Variable | Total (n = 4361) | No ALI (n = 4058) | ALI (n = 303) | OR (95 % CI) | P-value |
---|---|---|---|---|---|
Demographics | |||||
Median age (Q1, Q3) | 56.0 (41.0, 71.0) | 56.0 (41.0, 71.0) | 54.0 (41.0, 67.0) | 0.99 (0.99, 1.00) | 0.050 |
Male, no. (%) | 2,422 (55.5 %) | 2222 (54.8 %) | 200 (66.0 %) | 1.60 (1.26, 2.05) | < 0.001 |
Caucasian (n = 4220), no. (%), | 2608 (61.8 %) | 2424 (61.8 %) | 184 (62.0 %) | 1.01 (0.79, 1.28) | 0.956 |
Weight (n = 3905), median (Q1, Q3) | 76.5 (63.5, 91.0) | 76.0 (63.5, 91.0) | 83.2 (69.2, 96.0) | 1.84 (1.43, 2.37) | < 0.001 |
PBW(n = 3551), median (Q1, Q3) | 63.8 (64.7, 73.0) | 63.8 (54.6, 73.0) | 66.1 (56.4, 75.0) | 1.42 (1.10, 1.84) | 0.007 |
Admission source (n = 4311), no. (%) | |||||
Home | 3,331 (77.3 %) | 3,125 (78.0 %) | 206 (68.2 %) | 1.00 | |
Nursing facility | 338 (7.8 %) | 322 (8.0 %) | 16 (5.3 %) | 0.75 (0.45, 1.27) | 0.002 |
Outside ED | 440 (10.2 %) | 396 (9.9 %) | 44 (14.6 %) | 1.69 (1.20, 2.37) | 0.253 |
Other | 202 (4.7 %) | 166 (4.1 %) | 36 (11.9 %) | 3.29 (2.23, 4.84) | < 0.001 |
APACHE II (Q1, Q3) | 10.0 (6.0, 15.0) | 9.0 (5.0, 14.0) | 15.0 (10.0, 21.0) | 1.11 (1.09, 1.13) | < 0.001 |
Predisposing conditions | |||||
Shock | 395 (9.1 %) | 327 (8.1 %) | 68 (22.4 %) | 3.30 (2.46, 4.42) | < 0.001 |
Aspiration | 210 (4.8 %) | 176 (4.3 %) | 34 (1.2 %) | 2.79 (1.89, 4.11) | < 0.001 |
Sepsis | 1,806 (41.4 %) | 1,684 (41.5 %) | 122 (40.3 %) | 0.95 (0.75, 1.21) | 0.674 |
Pancreatitis | 323 (7.4 %) | 314 (7.7 %) | 9 (3.0 %) | 0.37 (0.19, 0.72) | 0.003 |
Pneumonia | 1,227 (28.1 %) | 1,127 (27.8 %) | 100 (33.0 %) | 1.28 (0.99, 1.64) | 0.051 |
High-risk trauma | |||||
Traumatic brain injury | 490 (11.2 %) | 445 (11.0 %) | 45 (14.9 %) | 1.42 (1.02, 1.97) | 0.040 |
Smoke inhalation | 27 (0.6 %) | 20 (0.5 %) | 7 (2.3 %) | 4.78 (2.00, 11.38) | < 0.001 |
Near drowning | 3 (0.1 %) | 2 (0.1 %) | 1 (0.3 %) | 6.72 (0.61, 74.27) | 0.120 |
Lung contusion | 188 (4.3 %) | 161 (4.0 %) | 27 (8.9 %) | 2.37 (1.55, 3.63) | < 0.001 |
Multiple fractures | 330 (7.6 %) | 304 (7.5 %) | 26 (8.6 %) | 1.16 (0.76, 1.76) | 0.489 |
High-risk surgery | |||||
Thoracic (noncardiac) | 5 (0.1 %) | 4 (0.1 %) | 1 (0.3 %) | 3.36 (0.37, 30.12) | 0.280 |
Orthopedic spine | 17 (0.4 %) | 13 (0.3 %) | 4 (1.3 %) | 4.16 (1.35, 12.85) | 0.013 |
Acute abdomen | 295 (6.8 %) | 268 (6.6 %) | 27 (8.9 %) | 1.38 (0.91, 2.09) | 0.125 |
Cardiac surgery | 20 (0.5 %) | 14 (0.3 %) | 6 (2.0 %) | 5.84 (2.23, 15.30) | < 0.001 |
Aortic vascular | 14 (0.3 %) | 8 (0.2 %) | 6 (2.0 %) | 10.23 (3.53, 29.68) | < 0.001 |
Emergency surgery | 339 (7.7 %) | 282 (7.0 %) | 57 (18.8 %) | 3.10 (2.27, 4.24) | < 0.001 |
Risk modifiers | |||||
Alcohol abuse | 421 (9.7 %) | 381 (9.4 %) | 40 (13.2 %) | 1.47 (1.04, 2.08) | 0.031 |
Obesity (n = 3,508) | 1,020 (29.1 %) | 929 (28.6 %) | 91 (35.0 %) | 1.34 (1.03, 1.75) | 0.029 |
Chemotherapy | 158 (3.6 %) | 145 (3.6 %) | 13 (4.3 %) | 1.21 (0.68, 2.16) | 0.520 |
Diabetes mellitus | 1,042 (23.9 %) | 987 (24.3 %) | 55 (18.2 %) | 0.69 (0.51, 0.93) | 0.016 |
Smoking (n = 4,019) | |||||
None | 2,060 (51.3 %) | 1,931 (51.6 %) | 129 (47.1 %) | 1.00 | -- |
Former | 888 (22.1 %) | 829 (22.1 %) | 59 (21.5 %) | 1.07 (0.78, 1.47) | 0.644 |
Active | 1,071 (26.7 %) | 985 (26.3 %) | 86 (31.4 %) | 1.31 (0.98, 1.74) | 0.089 |
RR (n = 4,137), median (Q1,Q3) | 20.0 (18.0, 24.0) | 20.0 (18.0, 24.0) | 22.0 (18.0, 27.0) | ||
Tachypnea (n = 4,137), no. (%) | 315 (7.6 %) | 269 (6.8 %) | 52 (18.8 %) | 3.18 (2.29, 4.40) | < 0.001 |
SpO2 (n = 4,361), median (Q1, Q3) | 97.0 (94.0, 99.0) | 97.0 (94.0, 99.0) | 95.0 (92.0, 98.0) | ||
SpO2 < 95 % (n = 4,361) | 1,203 (27.6 %) | 1,076 (26.5 %) | 127 (41.9 %) | 2.17 (1.56, 3.02) | < 0.001 |
FiO2 (n = 4,361), median (Q1, Q3) | 0.2 (0.2, 0.3) | 0.2 (0.2, 0.3) | 0.4 (0.2, 1.0) | ||
FiO2 >0.35 (n = 4,796), no. (%) | 841 (19.3 %) | 688 (17.0 %) | 153 (50.5 %) | 4.92 (3.87, 6.25) | < 0.001 |
Albumin (n = 2,423), median (Q1, Q3) | 3.5 (2.9, 4.0) | 3.5 (3.0, 4.0) | 3.2 (2.4, 3.7) | ||
Hypoalbuminemia (n = 2,423), no. (%) | 945 (47.1 %) | 838 (45.6 %) | 107 (64.5 %) | 2.17 (1.56, 3.02) | < 0.001 |
pH (n = 1,499), median (Q1, Q3) | 7.4 (7.3, 7.4) | 7.4 (7.3, 7.4) | 7.3 (7.2, 7.4) | ||
Acidosis (pH <7.35), no. (%) | 476 (45.9 %) | 364 (43.3 %) | 112 (56.6 %) | 1.70 (1.25, 2.33) | < 0.001 |