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Table 2 Immunological characteristics of elderly patients according to occurrence of at least one nosocomial infection within 3 months after admission.

From: Immune risk phenotype is associated with nosocomial lung infections in elderly in-patients

 

Total (252 patients)

Nosocomial infection (97 patients)

No nosocomial infection (155 patients)

p value

Age in years, mean (SD)

85 ± 6

85 ± 5.4

84 ± 6.2

0.295

Female gender, n (%)

181(67.9)

68 (70.1)

113(72.9)

0.631

CD4 T-cell count*

682 (555-967)

685 (534-951)

680 (561-990)

0.83

CD8 T-cell count*

312 (206-447)

348(207-557)

272 (206-412)

0.06

CD4/CD8 ratio

2.5 (1.4-3.5)

2.1 (1.3-3.2)

2.6 (1. 6-3.8)

0.027

NK cell count*

176 (112-258)

186 (112-262)

160 (110-255)

0.38

B cell count*

126 (78-175)

133 (78-175)

117 (78-184)

0.83

CD4 T cells

    

Naive (CD45RA+CD62L+)%**

17.7 (13.2-22.9)

16.3 (8.8-24.2)

18.7 (12.5-28.1)

0.03

   Absolute value/μL

242 (148-388)

214 (125-385)

260 (155-390)

0.09

Memory

    

Peripheral (CD45RA-CD62L-)%**

6.5 (4.5-9.3)

6.6 (4.5-9.5)

6.5 (4.5-9.3)

0.49

   Absolute value/μL

99 (56-152)

109 (64-156)

96 (53-150)

0.29

Central (CD45RA-CD62L+)%**

18.2 (10.5-26.9

16.9 (12.9-23.1)

18.3 (13.5-22.9)

0.35

   Absolute value/μL

256 (175-351)

249 (174-358)

262 (172-350)

0.91

CD45RA+CD62L-%**

0.6 (0.3-1.4)

0.6 (0.2-1.4)

0.6 (0.3-1.3)

0.97

   Absolute value/μL

9 (3-22)

9 (3-24)

9 (4-20)

0.93

CD8 T cells

    

   Naive (CD45RA+CD62L+)%

5 (3.3-7.4)

4.3 (2.9-6.9)

5.2 (3.8-8)

0.006

   Absolute value/μL

73 (44-115)

67 (39-107)

80 (46-125)

0.03

Memory

    

Peripheral (CD45RA-CD62L-)%

2.8 (1.5-4.9)

3.1 (1.6-6.2)

2.6 (1.4-4.0)

0.02

   Absolute value/μL

44 (20-76)

49 (23-92)

37 (17-71)

0.01

Central (CD45RA-CD62L+)%

2.7 (1.7-3.9)

3 (1.8-3.9)

2.6 (1.6-4.1)

0.32

   Absolute value/μL

38 (23-59)

41 (26-61)

36 (23-57)

0.22

Terminal Effector

    

CD45RA+CD62L-%

7.9 (4-12.9)

8.5(3.8-16.2)

7.2 (4.1-11.9)

0.15

   Absolute value/μL

109 (54-191)

135(60-233)

101(54-169)

0.11

CD28-%

56.7 (42.5-73)

51.8 (40-66)

53.6 (40-68)

0.02

   Absolute value/μL

153 (88-272)

196 (91-357)

139 (88-248)

0.01

IRP criteria***(n = 240)

    

CD4/CD8 < 1 (n = 245)

20 (8.2)

10 (10.5)

10 (6.7)

0.34

CD8 T-cells > 600 (n = 245)

32 (13.1)

17 (17.9)

15 (10.0)

0.07

CD28-CD8+ T-cells > 300 (n = 238)

64 (26.9)

31 (33.3)

33 (22.8)

0.07

Positive CMV serology (n = 246)

193 (78.5)

76 (79)

117 (78)

0.87

Positive IRP (n = 240, 95/145)

60 (25)

29 (30.5)

31 (21.4)

0.11

  1. The data are medians and 25-75 percentiles, unless otherwise stated.
  2. *Number of cells per microliter: the main lymphocyte subsets and terminal effector CD28- CD8 cells were counted directly as absolute numbers per microliter of blood (single-platform flow cytometry).
  3. **% of total lymphocytes. Naive and memory subsets were assessed as percentages of total blood lymphocytes, and their absolute counts were computed based on the absolute counts of CD4 and CD8 T cells
  4. ***The Immune Risk Phenotype (IRP) was defined as positive CMV serology plus at least one of the three following criteria: CD4/CD8 ratio < 1, CD8T-cells > 600 cells/μL, and CD28 negative T-cells > 300 cells/μL.