Table 1.
Demographic and clinical data of the patient population
Proven infection (n = 27) |
Unproven infection (n = 23) |
P | |
---|---|---|---|
Age, years | 70 ± 12.1 | 56 ± 22.1 | 0.03 |
Gender (male) | 20 (74%) | 18 (78%) | NS |
ICU stay duration until study enrollment | 25 ± 12 | 29 ± 14 | NS |
APACHE II score on study enrollment | 20.5 ± 4.4 | 15.3 ± 4.1 | <0.001 |
SOFA score on day 1 (Day of fever) | 10.1 ± 3 | 6.2 ± 2.4 | 0.004 |
Δ SOFA score | 2.7 ± 1.9 | 0.6 ± 1 | <0.001 |
28-day mortality | 15/27 (56%) | 7/23 (30%) | NS |
Day 1 (Day of fever) status | |||
SIRS | 1 (4%) | 6 (26%) | NS |
SIRS+New organ failure (besides circulation) | 13 (48%) | 14 (61%) | NS |
Shock | 13 (48%) | 3 (13%) | 0.07 |
Admission category | |||
Respiratory | 7 (26%) | 6 (26%) | NS |
Cardiovascular | 6 (22%) | 3 (13%) | NS |
Neurological | 9 (33%) | 10 (43%) | NS |
Trauma/Surgical | 5 (19%) | 2 (9%) | NS |
Co-morbidities | |||
Malignancy | 2 (7%) | 2 (9%) | NS |
CRRT | 8 (30%) | 5 (22%) | NS |
Steroids | 4 (15%) | 3 (13%) | NS |
Previous septic episodes | NS | ||
MDR pathogens in the last tracheal aspirate | 27/27 (100%) | 21/23 (91%) | NS |
MDR pathogens in the last anal swab | 27/27 (100%) | 20/23 (87%) | NS |
Proven infection | 17/27(63%) | 13/23(56%) | NS |
Ventilator-associated pneumonia | 16 (60%) | 0 | |
Bloodstream infection | 8 (30%) | 0 | |
Abdominal infection | 3 (10%) | 0 |
ICU: Intensive Care Unit, APACHE: Acute Physiology and Chronic Health Evaluation, SOFA: System Organ Failure Assessment, ΔSOFA: difference between Day 1 (fever) and Day 0 in SOFA score, SIRS: Systemic Inflammatory Response Syndrome, CRRT: Continuous Renal Replacement Therapy, MDR: Multi-Drug Resistant.