Characteristic | Day 1 cohort (n = 966) | SMD | Day 2 cohort (n = 746) | SMD | Day 3 cohort (n = 784) | SMD | |||
---|---|---|---|---|---|---|---|---|---|
Negative (n = 483) | Positive (n = 483) | Negative (n = 373) | Positive (n = 373) | Negative (n = 392) | Positive (n = 392) | ||||
Female, % | 201 (41.6) | 188 (38.9) | 0.055 | 154 (41.3) | 145 (38.9) | 0.049 | 163 (41.6) | 158 (40.3) | 0.026 |
Age, yr | 73.00 [63.00, 81.00] | 74.00 [63.00, 80.00] | 0.006 | 72.00 [62.00, 81.00] | 73.00 [63.00, 80.00] | 0.033 | 73.00 [63.00, 81.00] | 72.50 [63.00, 80.00] | 0.047 |
BMI, kg/m2a | 22.04 [19.24, 25.06] | 21.80 [19.35, 24.41] | 0.099 | 22.16 [19.54, 24.93] | 22.2 [19.60, 24.77] | 0.04 | 21.81 [19.06, 24.85] | 22.03 [19.55, 24.49] | 0.052 |
Resuscitative fluid, % | 376 (77.8) | 383 (79.3) | 0.035 | 287 (76.9) | 277 (74.3) | 0.062 | 298 (76.0) | 308 (78.6) | 0.061 |
Severity scores | |||||||||
SOFA score | 7.00 [5.00, 9.00] | 6.00 [5.00, 8.00] | 0.068 | 7.00 [5.00, 9.00] | 6.00 [5.00, 9.00] | 0.043 | 7.00 [5.00, 9.00] | 7.00 [5.00, 9.00] | 0.027 |
Septic shock, % | 101 (20.9) | 93 (19.3) | 0.041 | 82 (22.0) | 83 (22.3) | 0.006 | 84 (21.4) | 87 (22.2) | 0.019 |
Referring facility, % | 0.043 | 0.07 | 0.049 | ||||||
Community | 326 (67.5) | 323 (66.9) | 257 (68.9) | 262 (70.2) | 261 (66.6) | 265 (67.6) | |||
Health care | 35 (7.2) | 31 (6.4) | 16 (4.3) | 20 (5.4) | 20 (5.1) | 23 (5.9) | |||
Hospital | 122 (25.3) | 129 (26.7) | 100 (26.8) | 91 (24.4) | 111 (28.3) | 104 (26.5) | |||
Comorbidities, % | |||||||||
Cardiac | 128 (26.5) | 136 (28.2) | 0.037 | 109 (29.2) | 109 (29.2) | < 0.001 | 111 (28.3) | 111 (28.3) | < 0.001 |
Lung | 73 (15.1) | 71 (14.7) | 0.012 | 53 (14.2) | 60 (16.1) | 0.052 | 58 (14.8) | 63 (16.1) | 0.035 |
Neurologic | 140 (29.0) | 148 (30.6) | 0.036 | 92 (24.7) | 90 (24.1) | 0.012 | 103 (26.3) | 96 (24.5) | 0.041 |
Liver | 47 (9.7) | 43 (8.9) | 0.028 | 33 (8.8) | 27 (7.2) | 0.059 | 36 (9.2) | 38 (9.7) | 0.017 |
Diabetes mellitus | 190 (39.3) | 193 (40.0) | 0.013 | 161 (43.2) | 163 (43.7) | 0.011 | 160 (40.8) | 177 (45.2) | 0.088 |
Renal disease | 67 (13.9) | 61 (12.6) | 0.037 | 64 (17.2) | 73 (19.6) | 0.062 | 71 (18.1) | 67 (17.1) | 0.027 |
Connective tissue disease | 10 (2.1) | 10 (2.1) | < 0.001 | 15 (4.0) | 11 (2.9) | 0.058 | 11 (2.8) | 13 (3.3) | 0.03 |
Immunocompromised | 15 (3.1) | 9 ( 1.9) | 0.08 | 11 (2.9) | 5 (1.3) | 0.111 | 15 (3.8) | 6 (1.5) | 0.143 |
Hematologic malignancy | 16 (3.3) | 16 (3.3) | < 0.001 | 9 (2.4) | 9 (2.4) | < 0.001 | 11 (2.8) | 12 (3.1) | 0.015 |
Solid cancer | 119 (24.6) | 105 (21.7) | 0.069 | 91 (24.4) | 101 (27.1) | 0.061 | 91 (23.2) | 86 (21.9) | 0.031 |
Site of infection, % | |||||||||
Respiratory | 232 (48.0) | 226 (46.8) | 0.025 | 184 (49.3) | 194 (52.0) | 0.054 | 196 (50.0) | 200 (51.0) | 0.02 |
Abdominal | 106 (21.9) | 107 (22.2) | 0.005 | 81 (21.7) | 81 (21.7) | < 0.001 | 91 (23.2) | 83 (21.2) | 0.049 |
Urinary tract | 118 (24.4) | 115 (23.8) | 0.015 | 80 (21.4) | 82 (22.0) | 0.013 | 89 (22.7) | 85 (21.7) | 0.025 |
Othersb | 62 (12.8) | 69 (14.3) | 0.042 | 51 (13.7) | 40 (10.7) | 0.09 | 49 (12.5) | 48 (12.2) | 0.008 |
Laboratory findings | |||||||||
White blood cell count * 103/L | 12.20 [8.21, 16.78] | 12.02 [8.30, 18.27] | 0.084 | 11.40 [7.46, 16.20] | 12.21 [7.30, 18.00] | 0.11 | 11.90 [7.80, 16.80] | 12.52 [7.47, 17.60] | 0.021 |
C-reactive protein, mg/dL | 11.43 [3.34, 20.45] | 11.70 [2.89, 21.66] | 0.033 | 11.47 [2.72, 20.95] | 12.70 [2.30, 21.65] | 0.005 | 11.9 [3.35, 20.84] | 12.92 [3.88, 22.27] | 0.071 |
Procalcitonina, ng/mL | 2.93 [0.32, 34.82] | 8.20 [1.22, 34.82] | 0.025 | 3.96 [0.36, 34.89] | 6.78 [1.03, 35.01] | 0.028 | 4.96 [0.42, 31.81] | 5.62 [1.05, 29.77] | 0.011 |
Lactic acida, mmol/L | 2.60 [1.50, 4.54] | 2.78 [1.70, 5.00] | 0.087 | 2.70 [1.60, 4.77] | 3.00 [1.70, 5.28] | 0.132 | 2.67 [1.50, 4.56] | 2.90 [1.70, 5.30] | 0.182 |
Adjunct interventions, % | |||||||||
Steroids | 74 (15.3) | 67 (13.9) | 0.041 | 68 (18.2) | 74 (19.8) | 0.041 | 68 (17.3) | 67 (17.1) | 0.007 |
Mechanical ventilation | 199 (41.2) | 179 (37.1) | 0.085 | 163 (43.7) | 167 (44.8) | 0.022 | 178 (45.4) | 170 (43.4) | 0.041 |
CRRT | 64 (13.3) | 51 (10.6) | 0.083 | 60 (16.1) | 68 (18.2) | 0.057 | 67 (17.1) | 62 (15.8) | 0.034 |
ECMO | 4 (0.8) | 2 (0.4) | 0.053 | 3 (0.8) | 6 (1.6) | 0.074 | 2 (0.5) | 6 (1.5) | 0.102 |
Vasopressors | 337 (69.8) | 347 (71.8) | 0.046 | 269 (72.1) | 261 (70.0) | 0.047 | 281 (71.7) | 278 (70.9) | 0.017 |
Microbiologic pathogen, % | 300 (62.1) | 302 (62.5) | 0.009 | 221 (59.2) | 218 (58.4) | 0.016 | 226 (57.7) | 231 (58.9) | 0.026 |
Bacteria | 285 (95.0) | 284 (94.0) | 0.042 | 208 (94.1) | 198 (90.8) | 0.125 | 216 (95.6) | 209 (90.5) | 0.201 |
Virus | 10 (3.3) | 4 (1.3) | 0.133 | 10 (4.5) | 6 (2.8) | 0.095 | 7 (3.1) | 5 (2.2) | 0.058 |
Fungus | 13 (4.3) | 23 (7.6) | 0.139 | 10 (4.5) | 20 (9.2) | 0.185 | 9 (4.0) | 22 (9.5) | 0.222 |
MDRa | 138 (51.3) | 112 (42.4) | 0.179 | 92 (46.7) | 76 (41.5) | 0.104 | 91 (45.3) | 79 (40.5) | 0.096 |