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Table 2 Derivation cohort characteristics with regards to 28-day mortality

From: The early identification of disease progression in patients with suspected infection presenting to the emergency department: a multi-centre derivation and validation study

Patient characteristics

Total patient cohort (N = 1175)

Survivors (N = 1091)

Non-survivors (N = 84)

p value

Demographics

 Age (years) (mean, SD)

63.3 (20.9)

62.0 (20.9)

79.7 (11.6)

< 0.001

 Male gender (N, %)

592 (50.4%)

543 (49.8%)

49 (58.3%)

0.130

Disposition

 Hospital admission (N, %)

915 (77.9%)

831 (76.2%)

84 (100.0%)

< 0.001

 Hospital length of stay (days) (median, Q1–Q3)

4 [1–9]

4 [1–9]

11 [5–17]

< 0.001

 ICU admission (N, %)

32 (2.7%)

18 (1.6%)

14 (16.7%)

< 0.001

Comorbidities

 Cardiovascular disease (N, %)

363 (30.9%)

316 (29.0%)

47 (56.0%)

< 0.001

 Diabetes (N, %)

216 (18.4%)

196 (18.0%)

20 (23.8%)

0.183

 Immunodeficiency (N, %)

64 (5.4%)

56 (5.1%)

8 (9.5%)

0.088

 Liver disease (N, %)

31 (2.6%)

28 (2.6%)

3 (3.6%)

0.580

 Malignancy (N, %)

228 (19.4%)

198 (18.1%)

30 (35.7%)

< 0.001

 Neurological disorders (N, %)

135 (11.5%)

116 (10.6%)

19 (22.6%)

< 0.001

 Respiratory disease (N, %)

378 (32.2%)

344 (31.5%)

34 (40.5%)

0.091

 Renal disease (N, %)

82 (7.0%)

68 (6.2%)

14 (16.7%)

< 0.001

Infectious source

 Bone and Joint (N, %)

13 (1.1%)

13 (1.2%)

0 (0.0%)

0.315

 Cardiac (N, %)

6 (0.5%)

5 (0.5%)

1 (1.2%)

0.364

 Central nervous system (N, %)

13 (1.1%)

10 (0.9%)

3 (3.6%)

0.025

 Fever of unknown origin (N, %)

98 (8.3%)

87 (8.0%)

11 (13.1%)

0.100

 Foreign object (N, %)

5 (0.4%)

4 (0.4%)

1 (1.2%)

0.264

 Intra-abdominal (N, %)

158 (13.4%)

153 (14.0%)

5 (6.0%)

0.007

 Respiratory—lower (N, %)

413 (35.1%)

369 (33.8%)

44 (52.4%)

< 0.001

 Respiratory—upper (N, %)

85 (7.2%)

85 (7.8%)

0 (0.0%)

0.008

 Skin and soft tissue (N, %)

96 (8.2%)

89 (8.2%)

7 (8.3%)

0.901

 Surgical-related (N, %)

10 (0.9%)

10 (0.9%)

0 (0.0%)

0.379

 Urogenital (N, %)

278 (23.7%)

266 (24.4%)

12 (14.3%)

0.041

Microbiological findings

 Blood cultures taken (N, %)

888 (75.6%)

823 (75.4%)

65 (77.4%)

0.689

 Positive blood cultures (N, %)

227 (19.3%)

205 (18.8%)

22 (26.2%)

0.099

 Gram-positive bacteria (N, %)

120 (10.2%)

108 (9.9%)

12 (14.3%)

0.201

 Gram-negative bacteria (N, %)

179 (15.2%)

166 (15.2%)

13 (15.5%)

0.949

 Fungal cultures (N, %)

9 (0.8%)

8 (0.7%)

1 (1.2%)

0.643

 Viral PCR (N, %)

40 (3.4%)

39 (3.6%)

1 (1.2%)

0.246

 Other (N, %)

9 (0.8%)

8 (0.7%)

1 (1.2%)

0.830

Biomarkers and clinical scores

 MR-proADM (nmol/L) (median, Q1–Q3)

1.09 [0.69–1.71]

1.02 [0.67–1.59]

2.65 [1.81–4.67]

< 0.001

 PCT (ng/mL) (median, Q1–Q3)

0.17 [0.07–0.77]

0.16 [0.07–0.61]

0.94 [0.23–3.12]

< 0.001

 Lactate (mmol/L) (median, Q1–Q3)

1.60 [1.14–2.30]

1.55 [1.10–2.23]

2.40 [1.50–3.50]

< 0.001

 CRP (mg/L) (median, Q1–Q3)

32 [10–120]

30 [10–112]

102 [28–178]

< 0.001

 SIRS (points) (median, Q1–Q3)

2 [1–3]

2 [1–3]

3 [2–3]

< 0.001

 SOFA (points) (median, Q1–Q3)

2 [0–3]

1 [0–3]

4 [2–6]

< 0.001

 qSOFA (points) (median, Q1–Q3)

0 [0–1]

0 [0–1]

1 [1–2]

< 0.001

 NEWS (points) (median, Q1–Q3)

4 [2–7]

4 [2–7]

8 [5–10]

< 0.001

 CRB-65 (points) (median, Q1–Q3)

1 [0–2]

1 [0–1]

2 [1–2]

< 0.001

  1. Values expressed in percentages (%) indicate either the proportion of the total patient cohort, surviving or non-surviving patients at 28 days for each variable, where applicable. Data are presented as mean (standard deviation, SD) or median [first quartile (Q1)–third quartile (Q3)] where appropriate. The chi-square (χ2) test was used to determine significance between surviving and non-surviving patients for categorical variables, Student’s t test for the variable of age, and Mann-Whitney U test for hospitalisation duration, biomarker and clinical score variables. CRB-65 Severity score for community-acquired pneumonia, CRP C-reactive protein, ICU intensive care unit, MR-proADM mid-regional proadrenomedullin, N number, NEWS National Early Warning Score, PCR polymerase chain reaction, PCT procalcitonin, qSOFA quick Sequential Organ Failure Assessment, SIRS systemic inflammatory response syndrome, SOFA Sequential Organ Failure Assessment