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Table 2 Clinical characteristics and outcome

From: Effect of antimicrobial de-escalation strategy on 14-day mortality among intensive care unit patients: a retrospective propensity score-matched cohort study with inverse probability-of-treatment weighting

 

Total n = 473

ADE (n = 53)

No Change (n = 173)

Other Change (n = 247)

P value

SOFA day0a, f

5(3–7)

6(4–7)

5(3–8)

5(4–7)

0.8020

 <  = 5

248(52.4%)

26(49.1%)

94(54.3%)

128(51.8%)

0.7834

 5 ~ 7

111(23.5%)

14(26.4%)

35(20.2%)

62(25.1%)

 > 7

114(24.1%)

13(24.5%)

44(25.4%)

57(23.1%)

SOFA day5a, f

4(3–8)

4(3–7)

4(2–7)

4(4–9)

 < .0001***

 <  = 4

186(39.3%)

26(49.1%)

80(46.2%)

80(32.4%)

0.0201*

 4 ~ 8

184(38.9%)

19(35.9%)

62(35.8%)

103(41.7%)

 > 8

103(21.8%)

8(15.1%)

31(17.9%)

64(25.9%)

Delta SOFAb, f

 < .0001***

 < 0

185(39.1%)

12(22.6%)

47(27.2%)

126(51.0%)

 

 >  = 0

288(60.9%)

41(77.4%)

126(72.8%)

121(49.0%)

 

Surgical status

88(18.6%)

9(17.0%)

26(15.0%)

53(21.5%)

0.2369

Pathogen detectionc

 < .0001***

 Culture negative

148(31.3%)

28(52.8%)

58(33.5%)

62(25.1%)

 

 MDRd

135(28.5%)

12(22.6%)

28(16.2%)

95(38.5%)

 

 Non-MDRd

96(20.3%)

6(11.3%)

34(19.7%)

56(22.7%)

 

 Colonization or contamination

45(9.5%)

5(9.4%)

22(12.7%)

18(7.3%)

 

 No samples submitted or discharged

49(10.4%)

2(3.8%)

31(17.9%)

16(6.5%)

 

Mechanical ventilation

355(75.1%)

33(62.3%)

121(69.9%)

201(81.4%)

0.0021**

Central venous catheterization

227(48.0%)

20(37.7%)

72(41.6%)

135(54.7%)

0.0089**

Indwelling drainage tube

173(36.6%)

13(24.5%)

59(34.1%)

101(40.9%)

0.0563

Hemodialysis

118(24.9%)

7(13.2%)

46(26.6%)

65(26.3%)

0.1109

Empirical antimicrobial prescription

 < .0001***

 Monotherapy

330(69.8%)

19(35.9%)

135(78.0%)

176(71.3%)

 

 2 agents

111(23.5%)

26(49.1%)

28(16.2%)

57(23.1%)

 

 > 2 agents

32(6.8%)

8(15.1%)

10(5.8%)

14(5.7%)

 

Relapse of infectione

0(0%)

0(0%)

0(0%)

0(0%)

-

Duration of antimicrobial therapy (days)f

8(5–15)

9(5–14)

8(4–13)

9(6–16)

0.0054**

Length of ICU stay (days)f

8 (5–15)

9(5–14)

8(4–14)

9(7–16.5)

0.0041**

Cure rate

250(52.9%)

37(69.8%)

106(61.2%)

107(43.4%)

 < .0001***

14-day mortality

79(16.7%)

5(9.4%)

20(11.6%)

54(21.9%)

0.0066**

  1. *P < 0.05, **P < 0.01, ***P < 0.001
  2. a Median SOFA day0 score was 5 (interquartile range: 3–7). Median SOFA day5 score was 4 (interquartile range: 3–8)
  3. b Delta SOFA is SOFA score on day 0 minus SOFA score on day 5 of infection
  4. c Between 3 days before day0 and day5. Detection results include metagenomics next generation sequencing (mNGS)
  5. d Emergence of pathogen including non-multidrug-resistant (MDR), multidrug-resistant (MDR), extensively drug-resistant (XDR) and pandrug-resistant (PDR). Criteria for defining MDR, XDR and PDR is based on an international expert proposal by Magiorakos et al. [22]
  6. e We observed no relapse in the 14-day period
  7. f Data are given as median (25%-75% range)