Table 2

Risk factors for progression to pneumonia

CharacteristicPatients with PIV pneumonia (n = 95), N (%)Patients with PIV URI (n = 105), N (%)Univariate analysis (P)
Age ≥ 65 y 19 (20) 11 (10) .06 
Relapse or refractory stage of underlying malignancy 34/95 (36) 26/104 (25) .1 
Underlying condition   .002 
    HSCT 46 (48) 74 (70)  
    Leukemia 49 (52) 31 (30)  
GVHD 22/46 (48) 26/74 (35) .17 
Type of PIV    
    Type I 9 (9) 13 (12) .89 
    Type II 3 (3) 3 (3)  
    Type III 83 (87) 89 (85)  
Neutropenia (ANC < 500 μ/L) within a week of diagnosis to resolution of symptoms 53/94 (56) 22/102 (22) < .0001 
Lymphopenia (ALC < 200 μ/L) within a week of diagnosis to resolution of symptoms 62/94 (66) 43/102 (42) .001 
APACHE II score at diagnosis of PIV infection, median (range) 13 (5-30) 9 (3-20) < .0001 
Steroid use    
    Corticosteroids 52 (55) 70 (67) .08 
    Prednisolone ≥ 600 mg 35 (37) 45 (43) .39 
Chemotherapy within a month of diagnosis of PIV infection 68 (72) 44 (42) < .0001 
Respiratory coinfections within a month of diagnosis of PIV infection 41 (43) 15 (14) < .0001 
Therapy at URI stage    
    Aerosolized ribavirin and/or IVIG alone 15/36 (42) 22/105 (21) .015 
    Aerosolized ribavirin with or without IVIG 9/36 (25) 2/105 (2) < .0001 
CharacteristicPatients with PIV pneumonia (n = 95), N (%)Patients with PIV URI (n = 105), N (%)Univariate analysis (P)
Age ≥ 65 y 19 (20) 11 (10) .06 
Relapse or refractory stage of underlying malignancy 34/95 (36) 26/104 (25) .1 
Underlying condition   .002 
    HSCT 46 (48) 74 (70)  
    Leukemia 49 (52) 31 (30)  
GVHD 22/46 (48) 26/74 (35) .17 
Type of PIV    
    Type I 9 (9) 13 (12) .89 
    Type II 3 (3) 3 (3)  
    Type III 83 (87) 89 (85)  
Neutropenia (ANC < 500 μ/L) within a week of diagnosis to resolution of symptoms 53/94 (56) 22/102 (22) < .0001 
Lymphopenia (ALC < 200 μ/L) within a week of diagnosis to resolution of symptoms 62/94 (66) 43/102 (42) .001 
APACHE II score at diagnosis of PIV infection, median (range) 13 (5-30) 9 (3-20) < .0001 
Steroid use    
    Corticosteroids 52 (55) 70 (67) .08 
    Prednisolone ≥ 600 mg 35 (37) 45 (43) .39 
Chemotherapy within a month of diagnosis of PIV infection 68 (72) 44 (42) < .0001 
Respiratory coinfections within a month of diagnosis of PIV infection 41 (43) 15 (14) < .0001 
Therapy at URI stage    
    Aerosolized ribavirin and/or IVIG alone 15/36 (42) 22/105 (21) .015 
    Aerosolized ribavirin with or without IVIG 9/36 (25) 2/105 (2) < .0001 
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