.ispartof J Clin Med. 2022 Dec 19;11(24):7540
• dc.rights © 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword 5-aminosalicylates
• dc.subject.keyword COVID-19
• dc.subject.keyword SARS-CoV-2
• dc.subject.keyword Immunosuppression
• dc.subject.keyword Inflammatory bowel disease
• dc.title Risk factors for COVID-19 in inflammatory bowel disease: A national, ENEIDA-based case-control study (COVID-19-EII)
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion