Research Article

Predictive Value of Adenoviral Load for Bronchial Mucus Plugs Formation in Children with Adenovirus Pneumonia

Table 1

Comparison of the clinical characteristics of patients with AdV pneumonia in the BMP and control group.

VariablesBMP group (n = 185)Control group (n = 268) value

Characteristics
 Gender (male)112 (60.54)179 (66.79)0.172
 Age (M(P25–P75))/(months)36 (12–60)24 (12–42)0.004

Age group (months)
 <65 (2.70)10 (3.73)0.548
 6–2365 (35.14)146 (54.48)<0.001
 24–3637 (20.00)35 (13.06)0.047
 37–4824 (12.97)32 (11.94)0.743
 49–6021 (11.35)19 (7.09)0.116
 >6035 (18.92)24 (8.96)0.002
 Length of hospitalization (M(P25–P75))/d10 (8–16)9 (7–14)0.005
 Allergic constitution (n (%))18 (9.73)21 (7.84)0.480

Signs and symptoms
 Dyspnea (n (%))49 (26.49)50 (17.48)0.047
 Heat range (x ± s)/(d)10.52 ± 3.608.18 ± 3.160.001
 Tachycardia (n (%))119 (64.32)146 (51.05)0.037
 Lung rales (n (%))152 (82.16)232 (86.56)<0.001
 Lung wheezing (n (%))25 (13.51)45 (16.79)0.343
 Hepatomegaly (n (%))53 (28.65)66 (23.08)0.339
 Poor spirit (n (%))22 (11.89)15 (5.60)0.016
 Complication (n (%))70 (37.84)75 (26.22)0.027

Disease severity
 Mild (n (%))101 (54.59)188 (70.15)0.001
 Severe (n (%))84 (45.40)80 (29.85)0.001
 Admission to PICU (n (%))44 (23.78)31 (11.57)0.001
 Ventilator-assisted ventilation (n (%))50 (27.03)50 (18.66)0.035
 Bronchiolitis obliterans (n (%))23 (12.43)9 (3.36)<0.001

Laboratory characteristics
 WBC (M(P25–P75))/×109 L−17.03 (4.56–9.38)7.34 (5.45–10.55)0.156
 N% (M(P25–P75))/%49.70 (41.35–66.6)48.9 (34.1–61.3)0.103
 Hb (M(P25–P75))/g·L−1109 (98.5–118)110 (101–119)0.173
 PLT (M(P25–P75))/×109 L−1276 (172.5–383.5)281 (202–399)0.568
 CRP (M(P25–P75))/mg·L−19.28 (3.13–26.37)7.38 (3.13–20.37)0.01
 LDH (M(P25–P75))/U·L−1463 (349–634)406 (325–552)0.003
 DD (M(P25–P75))/mg·L−11.43 (0.62–3.20)0.73 (0.41–1.7)0.001
 CK-MB (M(P25–P75))/ng·mL−129 (23–40.25)28 (21–41)0.440
 ALT (M(P25–P75))/U·L−121.4 (14.8–33.46)18.1 (12–34.75)0.583
 Mixed infection (n (%))121 (65.41)144 (53.73)0.015
 Bacterial coinfection (n (%))29 (15.68)47 (16.43)0.602
Mycoplasma coinfection (n (%))101 (54.59)93 (32.52)<0.001
 AdV load from BALF (x ± s), log10 copies/mL6.47 ± 2.025.49 ± 1.98<0.001

Humoral immunity (M(P25–P75), %)
 IgG (M(P25–P75))/g·L−18.72 (6.96–10.90)8.02 (6.36–9.72)0.214
 IgA (M(P25–P75))/g·L−10.73 (0.44–1.22)0.96 (0.7–1.36)0.026
 IgM (M(P25–P75))/g·L−11.06 (0.69–1.42)0.98 (0.71–1.38)0.535

Cellular immunity (M(P25–P75), %)
 CD3+55.63 (45.3–63.13)56.67 (46.55–65.89)0.562
 CD3+CD4+26.86 (18.98–32.83)27 (21.93–36.18)0.936
 CD3+CD8+21.98 (17.55–29.35)20.28 (17.36–28.02)0.737

Radiological characteristics
 Lung consolidation (n (%))95 (51.35)105 (36.71)0.01
 Pleural effusion (n (%))11 (5.95)5 (1.75)0.021

Treat time (M(P25–P75))/day of course
 Corticosteroids9 (7–11)8 (6–10)0.673
 Gamma globulin8 (5–9)7 (4–9)0.904
 Tracheoscopy intervention10 (6–14)9 (5–14)0.131

BMP, bronchial mucus plug; AdV, Adenovirus; WBC, leukocyte; N%, percentage of neutrophils; Hb, hemoglobin; PLT, platelet; CRP, C-reactive protein; LDH, lactate dehydrogenase; DD, D-dimer; CK-MB, creatine kinase isoenzyme; ALT, gluten laboratory data of alanine transaminase; IgA, immunoglobulin A; IgG, immunoglobulin G; IgM, immunoglobulin M.