Table 1 Demographic information, clinical characteristics, and laboratory test indices of patients were stratified into two groups: those with VAP and those without VAP.
Characteristic | All n = 36 | VAP baseline n = 24 | No-VAP baseline n = 12 | p-value | VAP follow-up n = 25 | No VAP follow-up n = 11 | p-value |
|---|---|---|---|---|---|---|---|
Demographic | |||||||
Male. N (%) | 22 (61) | 14 (58) | 8 (66) | 0.90 | 14 (56) | 7 (63) | 1 |
Age. Median (IQR) | 56.0 (49.7–64.2) | 57.5 (50.0-64.2) | 54.5 (47.7–61.5) | 0.51 | 57.5 (50.0-64.2) | 54.0(46.5–64.0) | 0.54 |
Comorbid conditions. N (%) | |||||||
Anemia | 1 (2.8) | 0 (0) | 1 (8.3) | 0.71 | 0 (0) | 1 (9.1) | 0.68 |
Cancer | 1 (2.8) | 1 (4.2) | 0 (0) | 1 | 1 (4.0) | 0 (0) | 1 |
Diabetes mellitus | 2 (5.6) | 1 (4.2) | 1 (8.3) | 1 | 1 (4.0) | 1 (9.1) | 1 |
Coronary disease | 1 (2.8) | 1 (4.2) | 0 (0) | 1 | 1 (4.0) | 0 (0) | 1 |
COPD | 1 (2.8) | 1(4.2) | 0 (0) | 1 | 1 (4.0) | 0 (0) | 1 |
Arterial hypertension | 12 (33.3) | 10 (41.7) | 2 (16.7) | 0.26 | 10 (40.0) | 2 (18.2) | 0.32 |
Obesity | 9 (25.0) | 6 (25.0) | 3 (25.0) | 1 | 6 (24.0) | 3 (27.3) | 1 |
No background | 18 (50.0) | 12 (50.0) | 6 (50.0) | 1 | 12 (48.0) | 5 (45.5) | 1 |
Physiological variables during the first 24 h of admission. Median (IQR) | |||||||
Heart rate. BPM | 93.5 (77.2–106.0) | 85.5 (73.5-103.5) | 98.0 (90.7-125.5) | 0.07 | 83.5 (63.7–99.0) | 82.0 (67.0–87.0) | 1 |
Respiratory rate. RPM | 24.0 (20.0–30.0) | 24.0 (20.0-25.7) | 24.5 (20.0–40.0) | 0.31 | 24.0 (20.0-24.2) | 24.0 (20.0–24.0) | 0.91 |
Temperature. °C | 36.6 (36.5–36.9) | 36.5 (36.5–36.9) | 36.9 (36.4–37.0) | 0.28 | 36.9 (36.6–37.5) | 37.0 (37.0-37.4) | 0.22 |
SBP. mmHg | 118.0 (105.0-134.2) | 119.5 (107.5-133.2) | 115.0 (101.5-137.8) | 0.76 | 128.0 (117.8-144.5) | 126.0 (105.5-146.5) | 0.63 |
DBP. mmHg | 65.5 (58.7–73.2) | 66.0 (59.5–73.2) | 65.5 (57.0-69.5) | 0.67 | 66.0 (60.2–72.5) | 71.0 (65.0-78.5) | 0.27 |
PAM. mmHg | 84.3 (75.2–89.5) | 85.5 (75.2–89.5) | 83.1 (73.7–88.5) | 0.62 | 86.8 (81.2–98.1) | 90.6 (81.5–94.8) | 0.80 |
SPO2. (%) | 85.5 (80.7–90.0) | 84.0 (80.0–90.0) | 90.0 (81.0-93.7) | 0.12 | 90.0 (87.5–92.0) | 90.0 (84.5–92.0) | 0.97 |
Glasgow Coma Scale | 8.5 (6.0–15.0) | 8.0 (6.0–15.0) | 14.0 (6.0–15.0) | 0.68 | 6.0 (6.0-6.2) | 6.0 (6.0–7.0) | 0.96 |
Laboratory variables at admission. Median (IQR) | |||||||
WBC, cell × 103 | 10.7 (8.10–14.0) | 9.9 (7.1–13.0) | 13.0 (11.0-16.5) | 0.06 | 9.4 (7.9–13.5) | 12.9 (9.4–16.9) | 0.39 |
Neutrophiles, (%) | 85.5 (80.7–90.2) | 86.5 (81.0-90.5) | 82.5 (79.7–89.5) | 0.34 | 84.0 (81.7–90.2) | 89.0 (80.0–92.0) | 0.48 |
Hemoglobin, g/dL | 14.8 (13.8–16.0) | 14.8 (13.9–16.0) | 14.8 (13.5–16.0) | 0.91 | 12.5 (11.2–14.0) | 11.6 (11.1–12.0) | 0.13 |
Platelet, cell x 103 | 230.0 (180.0-280) | 226.5 (150.0-252.5) | 275.0 (205.8-356.8) | 0.02 | 200.0 (167.5-252.5) | 243.0 (189.30–315.0) | 0.31 |
Creatinine, mg/dL | 0.9 (0.8–1.1) | 1.0 (0.9–1.4) | 0.8 (0.7–0.9) | 0.04 | 1.3 (0.9–2.2) | 0.8 (0.7–1.4) | 0.10 |
BUN, mg/dL | 20.0 (15.0–26.0) | 22.5 (16.2–29.7) | 15.0 (13.0–18.0) | 0.01 | 32.5 (22.7–45.0) | 24.0 (18.0-41.5) | 0.27 |
Blood glucose, mg/dL | 142.0 (124.5–185.0) | 145.0 (129.2–180.0) | 142.0 (121.0-210.0) | 0.98 | 150.0 (130.0-180.0) | 150.0 (150.0-170.0) | 0.71 |
Sodium, mEq/L | 139.0 (136.8-140.2) | 139.0 (137.5-140.5) | 139.0 (136.0-139.0) | 0.78 | 144.0 (139.8-145.2) | 145.0 (143.0-147.5) | 0.18 |
Potassium, mEq/L | 4.3 (4.0-4.5) | 4.3 (4.1–4.6) | 4.2 (4.0-4.5) | 0.50 | 4.8 (4.2–5.2) | 4.2 (4.1–4.8) | 0.22 |
pH | 7.31 (7.20–7.41) | 7.33 (7.20–7.41) | 7.25 (7.17–7.38) | 0.62 | 7.34 (7.20–7.42) | 7.42 (7.30–7.45) | 0.24 |
PCO2, mmHg | 46.0 (34.0-58.2) | 45.0 (34.0-53.2) | 57.5 (34.0-65.2) | 0.38 | 46.5 (43.0-54.5) | 46.0 (44.5–53.0) | 0.78 |
PaO2, mmHg | 68.5 (59.0-75.2) | 64.5 (59.0–73.0) | 79.0 (65.5–89.7) | 0.04 | 64.0 (60.2–66.0) | 59.0 (57.0-67.5) | 0.83 |
FiO2 | 70.0 (45.0–90.0) | 80.0 (45.0-91.2) | 52.5 (43.7–82.5) | 0.27 | 40.0 (39.2–48.2) | 40.0 (35.0-52.5) | 0.66 |
HCO3, mmol/L | 24.0 (20.1–26.0) | 23.5 (19.7–26.0) | 24.0 (21.7–27.0) | 0.55 | 26.0 (21.0-29.2) | 30.0 (27.5–31.0) | 0.13 |
Acid lactic, mmol/L | 1.4 (1.1–2.1) | 1.5 (1.1–2.1) | 1.3 (1.1–1.7) | 0.46 | 1.3 (1.0-1.8) | 1.1 (0.9–1.2) | 0.31 |
Outcomes. Median (IQR) | |||||||
Length of stay in ICU, days (IQR) | 8.0 (4.0–14.0) | 15.0 (9.0–24.0) | 6.0 (3.0–11.0) | < 0.01 | 15.0 (9.0–24.0) | 10.0 (6.0-13.5) | < 0.01 |
Length of stay in the hospital, days (IQR) | 13.0 (7.0–29.0) | 29.0 (12.0-48.5) | 11.0 (4.0–18.0) | < 0.01 | 29 (12.0-48.5) | 15.0 (10.5–22.5) | 0.02 |
Intubation time, days (IQR) | 5.0 (3.0–9.0) | 9.0 (7.0–14.0) | 3.0 (2.0–5.0) | < 0.01 | 9.0 (7.0–14.0) | 6.0 (5.0-8.5) | <0.01 |
Hospital Mortality (%) | 30 (83.3) | 19 (79.2) | 11 (91.7) | 0.63 | 19 (76.0) | 10 (90.9) | 0.70 |
Mortality 28d (%) | 30 (83.3) | 19 (79.2) | 11 (91.7) | 0.63 | 19 (76.0) | 10 (90.9) | 0.70 |
Mortality 90d (%) | 31 (86.1) | 20 (83.3) | 11 (91.7) | 0.86 | 20 (80.0) | 10 (90.9) | 0.94 |
Scores. Median (IQR) | |||||||
SOFA | 8.0 (7.0–9.0) | 8.0 (7.2-9.0) | 8.0 (6.0–9.0) | 0.01 | 9.0 (7.0–10.0) | 9.0 (7.0–10.0) | 0.85 |
APACHE | 15.0 (10.0–20.0) | 17.0 (14.0-23.2) | 14.0 (9.0-19.2) | 0.01 | 17.0 (14.0–19.0) | 14.0 (11.0–20.0) | 0.10 |
CPIS | 2.0 (10.0–4.0) | 2.0 (1.0–3.0) | 2.0 (1.0–5.0) | 0.30 | 3.0 (1.0–4.0) | 2.0 (1.0-2.30) | < 0.01 |