Table 2– Meta-analysis of the relationship between individual components of the Infectious Diseases Society of America (IDSA)/American Thoracic Society (ATS) 2007 minor criteria for mortality and intensive care unit (ICU) admission
IDSA/ATS minor criteriaSubjects# nPooled positive n (%)Pooled OR (95% CI)p-valueI2 %
Mortality
 Respiratory rate ≥30 breaths  per min56861197 (21.1)3.03 (1.92–4.78)<0.000165
PaO2/FIO2 ratio ≤25056861482 (26.1)5.62 (2.27–13.9)0.000293
 Multilobar shadowing56861823 (32.1)2.77 (1.27–6.02)0.0190
 Confusion5686897 (15.8)5.47 (2.81–10.7)<0.000186
 Urea ≥20 mg·dL−156861502 (26.4)4.76 (2.92–7.77)<0.000171
 White blood cell count  <4000 cells·mm−35686202 (3.6)3.04 (1.98–4.65)<0.00010
 Platelet count  <100 000 cells·mm−35686175 (3.1)2.47 (1.46–4.18)0.000719
 Hypothermia5686223 (3.9)3.06 (1.41–6.66)0.00561
 Hypotension5686788 (13.9)2.39 (1.35–4.22)0.00369
ICU admission
 Respiratory rate ≥30 breaths  per min62401385 (22.2)4.68 (2.94–7.44)<0.000181
PaO2/FIO2 ratio ≤25062401459 (23.4)5.06 (3.07–8.36)<0.000183
 Multilobar shadowing62401902 (30.5)3.25 (2.77–3.81)<0.00010
 Confusion6240760 (12.2)4.78 (2.43–9.39)<0.000189
 Urea ≥20 mg·dL−162401495 (24.0)3.38 (2.46–4.64)<0.000154
 White blood cell count  <4000 cells·mm−36240183 (2.9)4.21 (2.99–5.93)<0.00010
 Platelet count  <100 000 cells·mm−36240187 (3.0)3.12 (2.19–4.46)<0.00010
 Hypothermia6240295 (4.7)5.14 (4.09–6.46)0.00467
 Hypotension6240404 (6.5)3.41 (2.58–4.50)<0.00010
  • PaO2: arterial oxygen tension; FIO2: inspiratory oxygen fraction. #: Different for each analysis because some studies only examined one end-point; : <36°C.