From: The impact of smoking on patient outcomes in severe sepsis and septic shock
Demographics | All (N = 562) | Current smokers (N = 107) | Non-smokers (N = 455) | P value* (current vs. non) | Former smokers (N = 249) | P value** (current vs. former) | Never smokers (N = 206) | P value§ (current vs. never) |
---|---|---|---|---|---|---|---|---|
Age—median years (IQR) | 74 (61–84) | 58 (50–69) | 78 (66–85) | < 0.0001 | 78 (69–85) | < 0.0001 | 76.5 (61–85) | < 0.0001 |
Male—n (%) | 347 (62%) | 69 (65) | 278 (61) | 0.52 | 166 (67) | 0.69 | 112 (54) | 0.09 |
BMI, median (IQR) | 26 (23–31) | 26 (23–32) | 26 (23–31) | 0.87 | 26 (23–31) | 0.66 | 26 (22–31) | 0.86 |
FEV1 mean (std)∫ | 1.76 (0.78) | 2.11 (1.05) | 1.65 (0.64) | 0.048 | 1.64 (0.64) | 0.049 | 1.67 (0.65) | 0.09 |
FEV1 % pred mean (std)∫ | 68.4 (24.5) | 66.6 (23.3) | 68.9 (24.9) | 0.69 | 69.3 (24.2) | 0.65 | 67.9 (27.5) | 0.87 |
FVC mean (std) ∫ | 2.54 (0.97) | 3.07 (1.13) | 2.37 (0.85) | < 0.01 | 2.39 (0.83) | 0.004 | 2.32 (0.93) | 0.03 |
FVC % pred mean (std)∫ | 73.2 (20.9) | 75.9 (20.5) | 72.3 (21.0) | 0.46 | 73.0 (19.0) | 0.54 | 70.2 (26.6) | 0.44 |
FEV1/FVC mean (std)∫ | 68.6 (15.9) | 67.3 (16.0) | 69.0 (15.9) | 0.65 | 69.1 (14.6) | 0.64 | 68.7 (19.8) | 0.79 |
Hospital acquired sepsis# | 52 (9.3%) | 15 (14%) | 37 (8.1%) | 0.06 | 21 (8.4%) | 0.11 | 16 (7.8%) | 0.08 |
Charlson Score, median (IQR) | 5 (4–7) | 4 (2–5) | 5 (4–7) | < 0.0001 | 6 (4–7) | < 0.0001 | 5 (3–7) | 0.0005 |
MI, n (%) | 151 (27) | 19 (18) | 132 (29) | 0.002 | 93 (37) | 0.0003 | 39 (19) | 0.80 |
CHF, n (%) | 137 (24) | 14 (13) | 123 (27) | 0.003 | 75 (30) | 0.0007 | 48 (23) | 0.03 |
CVA, n (%) | 75 (13) | 6 (6) | 69 (15) | < 0.01 | 38 (15) | 0.01 | 31 (15) | 0.01 |
Dementia, n (%) | 64 (11) | 3 (3) | 61 (13) | < 0.01 | 34 (14) | 0.002 | 27 (13) | 0.003 |
COPD, n (%) | 110 (20) | 35 (33) | 75 (17) | < 0.01 | 68 (27) | 0.30 | 7 (3) | < 0.0001 |
DM, n (%) | 161 (29) | 27 (25) | 134 (30) | 0.39 | 72 (29) | 0.48 | 62 (30) | 0.37 |
Cirrhosis, n (%) | 56 (10) | 24 (22) | 32 (7) | < 0.01 | 15 (6) | < 0.0001 | 17 (8) | 0.0004 |
CKD, n (%) | 55 (10) | 5 (5) | 50 (11) | 0.05 | 33 (13) | 17 (8) | ||
Source of infection | ||||||||
Pneumonia, n (%) | 241 (43) | 53 (50) | 188 (41) | 0.12 | 116 (47) | 0.61 | 72 (35) | 0.01 |
Genitourinary | 154 (27) | 21 (20) | 133 (29) | 0.05 | 66 (27) | 0.17 | 67 (32) | 0.02 |
Abdominal | 108 (19) | 31 (29) | 77 (17) | < 0.01 | 42 (17) | 0.01 | 35 (17) | 0.01 |
Soft tissue | 39 (7) | 2 (2) | 37 (8) | 0.02 | 23 (9) | 0.01 | 14 (7) | 0.06 |
CNS | 3 (1) | 1 (1) | 2 (0.4) | 0.53 | 0 (0) | 0.13 | 2 (1) | 0.98 |
Cardiovascular | 9 (2) | 2 (2) | 7 (2) | 0.81 | 2 (1) | 0.38 | 5 (2) | 0.75 |
Blood stream | 73 (13) | 12 (11) | 61 (13) | 0.54 | 28 (11) | 0.99 | 33 (16) | 0.25 |
CVC | 10 (2) | 0 (0) | 10 (2) | 0.12 | 4 (2) | 0.19 | 6 (3) | 0.07 |
Other | 0 | 0 | 0 | – | 0 | – | 0 | – |
Unknown | 16 (3) | 2 (2) | 14 (3) | 0.50 | 6 (2) | 0.75 | 8 (4) | 0.34 |
Medical, n (%) | 481 (86) | 84 (79) | 397 (87) | 0.02 | 218 (88) | 0.03 | 179 (87) | 0.05 |
Surgical | 81 (13) | 23 (22) | 58 (13) | 31 (13) | 27 (13) | |||
Alcohol abuse, n (%) | 64 (11) | 37 (35) | 27 (6) | < 0.01 | 19 (8) | < 0.0001 | 8 (4) | < 0.0001 |
Severe sepsis, n (%) | 319 (57) | 47 (44) | 272 (60) | < 0.01 | 144 (58) | 0.02 | 128 (62) | 0.002 |
Septic shock, n (%) | 243 (43) | 60 (56) | 183 (40) | 105 (42) | 78 (38) | |||
Lactate—median (IQR) | 2.1 (1.3–3.4) | 2.1 (1.5–3.1) | 2.05 (1.2–3.5) | 0.53 | 2.0 (1.2–3.2) | 0.53 | 2.1 (1.2–3.7) | 0.61 |
SOFA score median (IQR) | 6 (3–9) | 7 (4–12) | 5 (3–9) | < 0.01 | 5 (3–9) | 0.001 | 5 (3–8) | < 0.0001 |
Respiratory‡ median (IQR) | 1 (0–2) | 2 (0–3) | 1 (0–2) | < 0.001 | 1 (0–3) | 0.015 | 0 (0–2) | < 0.0001 |
72 h fluid balance—median L (IQR) | 2.1 (0.2–4.35) | 2.3 (0.01–5.9) | 2.1 (0.26–4.1) | 0.32 | 2.1 (0.01–4.1) | 0.18 | 2.2 (0.5–4.1) | 0.67 |
Stress steroids given—n (%) | 38 (7) | 9 (8) | 29 (6) | 0.45 | 17 (7) | 0.60 | 12 (6) | 0.38 |
Time to appropriate antibiotics after hypotension—minutes, median (IQR) | 60 (− 60–159) | 35 (− 117–120) | 61 (− 60–165) | 0.23 | 60 (− 76–165) | 0.44 | 68.5 (− 22–170) | 0.14 |
Appropriate empiric antibiotics given based on culture data | ||||||||
Yes, n (%) | 248 (44) | 53(50) | 195/454 (43) | 0.17 | 107 (43) | 0.17 | 88/205 (43) | 0.26 |
No, n (%) | 50 (9) | 5(5) | 45/454 (10) | 26 (10) | 19/205 (9) | |||
Unknown, n (%) | 263 (47) | 49(46) | 214/454 (47) | 116 (47) | 98/205 (48) |