Characteristic | All patients (n= 773) | Survivors (n= 451) | Non-survivors (n= 322) | OR (CI 95%) | P-value |
---|---|---|---|---|---|
General | Â | Â | Â | Â | Â |
Age - yo | 62 (43 to 76) | 58 (35 to 72) | 69 (53 to 80) | 1.03 (1.02 to 1.04) | < 0.001 |
Male gender - n (%) | 435 (56) | 260 (58) | 175 (54) | 0.87 (0.66 to 1.17) | 0.362 |
Ideal weight - Kg | 61 (52 to 69) | 62 (54 to 71) | 61 (52 to 67) | 0.98 (0.97 to 0.99) | 0.034 |
Admission SAPS 3 score (points) | 62 (52 to 72) | 58 (49 to 67) | 68 (57 to 77) | 1.04 (1.03 to 1.06) | < 0.001 |
SOFA score on Day 1 (points) | 8 (5 to 10) | 7 (4 to 9) | 8 (7 to 11) | 1.17 (1.12 to 1.23) | < 0.001 |
SOFA score excluding respiratory component (points) | 6 (4 to 8) | 5 (3 to 8) | 7 (5 to 9) | 1.18 (1.13 to 1.24) | < 0.001 |
Charlson Comorbidity Index (points) | Â | Â | Â | Â | Â |
   0 | 314 (41) | 227 (50) | 87 (27) | Ref. |  |
   1 to 2 | 288 (37) | 160 (36) | 128 (40) | 0.23 (0.15 to 0.34) | < 0.001 |
   > 2 | 171 (22) | 64 (14) | 107 (33) | 0.48 (0.33 to 0.70) |  |
LOS prior ICU - days | 1 (0 to 3) | 1 (0 to 2) | 1 (0 to 4) | 1.03 (1.01 to 1.05) | 0.009 |
Admission source | Â | Â | Â | Â | Â |
Ward - n (%) | 242 (31) | 119 (26) | 122 (38) | Ref. | Â |
Emergency room - n (%) | 367 (47) | 225 (50) | 142 (44) | 0.62 (0.45 to 0.86) | 0.004 |
Operation room - n (%) | 164 (22) | 107 (24) | 58 (18) | 0.54 (0.36 to 0.81) | 0.003 |
Admission Diagnosis | Â | Â | Â | Â | Â |
Pneumonia - n (%) | 207 (27) | 111 (25) | 96 (30) | 0.63 (0.32 to 1.23) | 0.177 |
Neurological - n (%) | 146 (19) | 73 (16) | 73 (23) | 0.70 (0.41 to 1.22) | 0.210 |
Non-pulmonary sepsis - n (%) | 90 (12) | 41 (9) | 49 (15) | 0.77 (0.49 to 1.19) | 0.238 |
Asthma/COPD - n (%) | 50 (6) | 33 (7) | 17 (5) | Ref. | Â |
Cardiogenic pulmonary edema - n (%) | 43 (6) | 24 (5) | 19 (6) | 0.86 (0.42 to 1.75) | 0.681 |
Extracranial trauma - n (%) | 41 (5) | 24 (5) | 17 (5) | 1.22 (0.76 to 1.95) | 0.415 |
Hypovolemic/cardiogenic shock - n (%) | 37 (5) | 23 (5) | 14 (4) | 0.64 (0.27 to 1.55) | 0.326 |
Aspirative syndromes - n (%) | 26 (3) | 17 (4) | 9 (4) | 0.96 (0.48 to 1.92) | 0.915 |
Others - n (%) | 133 (17) | 73 (16) | 60 (18) | 0.74 (0.34 to 1.56) | 0.431 |
Comorbidities | Â | Â | Â | Â | Â |
Hypertension - n (%) | 328 (42) | 167 (37) | 161 (50) | 1.71 (1.28 to 2.29) | < 0.001 |
Diabetes - n (%) | 177 (23) | 81 (18) | 96 (30) | 1.95 (1.39 to 2.73) | < 0.001 |
Heart failure - n (%) | 67 (9) | 27 (6) | 40 (12) | 2.23 (1.34 to 3.73) | 0.002 |
Chronic renal failure - n (%) | 51 (7) | 16 (4) | 35 (11) | 3.32 (1.80 to 6.10) | < 0.001 |
Chronic renal failure in dialysis n (%) | 15 (2) | 7 (2) | 8 (2) | 1.62 (0.58 to 4.50) | 0.359 |
Neoplasm - n (%) | 162 (21) | 66 (15) | 96 (30) | 1.91 (1.38 to 2.65) | < 0.001 |
AIDS - n (%) | 13 (2) | 7 (2) | 6 (2) | 1.21 (0.40 to 3.63) | 0.736 |
COPD - n (%) | 80 (10) | 47 (10) | 33 (10) | 0.98 (0.61 to 1.57) | 0.938 |
Ventilatory support category | Â | Â | Â | Â | Â |
Successful NIV - n (%) | 70 (9) | 57 (13) | 13 (4) | Ref. | Â |
NIV failure - n (%) | 81 (10) | 40 (8) | 41 (13) | 4.49 (2.14 to 9.45) | < 0.001 |
Invasive MV - n (%) | 622 (80) | 354 (78) | 268 (82) | 3.32 (1.78 to 6.19) | < 0.001 |
Respiratory Data at first day | Â | Â | Â | Â | Â |
Pressure controlled mode - n (%) | 371 (48) | 208 (34) | 163 (27) | 1.09 (0.79 to 1.51) | 0.603 |
Volume controlled mode - n (%) | 186 (24) | 104 (17) | 82 (13) | 1.06 (0.75 to 1.49) | 0.742 |
Pressure support mode - n (%) | 54 (7) | 34 (6) | 20 (3) | 0.76 (0.42 to 1.35) | 0.349 |
Tidal volume (ideal weight) - mL/kg | 7.5 (6.1 to 8.7) | 7.3 (6.0 to 8.7) | 7.5 (6.6 to 8.9) | 1.00 (0.90 to 1.11) | 0.992 |
Plateau pressure - cmH2O | 20 (17 to 24) | 20 (17 to 24) | 20 (16 to 24) | 0.99 (0.95 to 1.04) | 0.746 |
PEEP - cmH2O | 6 (5 to 8) | 6 (5,8) | 6 (5 to 8) | 0.95 (0.87 to 1.03) | 0.206 |
PaO2/FiO2 ratio | 257 (185 to 330) | 260 (196 to 346) | 250 (167 to 316) | 0.99 (0.99 to 1.00) | 0.014 |
ARDS - n (%) | 242 (31) | 116 (26) | 126 (39) | 1.50 (1.06 to 2.12) | 0.021 |
Length of ventilatory support - days | 5 (3 to 10) | 5 (2 to 8) | 6 (3 to 12) | 1.02 (1.01 to 1.04) | 0.005 |
Support during ICU stay | Â | Â | Â | Â | Â |
RRT - n (%) | 148 (19) | 47 (10) | 101 (31) | 3.91 (2.67 to 5.75) | < 0.001 |
Vasopressors - n (%) | 521 (67) | 265 (60) | 256 (79) | 2.83 (2.02 to 3.98) | < 0.001 |
Cumulative fluid balance (72 h) - L | 2.9 (0.8 to 5.4) | 2.6 (0.8 to 4.6) | 3.7 (1.1 to 6.2) | 1.05 (1.01 to 1.10) | 0.011 |
Outcomes | Â | Â | Â | Â | Â |
ICU mortality - n (%) | 260 (34) | ----------- | ----------- | ----------- | ---------- |
Hospital mortality - n (%) | 322 (42) | ----------- | ----------- | ----------- | ---------- |
ICU LOS - days | 10 (6 to 18) | 10 (6 to 17) | 10 (5 to 19) | 1.01 (1.00 to 1.02) | 0.047 |
Hospital LOS - days | 20 (11 to 34) | 23 (14 to 36) | 16 (7 to 30) | 0.99 (0.98 to 0.99) | 0.009 |