Table 3.
Patient characteristics associated with overall clinical and programmatic outcomes in Lusaka, Zambia (July 1, 2007 to January 31, 2009).
| Adjusted hazard ratio (95% confidence interval) | ||||
|---|---|---|---|---|
| Drug substitution | Mortality | Programmatic failure | ||
| Age | > 15 to ≤ 29 years | Ref | Ref | Ref |
| > 30 to ≤ 35 years | 0.97 (0.81 - 1.15) | 0.86 (0.66 - 1.13) | 0.82 (0.73 - 0.92) | |
| >35 to ≤ 41 years | 0.96 (0.80 - 1.16) | 0.94 (0.71 - 1.24) | 0.80 (0.70 - 0.90) | |
| > 41 years | 0.91 (0.76 – 1.09) | 1.05 (0.81 - 1.37) | 0.79 (0.70 - 0.88) | |
| Sex | Female | Ref | Ref | Ref |
| Male | 0.73 (0.63 - 0.85) | 1.82 (1.47 - 2.26) | 1.43 (1.30 - 1.57) | |
| Body mass index | ≥ 16 kg/m2 | Ref | Ref | Ref |
| < 16 kg/m2 | 1.21 (0.89 - 1.63) | 3.09 (2.40 - 3.98) | 2.01 (1.72 - 2.35) | |
| CD4 count | ≥ 200 | Ref | Ref | Ref |
| ≤ 50 to < 200 | 0.95 (0.82 - 1.10) | 2.03 (1.55 - 2.66) | 0.95 (0.86 – 1.05) | |
| < 50 | 1.09 (0.88 - 1.36) | 3.70 (2.71 - 5.06) | 1.27 (1.10 - 1.45) | |
| Hemoglobin | > 14 g/L | Ref | Ref | Ref |
| 12 to < 14 g/L | 0.98 (0.77 - 1.26) | 1.30 (0.88 - 1.91) | 1.12 (0.96 - 1.31) | |
| 10 to < 12 g/L | 1.20 (0.94 - 1.54) | 1.68 (1.14 - 2.49) | 1.37 (1.17 - 1.60) | |
| Tuberculosis | No | Ref | Ref | Ref |
| Yes | 0.90 (0.71 - 1.13) | 0.64 (0.48 - 0.86) | 0.83 (0.72 - 0.95) | |
| WHO stage | I or II | Ref | Ref | Ref |
| III | 1.08 (0.94 - 1.24) | 1.90 (1.49 - 2.44) | 1.12 (1.02 - 1.24) | |
| IV | 1.27 (0.96 - 1.66) | 2.31 (1.59 - 3.35) | 1.19 (0.99 - 1.42) | |
| Serum creatinine | < 120 mmol/L | Ref | Ref | Ref |
| ≥ 120 mmol/L | 0.76 (0.31 - 1.86) | 0.60 (0.15 - 2.46) | 1.12 (0.63 - 1.99) | |
| Third ART drug | Nevirapine | Ref | Ref | Ref |
| Efavirenz | 0.69 (0.57 - 0.84) | 1.13 (0.89 - 1.43) | 1.15 (1.03 - 1.29) | |
All of the above covariates were included in the Cox proportional hazards model. We also included nucleoside reverse transcriptase inhibitor backbone. WHO = World Health Organization, ART = antiretroviral therapy