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Table 1 Characteristics of patients with or without risk factors for aspiration

From: The significance of oral streptococci in patients with pneumonia with risk factors for aspiration: the bacterial floral analysis of 16S ribosomal RNA gene using bronchoalveolar lavage fluid

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

   

 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, (%)

   

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 (%)

   

 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 1 year; n (%)

24 (28.9)

15 (16.0)

0.038

Respiratory failure; n, (%)

31 (37.3)

30 (31.9)

0.448

Clinical parameters; n, (%)

   

 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

   

 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

   

 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

  1. Definition of abbreviations: SD standard devision, CAP community-acquired pneumonia, HCAP healthcare-associated pneumonia, BMI body mass index, ECOG PS eastern cooperative oncology group performance status, BI brinkman index, COPD chronic obstructive pulmonary disease, RA rheumatoid Arthritis, PSI pneumonia severity index
  2. aBMI, bsmoking, cB.I, dserum albumin and, eradiographic findings were evaluated in 142, 154, 153, 168, and 176 patients, respectively