Characteristics | Nonsurvivors (n = 47) | Survivors (n = 145) | p value |
---|---|---|---|
Demographics | Â | Â | Â |
Age | 62 ± 14 | 58 ± 17 | 0.12 |
Male gender | 14 (30%) | 40 (28%) | 0.71 |
Characteristics before VAP | Â | Â | Â |
Charlson index | 2 (1 to 3) | 1 (0 to 3) | 0.01 |
APACHE II on ICU admission | 20 ± 8 | 21 ± 9 | 0.87 |
Shock on ICU admission | 26 (55%) | 50 (35%) | 0.016 |
ARDS | 21 (45%) | 33 (23%) | 0.005 |
RRT before VAP | 17 (36%) | 15 (10%) | < 0.001 |
Duration of mechanical ventilation before VAP, days | 9 (5 to 16) | 7 (3 to 14) | 0.14 |
Number of infectious episodes before VAP | 1 (1 to 1) | 1 (1 to 1) | 0.243 |
SOFA 2 days before VAP | 7 (5 to 9) | 5 (3 to 7) | 0.001 |
Characteristics at diagnosis of VAP | Â | Â | Â |
SOFA at VAP | 9 (5 to 11) | 5 (4 to 8) | < 0.001 |
Delta SOFAâ–¡ | 1 (0 to 4) | 0 (-1 to 1) | < 0.001 |
VAP with shock | 19 (40%) | 22(15%) | < 0.001 |
Microbial aetiology of VAP | Â | Â | Â |
   MDR aetiology | 19 (40%) | 33 (23%) | 0.02 |
   Gram-negative aetiology | 40 (85%) | 122 (84%) | 0.39 |
Enterobacteriaceae | 24 (62%) | 70 (48%) | 0.71 |
Pseudomonas aeruginosa | 12 (26%) | 39 (27%) | 0.84 |
Non-fermenter other than P. aeruginosa | 3 (6%) | 2 (1%) | 0.006 |
Other Gram-negative†| 1(2%) | 11 (8%) | 0.001 |
   Gram-positive aetiology | 7(15%) | 23(16%) | 0.39 |
Staphylococcus aureus | 7 (15%) | 18 (12%) | 0.37 |
Streptococcus pneumoniae | 0 | 5 (4%) | 0.01 |
Subsequent VAP | 4 (9%) | 30(21%) | 0.08 |
Treatment characteristics | Â | Â | Â |
Appropriate therapy < 24 hours¶ | 38 (83%) | 125(86%) | 0.63 |
Appropriate therapy < 48 hours¶ | 43 (94%) | 135 (93%) | 0.99 |