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Table 1 Baseline characteristics, univariate analysis and Logistic regression analysis of prognostic factors for in-hospital mortality of the 98 patients with SPE

From: Septic pulmonary embolism in China: clinical features and analysis of prognostic factors for mortality in 98 cases

Characteristics/Variables

No. (%)/Value

Survival

Death

univariate analysis

Logistic regression

analysis

(n = 79)

(n = 19)

P

P

OR

95% CI

 Age (years)

46.6 ± 15.2

44.4 ± 14.0

56.0 ± 16.8

0.002

0.002

1.100

1.035–1.169

 Sex (male/female)

81/17

66/13

15/4

0.635

   

 Smoking history

43 (43.9%)

34

9

0.733

   

Presenting symptoms, n (%)

2003Fever (> 38 °C)

70(71.4%)

56

14

0.808

   

 Cough

52(53.1%)

41

11

0.638

   

 Weight loss

27(27.6%)

19

8

0.114

   

 Dyspnea

23(23.5%)

16

7

0.126

   

 Chest pain

17(17.3%)

12

5

0.250

   

Vital sign

 Hypotension (SBP < 90 mmHg)

13(13.3%)

6

7

0.001

0.037

7.260

1.126–46.804

 Heart rate (> 100/min)

28(28.6%)

22

6

0.747

   

 Respiratory rate (> 22/min)

25(25.5%)

18

7

0.207

   

Comorbidities

 

 Diabetes mellitus

41(41.8%)

33

8

0.979

   

 Heart disease

17(17.3%)

12

5

0.250

   

 Chronic liver disease (cirrhosis, hepatitis)

12(12.2%)

9

3

0.892

   

 Chronic kidney disease

11(11.2%)

7

4

0.268

   

 COPD

10(10.2%)

7

3

0.636

   

 Venous thromboembolism

9(9.2%)

8

1

0.828

   

 Deep vein thrombosis

6(6.1%)

6

0

0.593

   

 Pulmonary embolism

3(3.1%)

2

1

1.000

   

 Malignancy

5(5.1%)

4

1

1.000

   

 Collagen vascular disease or other autoimmune disorders

5(5.1%)

5

0

0.263

   

 Cerebrovascular disease

4(4.1%)

4

0

0.319

   

Predisposing conditions

 Nosocomial infection

21(21.4%)

14

7

0.035

0.231

2.647

0.538–13.015

 IV drug use

18(18.4%)

12

6

0.098

   

 Immunosuppressed state

16(16.3%)

12

4

0.783

   

 Venous catheter insertion

13(13.3%)

8

5

0.136

   

 Injury or other trauma

12(12.2%)

9

3

0.892

   

Infectious foci

 Skin and other soft tissue infection

30(30.6%)

23

7

0.512

   

 Infective endocarditis

20(20.4%)

15

5

0.477

   

 Liver abscess

17(14.3%)

14

3

1.000

   

 Catheter-associated blood stream infection

9(9.2%)

6

3

0.504

   

 Urinary tract infection

6(6.1%)

5

1

1.000

   

 Perianal abscess

5(5.1%)

4

1

1.000

   

 Cholecystitis or cholangitis

3(3.1%)

3

0

1.000

   

 Infectious endophthalmitis

2(2.0%)

1

1

0.839

   

 Peritonsillar abscess

1(1.0%)

0

1

0.194

   

 Periodontal abscess

1(1.0%)

1

0

1.000

   

 Meningitis

1(1.0%)

0

1

0.194

   

 Unknown

3(3.1%)

3

0

1.000

   

Laboratory data

 WBC count (×109/L)

15.9 ± 7.3

15.9 ± 8.0

15.5 ± 2.9

0.818

   

 Neutrophil ratio

0.8 ± 0.1

0.8 ± 0.1

0.8 ± 0.2

0.873

   

 ESR, mm/hr

64.6 ± 30.2

63.7 ± 28.5

68.4 ± 36.8

0.547

   

 Serum CRP (mg/L)

84.0(55.9–135.0)

104.9 ± 63.1

89.5 ± 62.9

0.343

   

 Serum PCT (ng/ml)

1.36(0.29–6.52)

4.22 ± 2.18

5.74 ± 3.39

0.242

   

 PO2 (< 60 mmHg)

19(19.4%)

14

5

0.395

   

 Lactate level (> 2.0/mmol/L)

8(8.2%)

4

4

0.069

   

 Gram-positive organisms of blood culture

19(21.4%)

13

6

0.134

   

 Gram-negative organisms of blood culture

11(21.4%)

7

4

0.268

   

 Candidemia

3(21.4%)

0

3

< 0.001

   

 Deep fungal infection

14(14.3%)

8

6

0.016

0.233

0.193

0.013–2.885

 MDRP infection

19(19.4%)

11

8

0.005

0.089

5.999

0.763–47.152

Clinical Course and complication

 Ineffective or delayed EAT

24(24.5%)

15

9

0.023

0.035

7.341

1.145–47.045

 Drainage treatment

26(26.5%)

25

1

0.040

0.027

0.330

0.002–0.677

 Respiratory failure

19(19.4%)

12

7

0.032

0.064

6.663

0.898–49.462

 Heart failure

20(20.4%)

14

6

0.178

   

 Renal failure

14(14.3%)

9

5

0.095

   

 Liver insufficiency

10(10.2%)

7

3

0.636

   

 Coagulation disorders

4(4.1%)

1

3

0.026

   

 MODS

21(21.4%)

13

8

0.014

0.866

1.147

0.234–5.629

 Duration of hospitalization, days

22.7 ± 11.1

21.4 ± 10.5

27.6 ± 13.8

0.037

0.895

1.005

0.935–1.080

  1. Abbreviations: SBP Systolic blood pressure, COPD Chronic obstructive pulmonary disease, IV Intravenous, WBC white blood cell, ESR Erythrocyte sedimentation rate, CRP C reactive protein, PCT Procalcitonin, PO2: Partial pressure of oxygen, EAT Empirical antimicrobial therapy, MODS Multiple organ dysfunction syndrome