Variables | Presence of risk | Absence of risk | p value |
---|---|---|---|
factors for aspiration | factors for aspiration | ||
(n=83) | (n=94) | ||
Age, years, mean±SD | 76.6 (9.5) | 64.5 (19.4) | <0.001 |
Gender, male; n (%) | 58 (69.9) | 48 (51.1) | 0.011 |
HCAP; n (%) | 59 (71.1) | 35 (37.2) | <0.001 |
 Hospitalization for >2 days in the preceding 90 days | 34 (41.0) | 27 (28.7) | 0.087 |
 Residence in a nursing home or extended care facility | 29 (34.9) | 5 (5.3) | <0.001 |
 Home infusion therapy (including antibiotics) | 10 (12.0) | 8 (8.5) | 0.437 |
 Chronic dialysis during the preceding 30 days | 0 (0.0) | 1 (1.1) | 0.346 |
 Home wound care | 0 (0.0) | 0 (0.0) |  |
BMI, mean±SDa | 19.6 (4.8) | 20.7 (4.5) | 0.038 |
ECOG PS, median (IQR) | 2 (0.5–3.5) | 1 (0.5–1.5) | <0.001 |
 0–1; n (%) | 28 (33.7) | 73 (77.7) | <0.001 |
 2; n (%) | 22 (26.5) | 12 (12.8) |  |
 3–4; n (%) | 33 (39.8) | 9 (9.6) | <0.001 |
Smoking; n, (%)b | Â | Â | Â |
 Smoker | 7 (10.0) | 9 (10.7) |  |
 Ex-smoker | 30 (42.9) | 30 (35.7) |  |
 Non smoker | 33 (47.1) | 45 (53.6) |  |
B.Ic | 493.7 (606.1) | 449.4 (641.7) | 0.454 |
Comorbidity; n, (%) | Â | Â | Â |
Chronic respiratory disease | 22 (26.5) | 38 (40.4) | 0.051 |
 COPD | 11 (13.3) | 23 (24.5) | 0.059 |
 Bronchiectasis | 6 (7.2) | 12 (12.8) | 0.224 |
 Lung cancer | 7 (8.4) | 3 (3.2) | 0.132 |
 Interstitial pneumonia | 6 (7.2) | 9 (9.6) | 0.576 |
 Cerebrovascular disease | 30 (36.1) | 0 (0.0) | – |
 Neuromuscular diseases | 19 (22.9) | 0 (0.0) | – |
 Dementia | 26 (31.3) | 0 (0.0) | – |
 Pharyngeal disorder | 7 (8.4) | 0 (0.0) | – |
 Gastroesophageal disorder | 27 (32.5) | 0 (0.0) | – |
 Diabetes mellitus | 11 (13.3) | 22 (23.4) | 0.084 |
 Malignancy excluding lung cancer | 26 (31.3) | 18 (19.1) | 0.060 |
 Congestive heart failure | 8 (9.6) | 8 (8.5) | 0.794 |
 Chronic kidney disease | 2 (2.4) | 5 (5.3) | 0.450 |
 Chronic liver disease | 6 (7.2) | 2 (2.1) | 0.103 |
 RA or Sjogren’s syndrome | 0 (0.0) | 9 (9.6) | 0.004 |
 Collagen disease | 5 (6.0) | 7 (7.4) | 0.707 |
 Psychiatric disease | 2 (2.4) | 4 (4.3) | 0.686 |
Medications; n (%) | Â | Â | Â |
 Sleeping medications | 17 (20.5) | 10 (10.6) | 0.07 |
 Glucocorticoids (PSL>5 mg/day) | 11 (13.3) | 7 (7.4) | 0.202 |
 Immunosuppressive agent | 3 (3.6) | 8 (9.5) | 0.178 |
 Antipsychotic drugs | 7 (8.4) | 1 (1.1) | 0.027 |
 Antidepressant | 3 (3.6) | 6 (6.4) | 0.504 |
History of pneumonia within the previous 1Â year; n (%) | 24 (28.9) | 15 (16.0) | 0.038 |
Respiratory failure; n, (%) | 31 (37.3) | 30 (31.9) | 0.448 |
Clinical parameters; n, (%) | Â | Â | Â |
 Orientation disturbance (confusion) | 21 (25.3) | 8 (8.5) | 0.003 |
 Systolic BP<90 mmHg or diastolic BP<60 mmHg | 5 (6.0) | 2 (2.1) | 0.255 |
 Body temperature<35 °C or >40 °C | 4 (4.8) | 1 (1.1) | 0.188 |
 Pulse rate>125 beats/min | 5 (6.0) | 10 (10.6) | 0.271 |
Laboratory findings | Â | Â | Â |
 BUN>10.7 mmol/L | 28 (33.7) | 24 (25.5) | 0.232 |
 Glucose>13.9 mmol/L | 3 (3.6) | 7 (7.4) | 0.339 |
 Hematocrit<30 % | 16 (19.3) | 6 (6.4) | 0.010 |
 Albumin, g/dl mean ± SDd | 3.05 (0.61) | 3.29 (0.57) | 0.011 |
Radiographic findings; n, (%)e | Â | Â | Â |
 Bilateral lung involvement | 54 (65.1) | 50 (53.8) | 0.128 |
 Upper lobe dominant opacity | 14 (16.9) | 20 (21.5) | 0.437 |
 Lower lobe opacity | 54 (65.1) | 52 (55.9) | 0.216 |
 anterior dominant opacity | 8 (9.6) | 14 (15.1) | 0.278 |
 posterior dominant opacity | 67 (80.7) | 58 (62.4) | 0.007 |
 Gravity-dependent opacity | 67 (80.7) | 67 (72.0) | 0.178 |
 Thickening of bronchovascular bundles | 37 (44.6) | 50 (53.8) | 0.224 |
 Pleural effusion | 12 (14.5) | 19 (20.3) | 0.299 |
PSI score; mean±SD | 112.0 (40.3) | 81.0 (46.3) | <0.001 |
 I-III | 25 (30.1) | 57 (60.6) |  |
 VI-V | 53 (69.9) | 37 (39.4) | <0.001 |
In hospital mortality | 6 (7.2) | 6 (6.4) | 0.823 |