Table 1.
Variable | De-escalation (N = 61) | Non de-escalation (N = 44) | P value |
---|---|---|---|
Age (years) | 62.5 (±13.2) | 61.7 (±12.8) | 0.7 |
Gender (male) | 39 (64 %) | 28 (64 %) | 1 |
Cancer type | |||
Hematologic | 24 (39 %) | 17 (39 %) | 1 |
Solid | 37 (61 %) | 27 (61 %) | |
Neutropenia on ICU admission | 13 (21 %) | 11 (26 %) | 0.64 |
History of antibiotic allergy | 15 (25 %) | 8 (18 %) | 0.48 |
Prior history of resistant organism | 2 (3 %) | 7 (16 %) | 0.03 |
Lactate level (mmol/L) on ICU admission | 2.4 (±2.1) | 3.2 (±2.3) | 0.03 |
Blood culture on ICU admission that turned positive | 15 (25 %) | 7 (16 %) | 0.34 |
Time to first antibiotic administration from initial blood culture collection (hours) | 1.1 (±3) | 1 (±3) | 0.86 |
Concomitant multiple infections | 10 (16 %) | 16 (36 %) | 0.02 |
Use of MV during ICU stay | 29 (48 %) | 22 (50 %) | 0.84 |
Use of MV on day 5 | 20 (33 %) | 18 (41 %) | 0.42 |
Total MV duration (days) (for those on MV) | 7.1 (±3.4) | 10.1 (±6.6) | 0.18 |
Use of VP during ICU stay | 42 (69 %) | 35 (80 %) | 0.27 |
MPM II score on ICU admission | 0.5 (±0.2) | 0.5 (±0.3) | 0.96 |
SOFA score on ICU admission | 7.2 (±3.3) | 8 (±3.4) | 0.18 |
SOFA score on ICU day 5 | 5.1 (±3.9) | 7 (±3.5) | 0.002 |
Difference between SOFA on day 5 and SOFA on ICU admission | −2.1 (±3.5) | −1 (±3.5) | 0.05 |
Duration of therapy | 13.3 (±7.2) | 15.5 (±11.1) | 0.6 |
ICU mortality | 11 (18 %) | 10 (23 %) | 0.62 |
Hospital mortality | 21 (34 %) | 15 (34 %) | 1 |
28-day mortality | 24 (39 %) | 15 (34 %) | 0.68 |
ICU LOS | 8.1 (±4.6) | 11.2 (±7.4) | 0.001 |
Hospital LOS | 17.1 (±22.9) | 23.4 (±17.6) | 0.005 |
Data are expressed as number (percentage) or mean (±standard deviation). P < 0.05 was considered significant
ICU intensive care unit, LOS length of stay, MV mechanical ventilation, MPM mortality probability model, SOFA sequential organ failure assessment, VP vasopressors