LClus1 (n = 6) | LClus2 (n = 74) | LClus3 (n = 40) | p-value | |
---|---|---|---|---|
Cluster composition | ||||
CAP patients, n (%) | 6 (100%) | 33 (44.6%) | 13 (32.5%) | 0.005a,b |
SCAP patients, n (%) | 6 (100%) | 14 (18.9%) | 1 (2.5%) | < 0.0005a,b,c |
Demographics | ||||
Age (years) | 55.17 ± 16.13 | 53.49 ± 16.88 | 52.77 ± 16.78 | 0.935 |
Gender, n, (% male) | 4 (66.7%) | 35 (47.3%) | 14 (35.0%) | 0.243 |
Ever smokers, n (%) | 1 (16.7%) | 6 (8.1%) | 3 (7.5%) | 0.600 |
Current smokers, n (%) | 1 (16.7%) | 12 (16.2%) | 3 (7.5%) | 0.390 |
Underlying Diseases | ||||
Diabetes Mellitus, n (%) | 2 (33.3%) | 12 (16.2%) | 5 (12.5%) | 0.376 |
Hypertension, n (%) | 1 (16.7%) | 25 (33.8%) | 11 (27.5%) | 0.661 |
Hyperlipidemia, n (%) | 0 | 13 (17.6%) | 6 (15.0%) | 0.692 |
Coronary Heart Disease, n (%) | 2 (33.3%) | 9 (12.2%) | 4 (10.0%) | 0.281 |
Laboratory Findings | ||||
Peripheral blood related | ||||
BUN (mmol/L) | 4.4 (1 - 27) | 4.4 (1 - 25) | 4.4 ± 1.5 | 0.323 |
Cr (μmol/L) | 86.5 (30 - 448) | 60 (30 - 237) | 61.9 ± 18.4 | 0.345 |
ALT (U/L) | 24.5 (12.0 - 77.5) | 25.5 (13.3 - 44.5) | 28.0 (18.0 - 41.0) | 0.958 |
AST (U/L) | 30.5 (14.8 - 248.5) | 25 (18.0 - 32.0) | 28.0 (21.0 - 43.0) | 0.422 |
CK (U/L) | 41.5 (19.0 - 540.0) | 58.5 (43.3 - 94.8) | 84 (48.0 - 116.0) | 0.765 |
ALB (g/L) | 25.4 ± 5.2 | 35.3 ± 6.7 | 35.8 ± 5.5 | 0.006a,b |
Glucose (mmol/L) | 9.4 ± 4.5 | 5.1 (4.7 - 6.2) | 4.8 (4.5 - 5.7) | 0.086 |
TC (mmol/L) | 2.8 ± 1.0 | 3.8 (3.7 - 4.7) | 4.8 ± 1.3 | < 0.0005a,b,c |
TG (mmol/L) | 1.0 (0.7 - 2.8) | 1.2 (0.9 – 1.6) | 1.8 ± 1.0 | 0.166 |
WBC (× 109/L) | 11.3 (6.3 - 17.0) | 6.1 (5.1 - 8.4) | 6.7 ± 2.1 | 0.241 |
Neutrophils (× 109/L) | 8.9 ± 4.7 | 4.0 (3.1 - 6.0) | 4.5 ± 1.7 | 0.105 |
Lymphocytes (× 109/L) | 1.0 ± 0.4 | 1.3 ± 0.6 | 1.5 ± 0.9 | 0.08 |
NLR | 11.5 ± 9.7 | 2.9 (2.2 - 5.3) | 3.9 ± 2.6 | 0.092 |
BALF related | ||||
Total cell counts (× 106 cells) | 0.48 (0.18 – 0.74) | 0.2 (0.16 -0.29 ) | 0.2 (0.14 - 0.25) | 0.182 |
PMN percentages (%) | 57.5 (28.3 – 70.5) | 2 (1 - 19.3) | 1.5 (0 - 4.0) | < 0.0005a,b,c |
Macrophage percentages (%) | 23.7 ± 20.4 | 54.7 ± 28.2 | 63.9 ± 24.0 | 0.006a,b |
Lymphocyte percentages (%) | 14.5 (9.8 – 38.0) | 20 (9.0 – 37.0) | 24 (13.0 – 48.0) | 0.195 |
Eosinophil percentages (%) | 0 (0 - 1) | 0 (0 - 1) | 0 (0 - 0.5) | 0.979 |
Albumen concentration (g/L) | 4.01 (0.87 – 6.05) | 0.35 (0.17 – 1.16) | 0.08 (0.06 – 0.22) | < 0.0005a,b,c |
Inflammatory markersd | ||||
PCT (μg/L) | 17.9 ± 26.0 | 0.17 (0.05 - 0.37) | 0.17 (0.11 - 0.21) | 0.008a,b |
CRP (mg/L) | 83.7 ± 65.3 | 43.82 (13.8 - 117.0) | 43.82 (11.7 - 88.4) | 0.611 |
ESR (mm/h) | 21 (18.3 - 41) | 50 (23.5 - 16.5) | 30.9 ± 17.6 | 0.209 |
Medication history | ||||
Recent corticosteroid usagee | 1 (16.7%) | 5 (15.6%) | 0 | 0.335 |
Recent antibiotic usagee | 6 (100%) | 31 (96.9%) | 12 (92.3%) | 0.611 |
Quinolones at bronchoscopy | 4 (66.7%) | 21 (65.6%) | 6 (46.2%) | 0.484 |
Macrolides at bronchoscopy | 1 (16.7%) | 3 (9.4%) | 4 (30.8%) | 0.206 |
β-lactams at bronchoscopy | 1 (16.7%) | 16 (50.0%) | 6 (46.2%) | 0.419 |
Carbapenems at bronchoscopy | 4 (66.7%) | 6 (18.8%) | 0 | 0.005a,b |
Vancomycin /linezolid at bronchoscopy | 2 (33.3%) | 2 (6.3%) | 0 | 0.073 |
Detected pathogen | ||||
Bacteria | 2 (33.3%) | 3 (9.1%) | 0 | 0.262 |
Atypical | 1 (16.7%) | 10 (30.3%) | 3 (23.1%) | 0.737 |
Virus | 2 (33.3%) | 11 (33.3%) | 4 (30.8%) | 0.828 |
Fungus | 0 | 3 (9.1%) | 1 (7.7%) | 0.836 |
Unknown | 2 | 12 | 7 | |
Complications & Outcome | ||||
Hypoxemia | 6 (100%) | 13 (39.4%) | 3 (23.1%) | 0.005a,b |
IPPV | 3 (50%) | 5 (15.2%) | 0 | 0.022b |
AKI | 2 (33.3%) | 2 (6.1%) | 0 | 0.07 |
30-day mortality | 1 (16.7%) | 5 (15.2%) | 0 | 0.333 |
LOS (days) | 25.0 ± 22.3 | 13.4 ± 6.5 | 10.5 ± 3.4 | 0.092 |