Table 5.
Crude b | Crude OR (95% CI) | P-value | Adj. b | Adj. OR (95% CI) | P-value | |
---|---|---|---|---|---|---|
Age, years old | 0.02 | 1.02 (1.01, 1.03) | 0.005 | |||
Gender | ||||||
Female | 0 | 1 | ||||
Male | −0.22 | 0.80 (0.52, 1.24) | 0.321 | |||
Ethnicity | ||||||
Malay | 0 | 1 | ||||
Chinese | 0.68 | 1.96 (0.80, 4.81) | 0.140 | |||
APACHE score | 0.27 | 1.31 (1.23, 1.40) | < 0.001 | 0.19 | 1.21 (1.12, 1.30) | < 0.001 |
SOFA score | 0.39 | 1.48 (1.34, 1.64) | < 0.001 | 0.21 | 1.23 (1.08, 1.41) | < 0.002 |
Comorbidity | ||||||
Hypertension | 0.51 | 1.67 (1.08, 2.57) | 0.021 | |||
Diabetes | 0.55 | 1.72 (1.13, 2.63) | 0.011 | |||
Chronic kidney disease | 0.93 | 2.53 (1.49, 4.30) | 0.001 | |||
Chronic lung disease | 1.16 | 3.20 (1.44, 7.09) | 0.004 | |||
Stroke | 0.62 | 1.85 (0.94, 3.67) | 0.077 | |||
Dyslipidaemia | 0.57 | 1.77 (1.11, 2.82) | 0.017 | |||
Advanced cancer | 0.42 | 1.52 (0.79, 2.91) | 0.210 | |||
Discipline | ||||||
Medical | 0 | 1 | ||||
Surgical | −0.73 | 0.48 (0.32, 0.74) | 0.001 | |||
Source of admission | ||||||
Operating theatre | 0 | 1 | ||||
Emergency department | 1.01 | 2.72 (1.46, 5.08) | 0.002 | |||
Ward | 0.55 | 1.73 (1.09, 2.77) | 0.021 | |||
Time of antibiotic started | ||||||
≤ 72 h | 0 | 1 | 0 | 1 | ||
> 72 h | 1.85 | 6.34 (2.13, 18.88) | 0.001 | 1.85 | 6.38 (1.67, 24.50) | 0.007 |
Duration of antibiotics | ||||||
< 5 days | 0 | 1 | 0 | 1 | ||
≥ 5 days | −2.82 | 0.06 (0.02, 0.20) | < 0.001 | −3.40 | 0.03 (0.01, 0.14) | < 0.001 |
Types of meropenem treatment | ||||||
Loading + Renal adjustment + Combination therapy | 0 | 1 | 0 | 1 | ||
Loading + Combination / Monotherapy | −1.59 | 0.20 (0.11, 0.37) | < 0.001 | −1.22 | 0.30 (0.14, 0.64) | 0.002 |
Notes: Forward LR method of variable selection was applied. Hosmer-Lemeshow test χ2(8) = 7.12, P = 0.521; Classification table overall percentage correct = 81.4%; AUROC = 87.1% (95% CI: 83.5, 90.8).
Summary: Multiple logistic regression analysis reveals that the APACHE score, SOFA score, time of initiation of antibiotics, duration of antibiotics and types of meropenem treatment the independent predictors for mortality among patients treated with meropenem