Table 2.
Outcome variable | Univariate analyses | Multivariate analyses | |||||
---|---|---|---|---|---|---|---|
Intervention group (n = 43) | Control group (n = 93) | p value | Adjusted effect estimate intervention vs. control (95% CI)a | Adjusted p valuea | |||
No. obs. | Result | No. obs. | Result | ||||
Primary endpoint | |||||||
Clinical resolution, no. (%) | 43 | 31 (72.1%) | 93 | 65 (69.9%) | 0.793b | OR: 7.1 (1.2, 43.3) | 0.033c |
Secondary endpoints | |||||||
Resolution of fever, no. (%) | 12 | 12 (100.0%) | 24 | 22 (91.7%) | 0.303b | --d | --d |
Inflammatory lab data | |||||||
Patients with reduction in PCT, no. (%) | 25 | 21 (84.0%) | 63 | 40 (63.5%) | 0.060b | OR: 12.4 (1.4, 109.7) | 0.023c |
Change in PCT, median (min., max.)e | 25 | − 2.4 (− 82.8, 2.0) | 63 | − 0.1 (-174.3, 194.2) | 0.009f | Coef.: − 12.7 (− 30.6, 5.2) | 0.164g |
Patients with reduction in CRP, no. (%) | 35 | 27 (77.1%) | 89 | 69 (77.5%) | 0.963b | OR: 1.8 (0.3, 10.0) | 0.486c |
Change in CRP, median (min., max.)e | 35 | − 3.4 (− 22.6, 13.1) | 89 | − 5.6 (− 38.1, 26.3) | 0.439f | Coef.: − 0.6 (− 4.2, 3.1) | 0.764g |
Resolution of leukocytosis, no. (%) | 17 | 8 (47.1%) | 40 | 25 (62.5%) | 0.280b | OR: 0.8 (0.03, 19.1) | 0.883c |
Length of stay (days), median (min., max.) | |||||||
Hospital | 43 | 23 (3, 160) | 93 | 19 (2, 167) | 0.064f | Coef.: 6.6 (− 0.7, 13.8) | 0.076g |
Critical care area | 43 | 12 (2, 70) | 93 | 7 (1, 46) | 0.011f | Coef.: 1.9 (− 1.5, 5.4) | 0.267g |
Intensive care unit | 39 | 10 (2, 48) | 78 | 5 (1, 46) | 0.003f | Coef.: 2.7 (− 0.8, 6.1) | 0.130g |
Length of therapy, median (min., max.) | |||||||
Systemic antimicrobials (days) | 43 | 17 (2, 133) | 93 | 13 (2, 52) | 0.032f | Coef.: 3.8 (− 1.6, 9.1) | 0.165g |
Intubation (hours) | 22 | 77 (8, 355) | 21 | 49 (3, 265) | 0.489f | Coef.: 24.8 (− 57.6, 107.1) | 0.556g |
Mechanical ventilation, including intubation (hours) | 31 | 75 (1, 570) | 51 | 59 (2, 552) | 0.450f | Coef.: 8.4 (− 67.8, 84.5) | 0.830g |
In-hospital mortality, no. (%) | 43 | 12 (27.9%) | 93 | 23 (24.7%) | 0.694b | OR: 0.4 (0.05, 2.9) | 0.347c |
Hospital readmission within 30 daysh, no. (%) | 43 | 6 (14.0%) | 93 | 11 (11.8%) | 0.727b | OR: 27.1 (0.04, 18543.9) | 0.322c |
Mortality within 30 daysh, no. (%) | 30 | 1 (3.3%) | 69 | 8 (11.6%) | 0.189b | OR: 0.2 (0.01, 2.7) | 0.215c |
Patients with creatinine clearance reduction, no. (%) | 26 | 4 (15.4%) | 80 | 25 (31.3%) | 0.115b | OR: 0.3 (0.01, 7.6) | 0.463c |
Reduction in creatinine clearance (ml/min)e, median (min., max.) | 4 | − 11.3 (− 18.0, − 1.7) | 25 | − 16.2 (− 54.9, − 1.5) | 0.184f | Coef.: 14.4 (− 1.6, 30.3) | 0.073g |
95% CI, 95% confidence interval; CRP, C-Reactive protein; Coef., regression coefficient; max., maximum; min., minimum; no.: number; no. obs., number of available observations; OR, odds ratio; p, probability of the comparison test; PCT, procalcitonin
aAdjusted by: sex; age; body mass index; presence of comorbidities (immunosuppression, diabetes mellitus, chronic obstructive pulmonary disease, obstructive sleep apnea syndrome, oncologic diagnosis, metastasis, congestive heart failure, chronic kidney disease, cirrhosis); total number of comorbidities; type of stay in the critical care area; reason for admission to the critical care area; surgery during hospital stay; infectious disease diagnosis; fever, white blood cell count, CRP, and PCT at the beginning of the systemic antimicrobial therapy; worst sequential organ failure assessment (SOFA) value during hospital stay; and mechanical ventilation, and intubation previous to the beginning of systemic antimicrobials
bChi-square
cLogistic regression
dIt was not possible to develop a regression model since all the patients in the intervention group resolved fever at the end of the systemic antimicrobial therapy
eDifference between values at the end of the systemic antimicrobial therapy and values at the beginning of it. A negative value denotes that the patient had lower values at the end of systemic antimicrobial treatment in comparison with values at the beginning of it
fMann–Whitney U test
gMultiple linear regression
hAfter hospital discharge