A Prediction Model for Acute Respiratory Distress Syndrome in Immunocompetent Adults with Adenovirus-associated Pneumonia: a Multicenter Retrospective Analysis

Overview

Journal BMC Pulm Med

Publisher Biomed Central

Specialty Pulmonary Medicine

Date 2023 Nov 6

PMID 37932725

Authors

Fengyu Lin

Qianhui Zhou

Wen Li

Wenchao Xiao

Sha Li

Ben Liu

Haitao Li

Yanhui Cui

Rongli Lu

Yi Li

Yan Zhang

Pinhua Pan

Affiliations

Soon will be listed here.

Abstract

Background: In recent years, the number of human adenovirus (HAdV)-related pneumonia cases has increased in immunocompetent adults. Acute respiratory distress syndrome (ARDS) in these patients is the predominant cause of HADV-associated fatality rates. This study aimed to identify early risk factors to predict early HAdV-related ARDS.

Methods: Data from immunocompetent adults with HAdV pneumonia between June 2018 and May 2022 in ten tertiary general hospitals in central China was analyzed retrospectively. Patients were categorized into the ARDS group based on the Berlin definition. The prediction model of HAdV-related ARDS was developed using multivariate stepwise logistic regression and visualized using a nomogram.

Results: Of 102 patients with adenovirus pneumonia, 41 (40.2%) developed ARDS. Overall, most patients were male (94.1%), the median age was 38.0 years. Multivariate logistic regression showed that dyspnea, SOFA (Sequential Organ Failure Assessment) score, lactate dehydrogenase (LDH) and mechanical ventilation status were independent risk factors for this development, which has a high mortality rate (41.5%). Incorporating these factors, we established a nomogram with good concordance statistics of 0.904 (95% CI 0.844-0.963) which may help to predict early HAdV-related ARDS.

Conclusion: A nomogram with good accuracy in the early prediction of ARDS in patients with HAdV-associated pneumonia may could contribute to the early management and effective treatment of severe HAdV infection.

Citing Articles

Adenoviral Pneumonia Outbreak in Immunocompetent Adults-A Missed Antimicrobial Stewardship Opportunity?.

Gjurasin B, Stemberger Maric L, Jukic T, Radmanic Matotek L, Zidovec Lepej S, Kutlesa M Antibiotics (Basel). 2025; 14(1).

PMID: 39858309 PMC: 11760906. DOI: 10.3390/antibiotics14010023.

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