From: Pneumococcal pneumonia: differences according to blood culture results
Characteristics | Blood culture positive (Nā=ā399) | Blood culture negative (Nā=ā492) | Pvalue |
---|---|---|---|
āAge, years, mean (SD) | 63.6 (18.5) | 65.2 (17) | 0.2 |
āAge ā„65Ā years | 225 (56.4) | 290 (58.9) | 0.4 |
āAge >75Ā years | 130 (32.6) | 167 (33.9) | 0.7 |
āWomen | 131 (32.8) | 210 (42.7) | 0.003 |
āUnderlying diseases | Ā | Ā | Ā |
āāCancer | 27 (6.8) | 17 (3.5) | 0.2 |
āāLiver disease | 18 (4.5) | 12 (2.4) | 0.1 |
āāCongestive heart failure | 54 (13.5) | 43 (8.7) | 0.02 |
āāCerebrovascular disease | 22 (5.5) | 32 (6.5) | 0.5 |
āāRenal disease | 27 (6.8) | 24 (4.9) | 0.2 |
āāChronic obstructive pulmonary disease | 74 (18.6) | 116 (23.6) | 0.07 |
āāDiabetes mellitus | 60 (15.1) | 97 (19.8) | 0.07 |
āNumber of comorbid conditions | Ā | Ā | 0.96 |
āā0 | 203 (50.9) | 253 (51.4) | Ā |
āā1 | 130 (32.6) | 156 (31.7) | Ā |
āāā„2 | 66 (16.5) | 83 (16.9) | Ā |
āNursing home resident | 13 (3.3) | 20 (4.1) | 0.5 |
āSmoking | Ā | Ā | 0.06 |
āāNo | 130 (43.5) | 225 (47.8) | Ā |
āāYes | 86 (28.8) | 100 (21.2) | Ā |
āāEx-smoker | 83 (27.8) | 146 (31) | Ā |
āAlcoholism | 58 (15.3) | 44 (9.4) | 0.008 |
āInfluenza vaccine in the last year | 93 (26.4) | 149 (30.9) | 0.2 |
āPneumococcal vaccine in the last 5Ā years | 14 (3.8) | 121 (25.5) | <0.0001 |
Findings on physical examination on admission | Ā | Ā | Ā |
āAltered mental status | 39 (9.8) | 49 (10) | 0.9 |
āPulseāā„ā125/min | 62 (15.6) | 62 (12.6) | 0.2 |
āRespiratory rateāā„ā30/min | 98 (24.8) | 96 (19.5) | 0.06 |
āSystolic blood pressureā<ā90Ā mmHg | 30 (7.5) | 42 (8.5) | 0.6 |
āTemperatureā<ā35Ā°C orāā„ā40Ā°C | 7 (1.8) | 4 (0.8) | 0.2 |
Laboratory findings on admission | Ā | Ā | Ā |
āBlood urea nitrogenā>ā30Ā mg/dL | 192 (48.1) | 163 (33.1) | <0.0001 |
āGlucoseāā„ā250Ā mg/dL | 39 (9.8) | 38 (7.7) | 0.3 |
āHematocritā<ā30% | 10 (2.5) | 23 (4.7) | 0.1 |
āSodiumā<ā130Ā mmol/L | 33 (8.3) | 22 (4.5) | 0.02 |
āPaO2ā<ā60Ā mmHg | 188 (47.1) | 209 (42.5) | 0.2 |
āArterial pHā<ā7.35 | 31 (7.8) | 24 (4.9) | 0.07 |
Radiological findings on admission | Ā | Ā | Ā |
āBilateral or multilobe radiological involvement | 142 (35.7) | 122 (24.8) | 0.0004 |
āPleural effusion | 65 (16.3) | 43 (8.7) | 0.0006 |
Severity of illness on admission | Ā | Ā | Ā |
CURB65 score* | Ā | Ā | 0.07 |
ā0,1 | 145 (36.3) | 215 (43.7) | Ā |
ā2 | 159 (39.9) | 167 (33.9) | Ā |
ā>2 | 95 (23.8) | 110 (22.4) | Ā |