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Table 1 Baseline patient characteristics and outcomes stratified by use of any macrolide or fluoroquinolone during admission

From: Cardiac events after macrolides or fluoroquinolones in patients hospitalized for community-acquired pneumonia: post-hoc analysis of a cluster-randomized trial

 

All patients

Use of any macrolide during admission

Use of any fluoroquinoloneduring admission

No macrolide or fluoroquinolone during admission

P value

n

2107

650

954

587

 

Age

69 (58;79)

69 (57;78)

69 (58;79)

71 (60.5;79)

0.609

Male sex

1217 (57.8%)

388 (59.7%)

556 (58.3%)

332 (56.6%)

0.949

Nursing home residence1

100 (4.8%)

27 (4.2%)

48 (5.1%)

31 (5.4%)

0.684

Radiologically proven CAP

1604 (76.1%)

516 (79.4%)

739 (77.5%)

421 (71.7%)

0.684

Smoking current/ever

1599 (77.9%)

491 (77.1%)

729 (78.2%)

449 (79.2%)

0.998

Co-morbidities

 History of cardiac disease

733 (34.8%)

193 (29.7%)

342 (35.8%)

227 (38.7%)

0.122

 History of ischemic heart disease

415 (19.7%)

102 (15.7%)

190 (19.9%)

138 (23.5%)

0.044

 History of atrial fibrillation

299 (14.2%)

88 (13.5%)

141 (14.8%)

86 (14.7%)

0.935

 History of heart failure

198 (9.4%)

58 (8.9%)

91 (9.5%)

62 (10.6%)

0.835

 History of vascular disease*

458 (21.7%)

130 (20.0%)

219 (23.0%)

133 (22.7%)

0.698

 History of hypertension

643 (30.5%)

211 (32.5%)

285 (29.9%)

178 (30.3%)

0.874

 History of COPD

785 (37.3%)

231 (35.5%)

352 (36.9%)

232 (39.5%)

0.805

 History of diabetes

339 (16.1%)

83 (12.8%)

175 (18.3%)

97 (16.5%)

0.088

Medication use2

Antibiotic use before admission3

702 (34.1%)

215 (33.9%)

345 (36.7%)

178 (31.3%)

0.410

 Beta-lactam

376 (18.3%)

112 (17.7%)

192 (20.4%)

87 (15.3%)

0.168

 Macrolide

111 (5.4%)

42 (6.6%)

52 (5.5%)

29 (5.1%)

0.674

 Fluoroquinolone

52 (2.5%)

15 (2.4%)

28 (3.0%)

13 (2.3%)

0.805

 Other antibiotic

238 (11.6%)

65 (10.3%)

114 (12.1%)

71 (12.5%)

0.687

Use of antiplatelet agents

575 (27.4%)

186 (28.8%)

252 (26.5%)

170 (29.1%)

0.818

Use of anticoagulants

345 (16.4%)

85 (13.2%)

165 (17.4%)

104 (17.8%)

0.188

Use of antihypertensives

1057 (50.4%)

299 (46.3%)

485 (51.1%)

314 (53.7%)

0.486

Use of statins

629 (30.0%)

185 (28.6%)

285 (30.0%)

186 (31.8%)

0.843

Severity scores

 PSI score

83.7 ± 28.4

82.0 ± 27.9

84.6 ± 28.7

85.2 ± 28.4

0.007

 CURB65 score§

1 (1;2)

1 (0;2)

1 (1;2)

1 (1;2)

0.042

Outcomes

 n/w cardiac event

146 (6.9%)

57 (8.8%)

53 (5.6%)

42 (7.2%)

0.144

 n/w arrhythmia

53 (2.5%)

19 (2.9%)

21 (2.2%)

14 (2.4%)

0.845

 n/w heart failure

101 (4.8%)

46 (7.1%)

34 (3.6%)

27 (4.6%)

0.024

 n/w myocardial ischemia

14 (0.7%)

2 (0.3%)

7 (0.7%)

6 (1.0%)

0.486

 Transfer to other hospital

12 (0.6%)

1 (0.2%)

7 (0.7%)

5 (0.9%)

0.320

 In-hospital mortality

66 (3.1%)

27 (4.2%)

35 (3.7%)

13 (2.2%)

0.262

  1. Values are medians (interquartile range) unless otherwise noted. Plus-minus values are means ± SD
  2. COPD denotes chronic obstructive pulmonary disease
  3. *includes cerebrovascular, peripheral artery, and thrombo-embolic disease
  4. ¶ The PSI score uses 20 clinical measures to predict risk of death within 30 days, with results ranging from 0.1% (in patients with a score of 0–50) to 27.0% (in patients with a score > 131)
  5. § The CURB-65 score is calculated by assigning 1 point each for confusion, uremia (blood urea nitrogen ≥ 20 mg per deciliter), high respiratory rate (≥30 breaths per minute), low systolic blood pressure (< 90 mmHg) or diastolic blood pressure (≤60 mmHg), and an age of 65 years or older, with a higher score indicating a higher risk of death within 30 days
  6. 1Between 1 and 2.2% missing values for each group
  7. 2Between 0.3–0.6% missing values for each group
  8. 3Self-reported use of antibiotics before admission