Table 2– Differences in baseline characteristics
Control groupIntervention groupp-value
Subjects#172176
Demographics
 Age years68.2±16.867.3±18.60.626
 Female52 (30.2)65 (36.9)0.186
 Nursing home resident24 (14.0)14 (8.0)0.076
Comorbid illness
 Neoplastic disease13 (7.6)21 (11.9)0.169
 Liver disease6 (3.5)7 (4.0)0.810
 Heart failure37 (21.5)19 (10.8)0.007
 Cerebrovascular disease51 (29.7)46 (26.1)0.465
 Renal disease34 (19.8)18 (10.2)0.013
 Diabetes mellitus67 (39.0)52 (29.5)0.064
Vital signs at emergency department
 Altered mental status55 (32.0)68 (38.6)0.194
 Heart rate beats·min−1107.0±23.1103.4±22.60.142
 Respiratory rate breaths·min−123.1±5.624.0±7.40.203
 Systolic blood pressure mmHg119.4±29.8119.2±29.80.968
 Diastolic blood pressure mmHg62.1±16.761.4±15.50.687
 Temperature °C37.6±1.237.2±3.10.073
PaO2/FIO2 ratio %175.5 (92.3–279.3)192.4 (114.0–282.1)0.224
SpO2/FIO2 ratio %271.0 (99.0–426.2)281.1 (186.8–433.3)0.217
Laboratory and radiological findings at the emergency department
 Blood urea nitrogen mmol·L−15.8 (3.6–8.9)9.0 (3.8–13.9)<0.001
 Sodium mmol·L−1135.2±6.4133.9±7.00.705
 Glucose mmol·L−110.0±7.39.4±5.10.384
 Haematocrit %36.4±6.036.9±6.60.524
 White blood cells per mm312.5±6.612.5±7.30.977
 Platelets per mm3266 (198–345)226 (174–318)0.003
 Arterial pH7.41 (7.31–7.46)7.42 (7.37–7.47)0.052
 Pleural effusion37 (21.5)52 (29.5)0.086
 Multilobar infiltrates128 (74.4)145 (82.4)0.071
Pneumonia Severity Index points123.8±33.5116.0±35.70.038
IDSA/ATS minor criteria score3.45±0.6513.54±0.8340.251
Fulfilment of individual IDSA/ATS criterion for severe CAP
 Respiratory rate ≥30 breaths·min−130 (17.4)32 (18.2)0.857
PaO2/FIO2 ratio ≤250109 (63.4)103 (58.5)0.354
 Multilobar infiltrates128 (74.4)145 (82.4)0.071
 Confusion/disorientation55 (32.0)68 (38.6)0.194
 Uraemia130 (75.6)118 (67.0)0.079
 Leukopenia+14 (8.1)21 (11.9)0.240
 Thrombocytopenia §14 (8.1)13 (7.4)0.793
 Hypothermiaƒ8 (4.7)12 (6.8)0.385
 Hypotension requiring aggressive fluid resuscitation105 (61.0)111 (63.1)0.698
  • Data are presented as n, mean±sd, n (%) or median (interquartile range), unless otherwise stated. PaO2: arterial oxygen tension; FIO2: inspiratory oxygen fraction; SpO2: arterial oxygen saturation measured by pulse oximetry; IDSA: Infectious Diseases Society of America; ATS: American Thoracic Society; CAP: community-acquired pneumonia.#: data were complete for all patients except PaO2/FIO2 ratio (37.1% missing), arterial pH (34.5% missing) and glucose (19.8% missing); : blood urea nitrogen ≥20 mg·dL−1; +: white blood cell count <4000 cells per mm3; §: <100 000 platelets per mm3; ƒ: core temperature <36°C.