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Table 2 Outcomes and performance of risk scores and ProADM overall and in CAP and non-CAP-LRTI

From: Enhancement of CURB65 score with proadrenomedullin (CURB65-A) for outcome prediction in lower respiratory tract infections: Derivation of a clinical algorithm

Parameters

All patients (n = 1359)

CAP

(n = 925)

Non-CAP

(n = 379)

P*

30 days outcomes

    

Outpatient treatment, no (%)

142 (10%)

81 (9%)

61 (16%)

<0.001

Length of hospital stay, median (IQR)

8 (4-12)

8 (5-12)

7 (3-11)

<0.001

All cause mortality, no (%)

67 (4.9%)

50 (5.4%)

10 (2.6%)

0.03

ICU admission, no (%)

103 (7.6%)

83 (9.0%)

15 (4.0%)

0.002

Empyema, no (%)

31 (2.4%)

31 (3.3%)

0

<0.001

Any adverse events, no (%)

170 (12.2%)

134 (14.5%)

24 (6.3%)

<0.001

CURB65 score

    

CURB65 points, median (IQR)

2 (1-2)

2 (1-2)

1 (1-2)

0.002

CURB65 risk classes

   

0.001

CURB65 0-1, no (%)

659 (48.5%)

427 (46.2%)

211 (55.7%)

 

CURB65 2, no (%)

434 (31.9%)

296 (32.0%)

114 (30.1%)

 

CURB65 3-5, no (%)

266 (19.6%)

202 (21.8%)

54 (14.2%)

 

AUC of CURB65 risk classes for adverse events (95%CI)

0.65 (0.61-0.69)

0.64 (0.59-0.65)

0.68 (0.57-0.78)

 

AUC of CURB65 risk classes for mortality (95%CI)

0.73 (0.68-0.75)

0.72 (0.66-0.77)

0.74 (0.62-0.86)

 

Initial proADM level (day 0)

    

ProADM, median (IQR) (nmol/l)

1.1 (0.7-1.7)

1.2 (0.8-1.9)

0.9 (0.6-1.3)

<0.001

ProADM categories

   

<0.001

ProADM <0.75 nmol/l, no (%)

353 (26.0%5)

194 (21.0%)

145 (38.3%)

 

ProADM: 0.75 - 1.5 nmol/l, no (%)

588 (43.3%)

400 (43.2%)

166 (43.8%)

 

ProADM >1.5 nmol/l, no (%)

418 (30.8%)

331 (35.8%)

68 (17.9%)

 

AUC of proADM for adverse events (95%CI)

0.73 (0.69-0.78)

0.71 (0.67-0.78)

0.76 (0.66-0.85)

 

AUC of proADM for mortality (95%CI)

0.79 (0.73-0.85)

0.76 (0.68-0.83)

0.88 (0.80-0.94)

 
  1. AUC Area under the ROC curve; PSI Pneumonia Severity Index; CURB65 confusion, uremia, respiratory rate, blood pressure, age 65 years or greater; p value relates to difference between CAP and non-CAP-LRTI; of note, some patients had more than one adverse event, thus the numbers may not sum up to 100%. * Comparison CAP vs. Non-CAP