Total | Ward | ICU | P-value | |
---|---|---|---|---|
No. (%) | 323 | 198 (61) | 125 (39) | |
Age (years) | 66 ± 17 | 68 ± 17 | 63 ± 16 | 0.015 |
Male sex | 183 (57) | 107 | 76 | 0.294 |
Comorbidities (%) | ||||
COPD | 49 (15) | 32 (16) | 17 (14) | 0.419 |
Liver disease | 34 (11) | 20 (10) | 14 (11) | 0.850 |
Malignancy, not metastasized | 39 (12) | 21 (11) | 17 (14) | 0.372 |
Malignancy, metastasized | 31 (22) | 29 (15) | 2 (2) | 0.004 |
Immune compromised† | 96 (30) | 65 (33) | 31 (25) | 0.16 |
Clinical presentation | ||||
Respiratory rate (/min) | 28 ± 10 | 27 ± 9 | 29 ± 10 | 0.403 |
SO2 | 92±9 | 93 ± 7 | 90 ± 11 | 0.035 |
Heart rate (/min) | 111 ± 24 | 110 ± 24 | 111 ± 25 | 0.820 |
Systolic BP (mmHg) | 105 ± 31 | 105 ± 30 | 106 ± 33 | 0.763 |
Diastolic (mmHg) | 58 ± 18 | 57 ± 18 | 59 ± 18 | 0.455 |
Altered mental status | 118 (37) | 59 (30) | 59 (47) | 0.005 |
Febrile chills | 72 (22) | 49 (25) | 23 (18) | 0.320 |
Temperature (°C) | 38.1 ± 1.6 | 38.0 ± 1.4 | 38.2 ± 1.9 | 0.354 |
Laboratory results | ||||
Leucocyte count (10 × 9/l) | 14.1 ± 9.9 | 15.1 ± 9.0 | 12.9 ± 11.2 | 0.048 |
Platelets (.1012/l) | 248 ± 160 | 258 ± 149 | 235 ± 178 | 0.223 |
INR | 1.8 ± 1.5 | 1.7 ± 1.5 | 1.9 ± 1.5 | 0.598 |
Bilirubin (μmol/l) | 22 ± 29 | 23 ± 33 | 21 ± 24 | 0.557 |
Lactate (mmol/l) | 3.7 ± 2.6 | 3.5 ± 2.5 | 3.9 ± 2.9 | 0.289 |
C-reactive protein (mg/l) | 194 ± 142 | 183 ± 135 | 216 ± 151 | 0.046 |
Glucose (mmol/l) | 9.2 ± 5.7 | 9.4 ± 6.3 | 8.6 ± 4.0 | 0.203 |
pH | 7.35 ± 0.59 | 7.32 ± 0.79 | 7.39 ± 0.10 | 0.26 |
Creatinine (μmol/l) | 171 ± 116 | 175 ± 123 | 166 ± 106 | 0.516 |
Urea (mmol/l) | 14.1 ± 10.3 | 15 ± 11 | 13 ± 9 | 0.150 |
Suspected site of infection (%) | ||||
Pneumonia | 165 (51) | 100 (51) | 60 (48) | 1.0 |
Urinary tract infection | 97 (30) | 66 (33) | 31 (25) | 0.164 |
Abdominal | 47 (15) | 26 (13) | 21 (17) | 0.259 |
Neurological | 8 (3) | 4 (2) | 4 (3) | 0.479 |
Skin | 22 (7) | 8 (4) | 13 (3) | 0.02 |
Other | 41 (13) | 26 (13) | 15 (12) | 0.862 |
Illness severity | ||||
Number of acute organ dysfunctions | 1.8 ± 0.9 | 1.7 ± 0.9 | 1.9 ± 0.9 | 0.205 |
PIRO score | 11.9 ± 4.6 | 11.8 ± 5.1 | 12.8 ± 4.3 | 0.045 |
MEDS score | 8.8 ± 4.0 | 8.5 ± 4.1 | 9.1 ± 3.8 | 0.26 |
DNR status | 89 (28) | 71 (36) | 18 (14) | <0.001 |
ED Treatment | ||||
Fluids in ED (l) | 1.9 ± 1.3 | 1.6 ± 1.1 | 2.2 ± 1.5 | <0.001 |
Time to antibiotics (min) | 115 ± 91 | 127 ± 95 | 94 ± 74 | 0.005 |
Number of goals attained | 4.3 ± 1.4 | 3.9 ± 1.4 | 5.1 ± 1.0 | <0.001 |
All goals attained | 77 (24) | 28 (14) | 49 (39) | <0.001 |
ICU consultation in ED | 171 (53) | 46 (23) | 125 (100) | <0.001 |
Hospital length of stay (days) | ||||
Total | 13.1 ± 15.0 | 10 ± 12 | 18 ± 19 | <0.001 |
ICU | 3.3 ± 8.9 | 0.5 ± 2.0 | 8 ± 13.1 | <0.001 |
Ward | 9.7 ± 10.4 | 9.7 ± 10.7 | 10.0 ± 10.1 | 0.789 |
In-hospital mortality | 72 (22.3) | 39 (20) | 33 (26) | 0.208 |