Table 5. Univariable and multivariable analyses of factors associated with responsiveness to high-dose corticosteroids.
Univariable analysis | Multivariable analysis | |||
OR (95%CI) | p value | OR (95%CI) | p value | |
Age | 0.94 (0.91–0.98) | 0.01 | ||
ILD not diagnosed previously | 2.75 (0.85–8.90) | 0.09 | ||
ECOG performance status ≥2 | 0.43 (0.14–1.37) | 0.15 | ||
Long-term corticosteroid therapy | 0.73 (0.23–2.32) | 0.60 | ||
Invasive mechanical ventilation | 0.36 (0.11–1.20) | 0.10 | ||
Pre-capillary pulmonary hypertension | 0.18 (0.05–0.62) | 0.01 | ||
CT air-space consolidation | 1.29 (0.38–4.43) | 0.68 | ||
CT micronodules | 6.30 (0.71–56.3) | 0.10 | ||
CT interlobular septal thickening | 0.62 (0.18–2.17) | 0.45 | ||
CT ground-glass attenuation | 1.50 (0.33–6.88) | 0.60 | ||
CT traction bronchiectasis and/or honeycombing | 0.12 (0.03–0.44) | 0.002 | 0.03 (0.005–0.21) | <0.001 |
CT pleural effusion | 1 (0.27–3.76) | 1 | ||
BAL cellularity | 1 (0.99–1) | 0.42 | ||
BAL lymphocytosis | 5.78 (1.26–26.5) | 0.02 | ||
BAL polynucleosis | 0.60 (0.15–2.34) | 0.46 | ||
BAL eosinophilia | 1.40 (0.12–16.9) | 0.79 | ||
BAL intra-alveolar haemorrhage | 0.89 (0.17–4.7) | 0.89 | ||
Respiratory SOFA subscore | 0.67 (0.37–1.19) | 0.17 | ||
SOFA score | 0.96 (0.82–1.12) | 0.62 | ||
Shock | 0.36 (0.12–1.10) | 0.08 | ||
Acute kidney injury | 0.18 (0.06–0.60) | 0.01 | ||
Time from hospital admission to first corticosteroid bolus | 0.94 (0.88–1) | 0.08 | 0.88 (0.79–0.97) | 0.001 |
Aetiology | ||||
Connective tissue disease | 0 | |||
Idiopathic interstitial pneumonia (acute ILD) | 1.59 (0.26–9.54) | 0.60 | ||
Acute exacerbation of chronic idiopathic ILD | 0.06 (0.01–0.59) | 0.02 | ||
Toxic | 0.19 (0.05–0.82) | 0.03 |
Abbreviations : OR, odds ratio; 95%CI, 95% confidence interval; ILD, interstitial lung disease; ECOG, Eastern Cooperative Oncology Group (the performance score can range from 0 [fully active] to 5 [dead]); CT, computed tomography of the chest; BAL, broncho-alveolar lavage; SOFA, Sequential Organ Function Assessment score.