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Table 3 Patient characteristics and relationship to clinical impact†

From: Clinical impact of a metagenomic microbial plasma cell-free DNA next-generation sequencing assay on treatment decisions: a single-center retrospective study

Comorbidities

n (%)

Uncertain or no impact, n (%)

Positive impact, n (%)

P-value

OR

95% CI

Immunocompromised

45 (56)

24 (53.3)

21 (46.7)

0.522

  

Organ transplant

21 (26)

6 (28.6)

15 (71.4)

0.003

5.000

1.67–14.95

Stem cell transplant

3 (4)

3 (100)

0

   

Solid tumor

2 (2)

2 (100)

0

   

Hematologic malignancy

22 (27)

15 (68.2)

7 (31.8)

0.189

  

HIV/AIDS

1 (1)

1 (100)

0

   

Autoimmune disease

3 (4)

1 (33.3)

2 (66.7)

   

Hardware or prosthesis

14 (18)

7 (50)

7 (50)

0.593

  

Vascular graft

6 (7)

4 (66.7)

2 (33.3)

0.691

  

Prosthetic joint or orthopedic hardware

1 (1)

0

1 (100)

   

Mechanical cardiac device

1 (1)

0

1 (100)

   

Prosthetic valve

8 (10)

3 (37.5)

5 (62.5)

0.285

  

Diabetes

13 (16)

6 (50)

6 (50)

0.626

  

Infectious syndrome/clinical diagnosis

 Sepsis/Septic shock

14 (15)

4 (28.6)

10 (71.4)

0.02

4.176

1.176–14.765

 Bacteremia

3 (3)

1 (33.3)

2 (66.7)

   

 Vascular graft infection

7 (7)

4 (57.1)

3 (42.9)

1

  

 Endocarditis

13 (13)

6 (46.2)

7 (53.8)

0.414

  

 Respiratory failure/pneumonia

30 (31)

14 (48.3)

15 (51.7)

0.265

  

 Bone/Joint infection

4 (4)

3 (75)

1 (25)

   

 CNS infection (meningoencephalitis)

10 (10)

7 (77.8)

2 (22.2)

0.285

  

 Fever unknown origin

10 (10)

5 (50)

5 (50)

0.74

  

 Unexplained leukocytosis

2 (2)

1 (50)

1 (50)

   

 Sinusitis

1 (1)

1 (100)

0

   

 Skin and soft tissue infection

1 (1)

0

1 (100)

   

 Others

1 (1)

1 (100)

0

   

Antimicrobial agents administered prior to mcfDNA test

72 (90)

39 (55.7)

31 (44.3)

1

  

 Less than 7 days

35 (49)

13 (38.2)

21 (61.8)

0.004

4.200

1.537–11.476

 More than 7 days

37 (51)

26 (72.2)

10 (27.8)

0.004

  

 No antimicrobial agents prior to mcfDNA test

8 (10)

5 (62.5)

3 (37.5)

1

  

Final diagnosis

 Bacterial

26 (31)

15 (60)

10 (40)

0.661

  

 Fungal

21 (25)

12 (57.1)

9 (42.9)

0.937

  

 Viral

10 (12)

6 (60)

4 (40)

1

  

 Non-infectious

28 (33)

14 (51.9)

13 (48.1)

0.555

  

Days of Hospitalization before sending mcfDNA test, Median (Q1, Q3)

 

11.00 (5.00, 21.50)

9.50 (3.00, 18.25)

0.361

  
  1. CI confidence interval, CNS central nervous system, HIV/AIDS human immunodeficiency virus/acquired immunodeficiency syndrome, OR odds ratio, Q Quartile
  2. Some patients had more than one comorbidity and clinical syndrome. 2 patients with negative impact were not included in the analysis