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Table 2 Management of patients with severe CAP

From: Improvement in process of care and outcome in patients requiring intensive care unit admission for community acquired pneumonia

 

Historical

Intervention

 
 

Group

Group

p

 

n=142 (44.8)

n=175 (55.2)

 

NIMV within 48 hrs of admission, n (%)

26 (18.3)

35 (20)

0.7

MV within 48 hrs of admission, n (%)

106 (74.6)

127 (72.6)

0.18

Fluid administration within 24 hours of admission, ml

1300 ± 1900

2200 ± 1700

< 0.0001

Vasoactive drugs within 48 hrs of admission, n (%)

74 (52.2)

109 (62.3)

0.07

 Dobutamine, n (%)

46 (32.4)

17 (9.7)

< 0.0001

 Dopamine, n (%)

8 (5.6)

10 (5.7)

0.97

 Norepinephrine, n (%)

19 (13.4)

105 (57.7)

< 0.0001

 Epinephrine, n (%)

20 (14.1)

11 (6.3)

0.02

Dual therapy, n (%)

121 (85.2)

158 (90.3)

0.16

Adequate antimicrobial therapy/ documented pneumonia, n (%)

82 (96.4)

92 (92)

0.20

Antimicrobial therapy within 8 h of admission, n (%)

109 ( 76.7)

138 (78.8)

0.65

Combination of a 3rdGC and levofloxacin, n (%)

0

115 (65.7)

< 0.0001

Insulin therapy, n (%)

19 (13.4)

151 (86.3)

 

Intensive insulin therapy, n (%)

0

151 (86.3)

< 0.0001

Mean tidal volume, mL/kg

8.17 ± 1.19

6.64 ± 0.73

< 0.0001

Low-dose steroid administration, n (%)

0

89 (50.8)

< 0.0001

Transfusion, n (%)

62 (43.7)

40 (22.8)

< 0.0001

Number of red blood cell units transfused per patient

2.6 ± 4.5

0.8 ± 2.1

< 0.0001

Systematic postextubation NIMV, n (%)

8 (5.6)

20 (11.4)

0.07

  1. Results are mean ± SD unless indicated otherwise.
  2. NIMV, non invasive mechanical ventilation; MV, mechanical ventilation.
  3. 3rdGC, third generation cephalosporin.
  4. Therapeutics interventions during the two studied periods, historical controls (1995–2000) and current strategies (2005–2010).