Patient characteristics (hospitalised)
Unvaccinated (reference) | Double-vaccinated | Triple-vaccinated | P value | ||||
n | % | n | % | n | % | ||
142 | 44 | 22 | |||||
Age (years, median, range) | 65 (19–93) | 65 (28–86) | 67 (41–87) | 0.685* | |||
Female | 89 | 62.7 | 23 | 52.3 | 18 | 81.8 | 0.065† |
Body mass index (median, range) | 27.9 (18–46) | 27.6 (19–43) | 26.45 (18–42) | 0.560* | |||
1. Vaccine | |||||||
Moderna | 1 | 2.3 | 2 | 9.1 | |||
Pfizer/BioNTech | 34 | 77.3 | 16 | 72.7 | |||
AstraZeneca | 3 | 6.8 | 2 | 9.1 | |||
Janssen/Johnson&Johnson | 0 | 0 | 0 | 0 | |||
Nuvaxovid | 0 | 0 | 0 | 0 | |||
Unknown | 6 | 13.6 | 2 | 9.1 | |||
2. Vaccine | |||||||
Moderna | 3 | 6.8 | 2 | 9.1 | |||
Pfizer/BioNTech | 35 | 79.5 | 16 | 72.7 | |||
AstraZeneca | 4 | 9.1 | 0 | 0 | |||
Janssen/Johnson&Johnson | 0 | 0 | 0 | 0 | |||
Nuvaxovid | 0 | 0 | 1 | 4.5 | |||
Unknown | 2 | 4.5 | 3 | 13.6 | |||
3. Vaccine | |||||||
Moderna | ‡ | 13.6 | |||||
Pfizer/BioNTech | 14 | 63.6 | |||||
AstraZeneca | 0 | 0 | |||||
Janssen/Johnson&Johnson | 0 | 0 | |||||
Nuvaxovid | 0 | 0 | |||||
Unknown | 5 | 22.7 | |||||
Time between SARS-CoV-2 infection and last vaccination (days, median, range) | 149.5 (17–307) | 78.5 (22–120) | |||||
IRD (multiple selection possible) | |||||||
Rheumatoid arthritis | 79 | 55.6 | 18 | 40.9 | 12 | 54.5 | 0.227† |
Spondyloarthritis | 22 | 15.5 | 6 | 13.6 | 1 | 4.5 | 0.490‡ |
Connective tissue diseases | 15 | 10.6 | 10 | 22.7 | 4 | 18.2 | 0.091‡ |
Other vasculitides | 9 | 6.3 | 3 | 6.8 | 1 | 4.5 | 1.000‡ |
ANCA-associated vasculitis | 14 | 9.9 | 7 | 15.9 | 4 | 18.2 | 0.326‡ |
Other type of IRD | 13 | 9.2 | 2 | 4.5 | 2 | 9.1 | 0.667‡ |
Immunomodulation (multiple selection possible) | |||||||
Glucocorticoids | 72 | 50.7 | 23 | 52.3 | 15 | 68.2 | 0.310† |
Prednisolone ≤5 mg/day | 53 | 37.3 | 14 | 31.8 | 11 | 50.0 | |
Prednisolone 6–9 mg/day | 1 | 0.7 | 1 | 2.2 | 0 | 0 | |
Prednisolone ≥10 mg/day | 12 | 8.5 | 5 | 11 | 1 | 4.5 | |
Methotrexate, leflunomide, sulfasalazine | 84 | 59.1 | 24 | 54.5 | 10 | 45.5 | 0.457† |
Azathioprine | 6 | 4.2 | 1 | 2.3 | 0 | 0 | 1.000‡ |
Tumour necrosis inhibitors (adalimumab, certolizumab, infliximab, golimumab) | 16 | 11.3 | 4 | 9.1 | 3 | 13.6 | 0.833‡ |
Other cytokine inhibitors (IL-6/IL-1/IL12/23/IL17 inhibition) | 5 | 3.5 | 3 | 6.8 | 2 | 9.1 | 0.124‡ |
Janus kinase inhibitors (baricitinib, tofacitinib, upadacitinib, filgotinib) | 14 | 9.9 | 5 | 11.4 | 1 | 4.5 | 0.404‡ |
Immunsuppressives (cyclosporine, mycophenolate, cyclophosphamide) | 4 | 2.8 | 5 | 11.4 | 2 | 9.1 | 0.046‡ |
Abatacept | 3 | 2.1 | 2 | 4.5 | 2 | 9.1 | 0.109‡ |
Rituximab | 16 | 11.3 | 15 | 34.1 | 7 | 31.8 | 0.001† |
Belimumab | 1 | 0.7 | 0 | 0 | 0 | 0 | |
Immunoglobulins | 1 | 0.7 | 0 | 0 | 1 | 1.0 | |
Other immunmodulators | 5 | 3.5 | 1 | 2.3 | 0 | 0 | |
No immunmodulation | 9 | 6.3 | 2 | 4.3 | 0 | 0 | |
Disease activity | |||||||
No/low | 111 | 78.2 | 30 | 68.2 | 20 | 90.9 | 0.106† |
Moderate/high | 21 | 14.8 | 14 | 31.8 | 2 | 9.1 | 0.026‡ |
Comorbidities (multiple selections possible) | |||||||
Arterial hypertension | 74 | 52.1 | 26 | 59.1 | 12 | 54.5 | 0.718† |
Other relevant comorbidities | 47 | 33.1 | 17 | 38.6 | 6 | 27.3 | 0.634† |
Heart failure/arrhythmia | 34 | 23.9 | 17 | 38.6 | 6 | 27.3 | 0.162† |
Diabetes mellitus | 31 | 21.8 | 4 | 9.1 | 2 | 9.1 | 0.015‡ |
Osteoporosis | 14 | 9.9 | 6 | 13.6 | 5 | 22.7 | 0.210† |
Chronic renal failure | 27 | 19.0 | 7 | 15.9 | 6 | 27.3 | 0.540† |
Cancer/history of cancer | 8 | 5.6 | 4 | 9.1 | 1 | 4.5 | 0.398‡ |
Chronic obstructive lung diseases | 5 | 3.5 | 4 | 9.1 | 0 | 0 | 0.379‡ |
Interstitial lung diseases | 9 | 6.3 | 6 | 13.6 | 3 | 13.6 | 0.149‡ |
Bronchial asthma | 10 | 7.0 | 1 | 2.3 | 3 | 13.6 | 0.192‡ |
Pregnancy | 2 | 1.4 | 0 | 0 | 0 | 0 | |
Pulmonal hypertension | 1 | 0.7 | 1 | 2.3 | 1 | 4.5 | |
Liver cirrhosis | 2 | 1.4 | 0 | 0 | 0 | 0 | |
Absence of relevant comorbidities | 21 | 14.8 | 7 | 15.9 | 2 | 9.1 | 0.785‡ |
COVID-19-associated complications | |||||||
Invasive ventilation | 25 | 17.6 | 11 | 25.0 | 1 | 4.5 | 0.112‡ |
Relevant complications (eg, concomitant infection, thromboembolic events) | 50 | 35.2 | 19 | 43.2 | 4 | 18.2 | 0.128‡ |
COVID-19-related death | 18 | 12.7 | 10 | 22.7 | 5 | 22.7 | 0.182† |
*Kruskal-Wallis test.
†χ2 test (Pearson).
‡Fisher’s exact test.
IRD, inflammatory rheumatic disease.