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. 2024 Feb 28;31(1):76–90. doi: 10.21315/mjms2024.31.1.7

Table 5.

Determinants of mortality among patients treated with meropenem

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