Prognosis-related classification and dynamic monitoring of immune status in patients with sepsis: A prospective observational study
Jun Yin, Yao Chen, Jun-ling Huang, Lei Yan, Zhong-shu Kuang, Ming-ming Xue, Si Sun, Hao Xiang, Yan-yan Hu, Zhi-min Dong, Chao-yang Tong, Chun-xue Bai, Zhen-ju Song
Table 1 Clinical and demographic characteristics of enrolled patients classified according to prognosis
Parameters Survivors (n=124) Non-survivors (n=50) P-value
Age, years 67.5 (48.3-78.0) 67.0 (56.8-73.3) 0.703
Male, n (%) 78 (62.9) 31 (62.0) 0.911
Comorbidities, n (%)
Hypertension 58 (46.8) 25 (50.0) 0.700
Diabetes mellitus 33 (26.6) 15 (30.0) 0.651
Coronary heart disease 12 (9.7) 7 (14.0) 0.408
Chronic obstructive pulmonary disease 10 (8.1) 5 (10.0) 0.910
Hepatitis and cirrhosis 12 (9.7) 3 (6.0) 0.595
Renal insufficiency 14 (11.3) 7 (14.0) 0.620
Malignancy 11 (8.9) 6 (12.0) 0.729
Main site of infection, n (%)
Respiratory tract 80 (64.5) 37 (74.0) 0.707
Abdomen 30 (24.2) 8 (16.0) 0.311
Urinary tract 6 (4.8) 2 (4.0) 1.000
Skin and soft tissue 4 (3.2) 2 (4.0) 1.000
Blood stream 4 (3.2) 1 (2.0) 1.000
Index of severity of disease, median (25th, 75th)
APACHE II score
Day 1 12 (7, 16) 21 (12, 26) <0.001
Day 3a 9 (6, 13) 18 (14, 25) <0.001
SOFA score
Day 1 3 (2, 4) 5 (4, 10) <0.001
Day 3a 2 (1, 4) 6 (4, 8) <0.001
Inflammatory markers, median (25th, 75th)
WBC, ×109/L
Day 1 10.85 (6.99, 14.50) 12.60 (8.16, 18.40) 0.024
Day 3a 9.07 (6.90, 12.09) 13.15 (9.55, 19.79) <0.001
CRP, mg/L
Day 1 90 (57, 96) 90 (63, 139) 0.353
Day 3a 52 (15, 105) 90 (66, 144) 0.002
PCT, ng/L
Day 1 1.14 (0.29, 5.07) 1.47 (0.40, 10.40) 0.172
Day 3a 0.56 (0.15, 1.98) 1.85 (0.60, 11.13) <0.001
Interventions, n (%)
Glucocorticoids (prednisone >200 mg) 67 (54.0) 38 (76.0) 0.007
Mechanical ventilation 62 (50.0) 46 (92.0) <0.001
Deep venous catheterization 54 (43.5) 38 (76.0) <0.001
Urinary catheterization 57 (46.0) 43 (86.0) <0.001
Adverse events, n (%)
Septic shock 16 (12.9) 20 (40.0) <0.001
Secondary infection 36 (29.0) 14 (28.0) 0.019
Acute heart failure 26 (20.9) 22 (44.0) 0.002
Acute kidney injury 21 (16.9) 19 (38.0) 0.003
Acute liver injury 14 (11.3) 16 (32.0) <0.001
Acute respiratory failure 37 (29.8) 28 (56.0) <0.001
ICU length of stay (days) 14.0 (10.0, 21.8) 10.0 (5.0, 20.5) <0.002