Research Article

A Model to Predict In-Hospital Mortality in HIV/AIDS Patients with Pneumocystis Pneumonia in China: The Clinical Practice in Real World

Table 1

Baseline characteristics of HIV/AIDS patient with PCP in the study cohort.

VariablesTotal  
n=1001
Derivation cohort  
n=801
Validation cohort  
n=200
p value

Age (years)
50188 (18.8%)156 (19.5%)32 (16.0%)0.260
 <50813 (81.2%)645 (80.5%)168 (84.0%)
Gender
 Female77 (7.7%)61 (7.6%)16 (8.0%)0.855
 Male924 (92.3%)740 (92.4%)184 (92.0%)
Transmission route
 Homosexual94 (9.4%)71 (8.9%)23 (11.5%)0.484
 Heterosexual272 (27.2%)218 (27.2%)54 (27.0%)
 Blood transfusion11 (1.1%)7 (0.9%)4 (2.0%)
 Intravenous drug7 (0.7%)6 (0.7%)1 (0.5%)
 Unknown617 (61.6%)499 (62.3%)118 (59.0%)
Marriage
 Married542 (54.1%)439 (54.8%)103 (51.5%)0.401
 Unmarried459 (45.9%)362 (45.3%)97 (48.5%)
Laboratory results
 HGB (g/L)
 Median (Q1, Q3)120 (107, 133)120 (107, 134)119.7(107.3, 131)0.403
  >90g/L918 (91.7%)737 (92.0%)181 (90.5%)0.488
  ≦90g/L83 (8.3%)64 (8.0%)19 (9.5%)
 ALB) (g/L)
  Median (Q1, Q331.8(28.3, 34.8)31.7(28.3, 34.9)32.1(28.5, 34.6)0.539
  >30g/L646 (64.5%)519 (64.8%)127 (63.5%)0.732
  ⩽30g/L355 (35.5%)282 (35.2%)73 (36.5%)
 CD4 (cells/ul)
  Median (Q1, Q3)21 (10, 47)35.2 (10, 46)41.6 (9, 53.8)0.082
  >50cells/ul236 (23.6%)183 (22.8%)53 (26.5%)0.276
  ≦50cells/ul765 (76.4%)618 (77.2%)147 (73.5%)
 LDH (IU/L)
  Median (Q1, Q3)334.1(252.8, 456.5)336.8(251.4, 457.1)321.8(259.2, 449.2)0.198
  350 IU/L456 (45.6%)372 (46.4%)84 (42.0%)0.259
  <350 IU/L545 (54.4%)429 (53.6%)116 (58.0%)
 Partial pressure of oxygen
  >70mmHg541 (54.0%)434 (54.2%)107 (53.5%)0.863
  ⩽70mmHg460 (46.0%)367 (45.8%)93 (46.5%)
Vital signs
 Respiratory rate
  30 times/min142 (14.2%)115 (14.4%)27 (13.5%)0.756
  <30 times/min859 (85.8%)686 (85.6%)173 (86.5%)
 Heart rate
  130 times/min58 (5.8%)42 (5.2%)16 (8.0%)0.136
  <130 times/min943 (94.2%)759 (94.8%)184 (92.0%)
Duration of ART prior to admission
 ART-naive898 (89.7%)720 (89.9%)178 (89.0%)0.618
 <6 months86 (8.6%)69 (8.6%)17 (8.5%)
 >6 months17 (1.7%)12 (1.5%)5 (2.5%)
Later admission to ICU
 Yes183 (18.3%)147 (18.4%)36 (18.0%)0.908
 NO818 (81.7%)654 (81.6%)164 (82.0%)
Comorbidities
 Bacterial pneumonitis
  Yes832 (83.1%)663 (82.8%)169 (84.5%)0.559
  NO169 (16.9%)138 (17.2%)31 (15.5%)
 CMV pneumonitis
  Yes385 (38.5%)304 (38%)81 (40.5%)0.508
  NO616 (61.5%)497 (62%)119 (59.5%)
 Cryptococcal pneumonitis
  Yes19 (1.9%)17 (2.1%)2 (1.0%)0.298
  NO982 (98.1%)784 (97.9%)198 (99.0%)
 Fungal pneumonia
  Yes209 (20.9%)163 (20.3%)46 (23.0%)0.409
  NO792 (79.1%)638 (79.7%)154 (77.0%)
 Pulmonary tuberculosis
  Yes148 (14.8%)110 (13.7%)38 (19.0%)0.060
  NO853 (85.2%)691 (86.3%)162 (81.0%)
 Severe pneumonia
  Yes148 (14.8%)115 (14.4%)33 (16.5%)0.445
  NO853 (85.2%)686 (85.6%)167 (83.5%)
 Pneumothorax
  Yes41 (4.0%)34 (4.2%)7 (3.5%)0.635
  NO960 (96.0%)767 (95.8%)193 (96.5%)
 CNS infection
  Yes54 (5.4%)43 (5.4%)11 (5.5%)0.941
  NO947 (94.6%)758 (94.6%)189 (94.5%)
 Cardiovascular disease
  Yes64 (6.4%)46 (5.7%)18 (9.0%)0.092
  NO937 (93.6%)755 (94.3%)182 (91.0%)
 Malignancies
  Yes27 (2.7%)23 (2.9%)4 (2.0%)0.496
  NO974 (97.3%)778 (97.1%)196 (98.0%)

Note. HGB: hemoglobin; ALB: albumin; LDH: lactate dehydrogenase; ART: antiretroviral therapy; ICU: intensive care unit; CMV: cytomegalovirus; CNS: central nervous system. Median (Q1, Q3): median based on 25th and 75th percentiles.