Research Article

Neutropenic Sepsis in the ICU: Outcome Predictors in a Two-Phase Model and Microbiology Findings

Table 2

Comparison of patients in the recovery phase after overcoming the initial sepsis. Values are displayed as mean ± standard deviation; / indicate level of significance.

Parameter Recovery phase, survived () Recovery phase, deceased () valueOdds ratio

Male65,2% ()64,7% ()0,9700,978
Female34,8% ()35,3% ()0,9701,023
Age57,0 ± 13,9 ()50,1 ± 16,7 ()0,1520,969
Days in the ICU13,3 ± 13,5 ()26,7 ± 21,6 ()0,0041,047
Duration prior to leukopenia9,0 ± 15,8 ()16,2 ± 17,3 ()0,086 1,024
Respiratory frequency25,7 ± 7,8 ()27,4 ± 7,1 ()0,2431,031
First lactate (mg/dL)21,0 ± 15,6 ()29,0 ± 26,5 ()0,3681,02
APACHE II on admission22,3 ± 7,8 ()24,0 ± 9,9 ()0,8371,025
SOFA on admission7,0 ± 4,7 () 8,1 ± 5,2 ()0,4621,045
Intubation 39,1% ()100% ()0,00053,919
Lowest oxygenation index126,7 ± 94,2 ()90,8 ± 45,3 ()0,1850,991
Tracheotomy21,7% ()64,7% ()0,0016,600
Lung failure after initial crisis45,7% ()94,1% ()0,00119,048
Vasopressors in the first 24 h56,5% ()82,4% ()0,0593,59
Maximal Noradrenaline dose (mg/h)1,9 ± 1,6 ()4,7 ± 4,2 ()0,0091,466
Fluid administration in the first 24 h (mL)6670,7 ± 2375,0 ()6819,5 ± 2977,2 ()1,0001
MAP first 24 h56,0 ± 15,2 ()56,6 ± 12,0 ()0,6431,003
Circulatory failure after initial crisis4,3% ()23,5% ()0,0216,769
Liver failure on admission43,5% ()41,2% ()0,8700,91
Lowest bilirubin1,3 ± 1,2 ()1,8 ± 2,6 ()0,9631,185
Lowest INR1,2 ± 0,2 ()1,2 ± 0,2 ()0,8710,792
Liver failure after initial crisis37% ()58,8% ()0,1202,437
Lowest urine output (mL/24 h)1548,5 ± 1089,2 ()640,5 ± 669,4 ()0,0010,999
Kidney failure41,3% ()82,4% ()0,0046,632
Renal replacement therapy21,7% ()64,7% ()0,0016,600
GCS on admission12,7 ± 4,1 ()12,8 ± 3,4 ()0,8711,005
GCS highest15,0 ± 0,1 ()13,7 ± 2,4 ()0,0000,070
Erythrocyte concentrates (units/day)0,6 ± 1,2 ()0,7 ± 0,5 ()0,0031,111
Platelet concentrates (units/day)0,5 ± 0,7 ()0,8 ± 0,5 () 0,0082,002
Fresh frozen plasma (units/day)0,4 ± 0,9 ()0,7 ± 0,6 () 0,0001,567
CRP highest in the first 10 days (mg/dL)28,9 ± 8,8 ()35,3 ± 11,5 ()0,0681,073
CRP lowest (mg/dL)8,2 ± 6,5 ()15,6 ± 11,4 ()0,0081,106
Persistent leukopenia30,4% ()52,9% ()0,1002,571