Characteristic | Total (n = 27) | DAD (n = 18) | Non-DAD (n = 9) | P value |
---|---|---|---|---|
Age, years | 79 (62–92) | 79 (62–92) | 80 (66–91) | 0.757 |
Male | 19 (70) | 13 (72) | 6 (67) | 1.000 |
BMI | 22.1 (16.4–28.8) | 21.9 (17.1–28.8) | 22.6 (16.4–26.2) | 0.471 |
PaO2/FiO2 | 142 (48–258) | 142 (48–203) | 142 (60–258) | 0.877 |
APACHE II score | 29 (18–44) | 28 (21–41) | 34 (18–44) | 0.469 |
Severity at diagnosis | 0.655 | |||
Mild | 2 (7) | 1 (5) | 1 (11) | |
Moderate | 19 (70) | 12 (67) | 17 (78) | |
Severe | 6 (22) | 5 (28) | 1 (11) | |
Ventilation | 0.683 | |||
Noninvasive ventilation | 10 (37) | 6 (33) | 4 (44) | |
Mechanical ventilation | 17 (63) | 12 (67) | 5 (56) | |
Underlying diseases | ||||
Diabetes mellitus | 6 (22) | 3 (17) | 3 (33) | 0.367 |
Malignance | 6 (22) | 3 (17) | 3 (33) | 0.367 |
Immunosuppression | 5 (19) | 2 (11) | 3 (33) | 0.295 |
End stage renal disease | 1 (4) | 0 (0) | 1 (11) | 0.333 |
Primary risk factor of ARDS | 0.916 | |||
Pneumonia | 15 (56) | 10 (56) | 5 (56) | |
Connective tissue disease | 4 (15) | 3 (17) | 1 (11) | |
Drug-induced | 3 (11) | 1 (6) | 2 (22) | |
Sepsis | 2 (7) | 1 (6) | 1 (11) | |
Malignancy | 1 (4) | 1 (6) | 0 (0) | |
Aspiration | 1 (4) | 1 (6) | 0 (0) | |
Radiation | 1 (4) | 1 (6) | 0 (0) | |
Duration of ARDS before death, d | 18 (1–51) | 18 (4–51) | 18 (1–40) | 0.410 |
Laboratory data at diagnosis | ||||
WBC, per mm3 | 10,300 (300–37,800) | 11,200 (300–37,800) | 10,300 (2,300–30,000) | 0.877 |
CRP, mg/dL | 13.6 (3.5–39.5) | 15.3 (3.5–39.5) | 11.2 (5.5–21.2) | 0.291 |
Albumin, g/dL | 2.5 (1.4–3.3) | 2.5 (1.4–3.2) | 2.4 (1.4–3.3) | 0.570 |
Creatinine, mg/dL | 1.14 (0.27–4.64) | 1.13 (0.50–4.56) | 1.33 (0.27–4.64) | 0.471 |
LDH, U/L | 343 (212–1,192) | 425 (212–1,192) | 317 (233–705) | 0.345 |
KL-6*, U/mL | 413 (194–1,780) | 760 (194–1,780) | 322 (229–1,322) | 0.090 |
KL-6* > 500 U/mL | 12 (44) | 11 (65) | 1 (11) | 0.014 |
Treatment | ||||
Corticosteroid administration | 14 (52) | 10 (56) | 4 (44) | 0.695 |
Methylprednisolone pulse therapy† | 13 (48) | 10 (56) | 3 (33) | 0.420 |
Autopsy findings | ||||
Weight of two lungs, g | 1,380 (545–4,605) | 1,455 (675–4,605) | 1,100 (545–2,375) | 0.143 |
DAD | 18 (67) | 18 (100) | – | |
Organizing pneumonia | 7 (26) | – | 7 (78) | |
Pulmonary hemorrhage | 2 (7) | – | 2 (22) |