Characteristics | Overall (n = 119) | Admission with VZV disease (n = 108) | VZV disease occurring in ICU (n = 11) | P |
---|---|---|---|---|
Age (years), median [IQR] | 66 [45–75] | 45.5 [43.75–75.25] | 66 [46.5–74] | 0.96 |
Female sex at birth, n (%) | 46 (38.7) | 44 (40.7) | 2 (18.2) | 0.2 |
SOFA score | 6 [2–9] | 5.5 [2–9] | 8 [4–10.5] | 0.47 |
SAPS II score | 40 [26–60.25] | 40 [26–61] | 40 [29.5–52] | 0.87 |
Hypertension, n (%) | 51 (42.9) | 45 (41.7) | 6 (54.5) | 0.53 |
Liver cirrhosis, n (%) | 10 (8.4) | 8 (7.4) | 2 (18.2) | 0.23 |
Alcohol abuse, n (%) | 18 (15.1) | 14 (13) | 4 (36.4) | 0.06 |
Chronic kidney disease, n (%) | 19 (16) | 16 (14.8) | 3 (27.3) | 0.38 |
Type 2 diabetes mellitus, n (%) | 18 (15.1) | 16 (14.8) | 2 (18.2) | 0.67 |
Immunocompromised1, n (%) | 61 (51.3) | 54 (50) | 7 (63.6) | 0.53 |
Solid tumour, n (%) | 12 (10.1) | 9 (8.3) | 3 (27.3) | 0.08 |
Haematologic malignancy, n (%) | 23 (19.3) | 23 (21.3) | 0 (0) | 0.12 |
Autoimmune disease, n (%) | 18 (15.1) | 17 (15.7) | 1 (9.1) | 1 |
Solid-organ transplant, n (%) | 13 (10.9) | 10 (9.3) | 3 (27.3) | 0.1 |
Corticosteroids, n (%) | 27 (22.7) | 24 (22.2) | 3 (27.3) | 0.71 |
Immunosuppressive drugs, n (%) | 24 (20.2) | 21 (19.4) | 3 (27.3) | 0.69 |
HIV, n (%) | 4 (3.4) | 3 (2.8) | 1 (9.1) | 0.33 |
Pregnancy, n (%) | 4 (3.4) | 3 (2.8) | 1 (9.1) | 0.33 |
Time between hospital presentation and ICU admission (days) | 2 [0–5] | 2 [0–5] | 2 [0.5–20.5] | 0.34 |
Time between first symptoms and ICU admission (days) | -4 [-7 – -2] | -4 [-7 – -2] | 32.5 [22–54] | < 0.001 |
Main reason for ICU admission, n (%) | 0.13 | |||
Neurologic | 51 (42.9) | 49 (45.4) | 2 (18.2) | |
Respiratory | 45 (37.8) | 39 (36.1) | 6 (54.5) | |
Circulatory | 4 (3.4) | 3 (2.8) | 1 (9.1) | |
Multiple organ failure | 10 (8.4) | 10 (9.3) | 0 (0) | |
Other | 9 (7.6) | 7 (6.5) | 2 (18.2) | |
VZV-related organ injury, n (%) | ||||
VZV vesicular skin rash | 89 (74.8) | 81 (75) | 8 (72.7) | 1 |
Encephalitis | 66 (55.5) | 62 (57.4) | 4 (36.4) | 0.21 |
Pancreatitis | 5 (4.2) | 5 (4.6) | 0 (0) | 1 |
Hepatitis | 11 (9.2) | 9 (8.3) | 2 (18.2) | 0.27 |
Pneumonia | 53 (44.5) | 48 (44.4) | 5 (45.5) | 1 |
ARDS | 26 (21.8) | 23 (21.3) | 3 (27.3) | 0.7 |
Laboratory parameters on ICU admission | ||||
Lymphocyte count (/mm3) | 845 [378.25–1670] | 865 [372.75–1730] | 700 [500–935] | 0.39 |
Platelets (G/L) | 156.5 [90–240.25] | 147 [91–231] | 261 [162–283] | 0.08 |
CSF leucocyte count (/mm3)2 | 76 [15.5–223] | 84.5 [16–262.25] | 13 [7.5–44.5] | 0.16 |
In-ICU management | ||||
Norepinephrine, n (%) | 54 (45.4) | 47 (43.5) | 7 (63.6) | 0.22 |
Invasive mechanical ventilation, n (%) | 72 (60.5) | 63 (58.3) | 9 (81.8) | 0.11 |
Duration of invasive mechanical ventilation, n (%) | 10 [4.75–20] | 9 [4–19] | 23 [17–51] | 0.003 |
Renal replacement therapy, n (%) | 31 (26.3) | 25 (23.4) | 6 (54.5) | 0.04 |
Antiviral therapy, n (%) | 117 (98.3) | 107 (99.1) | 10 (90.9) | 0.09 |
Other ICU-acquired infection, n (%) | 44 (37) | 37 (34.6) | 7 (63.6) | 0.1 |
Withholding or withdrawing of life sustaining therapy, n (%) | 15 (12.6) | 13 (12) | 2 (18.2) | 0.68 |
Prognosis | ||||
ICU mortality, n (%) | 37 (31.1) | 30 (27.8) | 7 (63.6) | 0.03 |
Hospital mortality, n (%) | 43 (36.1) | 35 (32.4) | 8 (72.7) | 0.02 |