From: Effect of COVID-19 on infections associated with medical devices in critical care
Clinical features | Total cohort | Cohort adjusted by days in ICU | Cohort adjusted for ventilation days | ||||||
---|---|---|---|---|---|---|---|---|---|
COVID-19 | No COVID-19 | p | COVID-19 | No COVID-19 | p | COVID-19 | No COVID-19 | p | |
Patients (n=) | 129 | 103 | - | 45 | 45 | - | 50 | 50 | - |
Age (years) Median-IQR | 68 [58–76] | 64 [50.5–76] | 0.065 | 69 [58–76] | 68 [48–78] | 0.37 | 69 [59– 77] | 67 [51– 81] | 0.95 |
Mortality (n= %) | 120 (92%) | 54 (52%) | < 0.01 | 44 (97%) | 27 (60%) | < 0.0001 | 50 (100%) | 36 (72%) | < 0.0001 |
Sex F (n= %) | 41 (41%) | 45 (43%) | 0.11 | 18 (40%) | 15 (33%) | 0.66 | 16 (32%) | 23 (46%) | 0.21 |
Smoking (n= %) | 14 (11%) | 21 (20%) | 0.07 | 5 (11%) | 10 (22%) | 0.25 | 5 (10%) | 9 (18%) | 0.38 |
Obesity (n= %) | 21 (16%) | 22 (21%) | 0.46 | 10 (22%) | 9 (20%) | 1 | 10 (20%) | 10 (22%) | 1 |
Hypothyroidism (n= %) | 29 (23%) | 15 (15%) | 0.14 | 7 (15%) | 10 (22%) | 0.59 | 10 (20%) | 7 (14%) | 0.54 |
Diabetes (n= %) | 33 (26%) | 15 (14%) | 0.046 | 12 (26%) | 7 (15%) | 0.3 | 14 (28%) | 7 (14%) | 0.14 |
High blood pressure (n= %) | 51 (4%) | 50 (48%) | 0.27 | 15 (33%) | 22 (48%) | 0.19 | 18 (32%) | 25 (50%) | 0.25 |
Chronic heart disease (n= %) | 29 (23%) | 31 (30%) | 0.28 | 4 (8.9%) | 12 (26%) | 0.053 | 19 (38%) | 11 (22%) | 0.12 |
Lung disease (n= %) | 21 (16%) | 17 (16%) | 1 | 6 (13%) | 8 (17%) | 0.77 | 9 (18%) | 7 (14%) | 0.78 |
Burn (n= %) | 0 | 1 (1.6%) | - | 0 | 1 (2.2%) | - | 0 | 1 (2%) | - |
Chronic Renal Disease (n= %) | 10 (9.0%) | 10 (9.7) | 0.59 | 3 (6.7) | 8 (17%) | 0.19 | 3 (6%) | 5 (10%) | 0.71 |
Chronic liver disease (n= %) | 12 (10%) | 11 (10%) | 1 | 4 (8.9%) | 5 (11%) | 1 | 6 (12%) | 6 (12%) | 1 |
Neurological disease (n= %) | 12 (9.5%) | 19 (18%) | 0.076 | 1 (2.2%) | 9 (20%) | 0.018 | 4 (8%) | 9 (18%) | 0.23 |
Chronic Immunosuppression (n= %) | 21 (16%) | 9 (8.7%) | 0.11 | 8 (17%) | 4 (8.9%) | 0.35 | 8 (16%) | 2 (4%) | 0.095 |
Neoplasm (n= %) | 12 (9%) | 15 (14%) | 0.33 | 5 (11%) | 8 (17%) | 0.54 | 6 (12%) | 8 (16%) | 0.77 |
Use of central venous catheter (n= %) | 123 (98%) | 90 (87%) | < 0.0001 | 45 (100%) | 43 (95%) | 0.54 | 50 (100%) | 46 (92%) | 0.12 |
Central venous catheter days | 13. 7 [6.73–20.8] | 5 [2.72–11] | < 0.0001 | 12.4 [8.09–15] | 8.97 [6.04–14.2] | 0.09 | 8.04 [4.34–11.8] | 5.84 [3.01–11.5] | 0.63 |
Central venous catheter isolation (n= %) | 33 (26%) | 13 (12%) | 0.012 | 9 (20%) | 7 (15%) | 0.78 | 5 (10%) | 4 (10%) | 1 |
ITS (n= %) | 30 (23%) | 8 (7.9%) | < 0.0001 | 9 (20%) | 4 (8.9%) | 0.23 | 5 (10%) | 1 (2%) | 0.2 |
Use of urinary catheter (n= %) | 120 (95%) | 86 (83%) | < 0.0001 | 43 (95%) | 41 (91%) | 0.67 | 50 (100%) | 45 (90%) | 0.06 |
Days with urinary catheter | 14.6 [7.49–21.0] | 5 [2.72–11] | < 0.0001 | 12.4 [8.10–15.4] | 9 [6.08–13] | 0.044 | 8.04 [4.50–11.8] | 5.60 [3.16–11.5] | 0.44 |
Urinary catheter isolation (n= %) | 29 (23%) | 6 (5.8%) | < 0.0001 | 8 (17%) | 4 (8.9%) | 0.35 | 6 (12%) | 3 (6%) | 0.48 |
ISTU AC (n= %) | 19 (15%) | 2 (1.9%) | 0.0013 | 6 (13%) | 1 (2.2%) | 0.11 | 4 (8%) | 1 (2%) | 0.35 |
Use of intubation or tracheostomy (n= %) | 118 (93%) | 77 (74%) | < 0.0001 | 42 (93%) | 37 (82%) | 0.19 | 50 (100%) | 50 (100%) | - |
Días con intubación o traqueostomía | 14.5 [7–21.0] | 4 [2.33–9.20] | < 0.0001 | 11.0 [7.18–14.7] | 8 [5.27–11.1] | 0.014 | 6.91 [4.08–10.5] | 5 [2.96–9.61] | 0.12 |
Isolations in intubation or tracheostomy (n= %) | 56 (44%) | 10 (9.8%) | < 0.0001 | 21 (43%) | 9 (20%) | 0.013 | 14 (28%) | 6 (12%) | 0.08 |
VAP (n= %) | 48 (36%) | 8 (7.8%) | < 0.0001 | 18 (40%) | 7 (15%) | 0.018 | 13 (26%) | 4 (8%) | 0.03 |
gram-positive infection (n= %) | 46 (36%) | 8 (7.8%) | < 0.0001 | 11 (24%) | 4 (8.9%) | 0.089 | 7 (14%) | 3 (6%) | 0.31 |
gram-negative infection (n= %) | 41 (32%) | 10 (9.7%) | < 0.0001 | 10 (22%) | 8 (17%) | 0.79 | 8 (16%) | 3 (6%) | 0.2 |
Atypical Infection (n= %) | 8 (6.3%) | 2 (1.9%) | 0.19 | 6 (13%) | 2 (4.4%) | 0.26 | 0 | 3 (6%) | 0.24 |
Fungal Infection (n= %) | 13 (10%) | 2 (1.9%) | 0.022 | 5 (11%) | 1 (2.2%) | 0.20 | 0 | 3 (6%) | 0.24 |