Table 1—

Baseline characteristics of the 101 patients randomised to the control or procalcitonin group

CharacteristicControl groupProcalcitonin group
Subjects n5051
Age yrs (min–max)59 (18–83)53 (21–88)
Male37 (74)38 (75)
Admission category
Medical26 (52)27 (53)
Emergency surgery20 (40)23 (45)
Elective surgery3 (6)1 (2)
Origin
Home26 (52)35 (69)
Other institution24 (48)16 (31)
Coexisting illnesses
Coronary artery disease4 (8)9 (18)
Hypertensive heart disease8 (16)8 (16)
Congestive heart failure27 (54)21 (41)
Renal dysfunction7 (14)9 (18)
Liver disease3 (6)4 (8)
Diabetes mellitus13 (26)10 (20)
Chronic obstructive pulmonary disease11 (22)8 (16)
Neoplastic disease5 (10)3 (6)
Substance abuse8 (16)5 (10)
Reason for mechanical ventilation
Cardiovascular failure16 (32)16 (31)
Acute respiratory failure29 (58)24 (47)
Trauma13 (26)20 (39)
Neurologic failure12 (24)18 (35)
Sepsis15 (30)10 (20)
Miscellaneous4 (8)6 (12)
Duration of MV before VAP onset days6 (4–10)6 (3–7)
Antimicrobial therapy 14 days before VAP41 (82)35 (69)
Duration of antimicrobial therapy 14 days before VAP days5 (1–9.5)3 (0–8)
Criteria for VAP diagnosis
Infiltrate on chest radiograph50 (100)51 (100)
Fever ≥38°C30 (60)26 (51)
Leukocytosis or leukopenia33 (66)32 (63)
Purulent tracheal secretions28 (56)31 (61)
CPIS ≥647 (94)43 (84)
Fi,O2/Pa,O2<20024 (48)25 (50)
Shock12 (24)11 (22)
Positive blood cultures within 48 h18 (36)14 (28)
Diagnostic score#
SAPS II45±1442±13
ODIN2.3±1.01.9±0.9
SOFA8.2±3.47.3±3.4
Clinical and laboratorial findings
Body temperature °C38.2±1.237.9±0.9
Heart rate bpm91±2388±18
Mean arterial pressure mmHg79±1681±16
Sa,O2 %97±396±4
Pa,O2/Fi,O2 mmHg203±97218±114
Leukocyte count μL13.3±5.912.0±6.6
Procalcitonin μg·L−10.73 (0.21–2.36)0.66 (0.22–2.69)
  • Data are presented as n (%), median (interquartile range) or mean±sd, unless otherwise stated. MV: medical ventilation; VAP: ventilator-associated pneumonia; CPIS: clinical pulmonary infection score; Fi,O2: inspiratory oxygen fraction; Pa,O2: arterial oxygen tension; SAPS II: simplified acute physiologic score II; ODIN: organ dysfunction and/or infection; SOFA: sepsis-related organ failure assessment; Sa,O2: arterial oxygen saturation. There were no other significant differences between the groups with respect to any other characteristic. Because of rounding; percentages may not sum to 100. The conversion factor for procalcitonin is as follows: μg·L−1 × 0.161: nmol·L−1. #: ODIN p = 0.042.