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Table 2 Comparison of Patients in PROGRESS with Patients in AQUA and GenIMS

From: Sequential organ failure assessment score is an excellent operationalization of disease severity of adult patients with hospitalized community acquired pneumonia – results from the prospective observational PROGRESS study

  

PROGRESS

AQUA

GenIMS

 

N, number of cases

1532

258,049

1886

Age, mean (sd)

59 (18.3)

73 (p = 6.9 × 10− 151)1

68 (p = 5.1 × 10−67) 1

Age > =60 in % (N)

55% (836)

82% (p = 2.1 × 10− 177)2

NA

Male sex

59% (902)

57% (p = 0.13)2

52% (p = 9 × 10−5)2

Comorbidities and other risk factors

Nursery home resident

1.5% (23)

20.7% (p = 8.5 × 10−76)2

6.2% (p = 1.7 × 10−11)2

Smoking history

66% (942)

NA

66% (p = 0.84)2

Antibiotic treatment before admission to hospital, missings excluded

419 (28%)

NA

NA

Antibiotic treatment during the last 5 days, missings excluded

224 (15%)

NA

NA

Antibiosis before admission (in days), mean (sd) median

0.77 (2.4) 0

NA

0.8 (1.4) 0 (p = 0.6169)1

Chron. Lung disease

30% (458)

NA

26% (p = 0.014)2

Chron. cardiovascular disease

26% (399)

NA

26% (p = 0.70)2

Chron. renal disease

10% (153)

NA

NA

Chron. liver disease

2.2% (33)

NA

NA

Chron. cerebrovascular disease

5.7% (87)

NA

NA

Tumor disease

8.8% (134)

NA

NA

Any of these comorbidities

52% (789)

NA

NA

Chron. bed confinement

0.9% (14)

21.4% (p = 2.5 × 10−84)2

NA

Condition/ treatment at enrollment

Disoriented*

5.8% (88)

32.7% (p = 4.7 × 10−110)2

NA

Low blood pressure*, (Systolic < 90 mmHg or Diastolic < =60 mmHg)

19% (288)

NA

NA

High respiratory rate*, (> = 30 1/min)

6.6% (62)

NA

NA

Vasopressors*, (> = 30 1/min)

2.9% (44)

NA

NA

ICU and ventilation

Mechanical ventilation within 28d, missings treated as ‘No’

9.5% (145)

9.2% (p = 0.1618)2

7.3% (p = 0.024)2

Mechanical ventilation within 28d, missings excluded

17.4% (145)

9.2% (p = 2.8 × 10−20)2

7.3% (p = 2.2 × 10− 15)2

ICU within 28d, missings treated as ‘No’

17% (259)

NA

16% (p = 0.51)2

ICU within 28d, missings excluded

24% (259)

NA

16% (p = 1.2 × 10−07)2

Scores and Endpoints

Length of hospital stay (LOHS) in (d): mean (sd) median

10.0 (15.5) 8

NA

7.3 (5.0) 6 (p = 9.7 × 10−12) 1

LOHS (1–7/8–14/15–21/> 21) in %

46.3/40.7/7.8/5.2

42.5/38.6/10.7/6.8 (p = 1 × 10−04)3

NA

Primary endpoint

10.1% (155)

NA

NA

In-hospital mortality

2.3% (33)

13.0% (p = 1.3 × 10−15)2

NA

28-day mortality

2.3% (35)

NA

NA

90-day mortality

3.5% (54)

NA

11.5% (p = 2.4 × 10−17)2

CRB-65* (0–4) in %

41.3/40.3/14.8/3.4/0.1

17.2/52.5/23.1/4.5/2.7 (p = 2.1 × 10−88)3

NA

CURB-65* (0–5) in %

37.0/30.0/21.2/9.2/2.5/0.1

NA

NA

Halm* mean, (sd)

1.8 (1.1)

NA

NA

IDSA/ATS* mean, (sd)

2.0 (1.4)

NA

NA

PSI* (1–5) in %

23.4/22.9/20.9/23.9/9.0

NA

30.7/25.2/33.4/10.8 (p = 1.9 × 10−17)3

qSOFA* (0–3) in %

44.8/44.8/9.8/0.7

NA

NA

SCAP* mean, (sd)

7.8 (7.5)

NA

NA

SIRS* (1/2/3) in %

13.2/80.2/6.7

NA

NA

SMART-COP* mean, (sd)

2.1 (1.6)

NA

NA

SOFA* mean, (sd)

2.9 (2.2)

NA

NA

  1. Characteristics of the PROGRESS patient population compared to the general population of hospitalized CAP patients in Germany (AQUA) and another large observational study of CAP patients (GenIMS)
  2. NA data not available
  3. * = value at the time of enrollment; ** = classes I and II are pooled together
  4. 1 = p-value of a one sample t-test; 2 = p-value of a chi-square test; 3 = p-value of a Mann-Whitney U-test