Table 4.
Predictors of mortality according to univariate and multivariate logistic regression analysis
Predictor (independent) variable | Survivors N (%) | Non-survivors n (%) | Univariate analysis | Multivariate analysis | ||
---|---|---|---|---|---|---|
O.R. (95% C.I.) | p-value | (O.R. 95% C.I.) | p-value | |||
Age | ||||||
< 40 | 51(98.1) | 1 (1.9) | ||||
≥40 | 24(75.0) | 8 (25.0) | 2.33(1.25-3.42) | 0.032 | 4.61(2.72-7.91) | 0.002 |
Sex | ||||||
Male | 42 (87.5) | 6 (12.5) | ||||
Female | 33 (91.7) | 3 (8.3) | 1.25 (0.32-3.56) | 0.896 | 2.93 (0.94-3.81) | 0.983 |
Premorbid illness | ||||||
Yes | 2 (33.3) | 4 (66.7) | ||||
No | 73 (93.6 | 5 (6.4) | 6.21(1.49-7.01) | 0.039 | 3.78(2.98-7.90) | 0.017 |
Previous PUD | ||||||
Yes | 23 (88.0) | 3(12.0) | ||||
No | 52 (89.7) | 6 (10.3) | 1.75(0.76-4.34) | 0.896 | 3.11(0.98-4.88) | 0.345 |
HIV status | ||||||
Positive | 1(12.5) | 7 (87.5) | ||||
Negative | 74(97.4) | 2 (2.6) | 0.56(0.12-0.86) | 0.005 | 1.74(1.21-4.98) | 0.001 |
CD 4+ count | ||||||
< 200 cells/μl | 1(50.0) | 1 (50.0) | ||||
≥ 200 cells/μl | 4(66.7) | 2 (33.3) | 5.91(2.76-7.99) | 0.001 | 1.65(1,22-7.43) | 0.000 |
Duration of illness | ||||||
<24 hours | 23 (92.0) | 2 (8.0) | ||||
≥24 hours | 48 (87.3) | 7 (12.7) | 2.32(0.54-6.45) | 0.986 | 0.09(0.02-1.11) | 0.315 |
Shock on admission (SBP < 90 mmHg) | ||||||
Yes | 28 (77.8) | 8 (22.2) | ||||
No | 47 (87.9) | 1(2.1) | 7.9(3.98-9.88) | 0.022 | 3,74(2,11-7.76) | 0.005 |
Timing of surgical treatment | ||||||
<48 hours | 19 (95.0) | 1 (5.0) | ||||
≥ 48 hours | 56 (87.5) | 8 (12.5%) | 2.87(2.11-7.21) | 0.044 | 2.91(1.22-6.66) | 0.028 |
Amount of fluid (mls | ||||||
< 200 | 19 (95.0) | 1 (5.0) | ||||
≥200 | 56(87.5) | 8 (12.5) | 0.67(0.23-4.65) | 0.982 | 1.61(0.89-2.73) | 0.067 |
Site of perforation | ||||||
Duodenum | 72 (93.4) | 5 (6.6) | ||||
Gastric | 2 (33.3) | 4 (66.7) | 5.81(3.33-6.92) | 0.012 | 1.35(1.11-3.86) | 0.018 |
Size of ulcer | ||||||
Sealed | 7 (100.0) | 0(0) | ||||
<5 mm | 12 (92.3) | 1(7.7) | ||||
≥5 mm | 56 (87.5) | 8(12.5) | 1.98(0.45-3.82) | 0.987 | 3.13(0.99-4.89) | 0.453 |
Complications | ||||||
Present | 18 (72.0) | 7(28.0) | ||||
Absent | 57(96.6) | 2 (3.4) | 1.98(1.54-7.93) | 0.005 | 2.86(2.22-6.45) | 0.011 |