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Table 1 Patients’ characteristics and outcome

From: The utility of initial procalcitonin and procalcitonin clearance for prediction of bacterial infection and outcome in critically ill patients with autoimmune diseases: a prospective observational study

 

Bacterial infection

Nonbacterial condition

Survivors

Non-survivors

 

n = 54

n = 58

n = 73

n = 39

Demographic characteristics

    

 Age, mean ± SD, yr.

52.5 ± 13.1

51.8 ± 15.8

53.1 ± 11.7

52.3 ± 17.6

 Female, n (%)

33 (61.1 %)

38 (65.5 %)

47 (64.4 %)

24 (61.5 %)

Type of AID, n (%)

    

 SLE

30 (55.6 %)

29 (50 %)

44 (60.3 %)

15 (38.5 %)b

 Systemic vasculitis

5 (9.3 %)

7 (12.1 %)

7 (9.6 %)

5 (12.8 %)

 Dermatomyositis

3 (5.6 %)

10 (17.2 %)a

4 (5.5 %)

9 (23.1 %)a

 pSS

4 (7.4 %)

4 (6.9 %)

6 (8.2 %)

2 (5.1 %)

 RA

3 (5.6 %)

2 (3.4 %)

3 (4.1 %)

2 (5.1 %)

 SSc

3 (5.6 %)

2 (3.4 %)

3 (4.1 %)

2 (5.1 %)

 MCTD

3 (5.6 %)

2 (3.4 %)

3 (4.1 %)

2 (5.1 %)

 Others

3 (5.6 %)

2 (3.4 %)

3 (4.1 %)

2 (5.1 %)

Comorbid conditions, n (%)

    

 Heart function grade > 3 (NYHA)

4 (7,4 %)

6 (10.3 %)

3 (4.1 %)

7 (17.9 %)a

 Chronic renal insufficiency (CKD stage > 3)

5 (9.3 %)

6 (10.3 %)

4 (5.5 %)

7 (17.9 %)a

Prior hospitalization, days, median (range)

3.3 (1–38)

3.0 (1–33)

3.2 (1–35)

2.9 (1–38)

The treatment before ICU admission

    

 The median equivalent prednisone dose, mg/d

43.2 ± 22.4

41.4 ± 25.2

40.2 ± 25.7

44.4 ± 21.5

 Immunosuppressants, n (%)

11 (20.4 %)

13 (22.4 %)

18 (24.7 %)

6 (15.4 %)b

 High dose steroid, n (%)

6 (19.4 %)

9 (31.0 %)b

5 (6.8 %)

10 (25.6 %)a

 Antibiotic therapy, n (%)

44 (81.4 %)

50 (86.2 %)

61 (83.6 %)

33 (84.6 %)

Reasons for ICU admission, n (%)

    

 Acute respiratory failure

24 (44.4 %)

24 (41.4 %)

26 (35.6 %)

22 (56.4 %)b

 Acute kidney failure

1 (1.9 %)

5 (8.6 %)a

5 (6.8 %)

1 (2.6 %)

 Conscious disturbance

3 (5.6 %)

8 (13.8 %)a

4 (5.5 %)

7 (17.9 %)a

 Hypopressure of any reasons

10 (14.8 %)

8 (13.8 %)

14 (19.2 %)

4 (10.3 %)b

 The coexistence of hypotension and respiratory failure

16 (29.6 %)

13 (22.4 %)

16 (21.9 %)

13 (33.3 %)b

Characteristics on admission

    

 Body temperature, °C

38.2 ± 0.5

38.3 ± 0.7

38.3 ± 0.6

38.3 ± 0.3

 Leucocytes, cells/mm3

10,300 ± 7200

10,100 ± 5600

10,100 ± 6400

10,200 ± 7600

 Granulocyte, %

88.5 ± 18.9

88.1 ± 21.5

88.2 ± 15.1

87.9 ± 13.6

 Neutropenia, n (%)

4 (7.4 %)

4 (6.9 %)

5 (6.8 %)

3 (7.7 %)

 Serum creatinine, μmol/l

106.7 ± 28.1

108.2 ± 35.5

102.5 ± 35.5

110.5 ± 23.7

 SOFA score, points

6.8 ± 3.1

6.2 ± 3.5

5.4 ± 2.2

8.9 ± 2.1a

Organ support, n (%)

    

 mechanical ventilation

48 (88.9 %)

51 (87.9 %)

60 (82.2 %)

39 (100 %)b

 renal replacement therapy

8 (14.8 %)

10 (17.2 %)

7 (11.0 %)

11 (28.2 %)a

 vasopressor

26 (48.1 %)

29 (50.0 %)

30 (41.1 %)

25 (64.1 %)a

ICU new acquired severe sepsis, n (%)

18 (33.3 %)

23 (39.7 %)

21 (28.8 %)

20 (51,3 %)a

Duration of shock, days, median (range)

6.5 (3–15)

6.9 (2–14)

3.8 (2–10)

7.5 (7–15)a

ICU stay, days, median (range)

13.1 (8–31)

13.6 (7–33)

12.5 (8–29)

13.9 (7–33)

Appropriate treatment of the primary cause, n (%)

28 (51.8 %)

26 (44.8 %)

42 (57.5 %)

12 (30.8 %)a

28-day ICU mortality, n (%)

18 (33.3 %)

21 (36.2 %)

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  1. AID autoimmune diseases; SLE systemic lupus erythematosus; pSS primary Sjogren’s syndrome
  2. RA rheumatoid arthritis; SSc systemic sclerosis; MCTD mixed connective tissue disease
  3. aP < 0.05 versus the control group; bP < 0.20 versus the control group