From: Severe atypical pneumonia in critically ill patients: a retrospective multicenter study
N (%) or median [IQR] | Total (N = 104) | Mycoplasma pneumoniae (N = 76) | Chlamydophila pneumoniae (N = 28) |
---|---|---|---|
Demographics | |||
Age | 56 [44–67] | 54 [41–69] | 64 [52–75] |
Female gender | 33 (32%) | 26 (34%) | 7 (25%) |
Comorbidities | |||
Chronic respiratory disease | 32 (31%) | 22 (29%) | 10 (36%) |
Current smoker | 30 (29%) | 20 (38%) | 10 (36%) |
Immunosuppression | 21 (20%) | 17 (22%) | 4 (14%) |
HIV infection | 2 (2%) | 2 (3%) | 0 |
Hematological malignancy | 10 (10%) | 9 (12%) | 1 (3.5%) |
Cancer | 7 (7%) | 4 (5%) | 3 (11%) |
Hypertension | 32 (31%) | 24 (32%) | 8 (28%) |
Reason for ICU admission | |||
Acute respiratory distress | 96 (92%) | 70 (92%) | 26 (93%) |
Cardiovascular failure | 2 (2%) | 2 (3%) | 0 |
Neurological disorders | 3 3%) | 2 (3%) | 1 (3.6%) |
Other | 3 (3%) | 2 (3%) | 1 (3.6%) |
Clinical respiratory findings | |||
Respiratory rate | 32 [26–37] | 33 [27–38] | 30 [26–33] |
Signs of respiratory failure | 48 (46%) | 33 (49%) | 15 (54%) |
Rhonchi | 15 (14%) | 9 (15%) | 6 (21%) |
Crackles | 54 (52%) | 36 (47%) | 18 (64%) |
Signs of consolidation | 7 (7%) | 5 (9%) | 2 (7%) |
Decreased vesicular breath sounds | 14 (13%) | 10 (17%) | 4 (14%) |
Clinical presentation | |||
Time since symptom onset (days) | 5 [3–8] | 6 [4–9] | 4 [2–7] |
Fever | 77 (74%) | 58 (83%) | 19 (68%) |
Shock | 10 (10%) | 6 (8%) | 4 (14%) |
Neurological symptoms | 32 (31%) | 19 (25%) | 13 (46%) |
Gastrointestinal symptoms | 1 (1%) | 1 (1%) | 0 |
Extra-pulmonary signs | |||
≥ 1 extra-pulmonary symptom | 34 (33%) | 27 (36%) | 7 (25%) |
Arthritis | 2 (2%) | 1 (1%) | 1 (3.5%) |
Myocarditis | 4 (4%) | 4 (5%) | 0 |
Treatments in the ICU | |||
Mechanical ventilation | 75 (72%) | 50 (66%) | 25 (89%) |
Duration of ventilation | 13 [8–19] | 12.5 [8–22.5] | 13.5 [8.5–19] |
Vasopressors | 41 (39%) | 26 (34%) | 15 (54%) |
Renal replacement therapy | 10 (9.5%) | 7 (9%) | 3 (11%) |
Outcomes | |||
Death in the ICU | 11 (10%) | 6 (8%) | 5 (18%) |
Length of ICU stay (days) | |||
Discharged alive | 15 [8–26] | 15 [8–27] | 19 [12–24] |
ICU death | 39 [25–49] | 37 [26–47] | 39 [25–90] |