Table 3.
Predictors | Crude hazard ratio (95% CI) | P value* | Adjusted hazard ratio (95% CI) | P value* |
---|---|---|---|---|
No of ventilator settings adherent to lung protective ventilation | 1.02 (1.01 to 1.04) | <0.001 | 0.97 (0.95 to 0.99) | 0.002 |
Duration of mechanical ventilation | 1.02 (1.01 to 1.02) | <0.001 | 1.01 (1.00 to 1.02) | 0.182 |
Age | 1.03 (1.02 to 1.03) | <0.001 | 1.03 (1.02 to 1.04) | <0.001 |
Male sex | 1.01 (0.80 to 1.27) | 0.924 | 0.89 (0.69 to 1.16) | 0.386 |
Underweight (body mass index <18.5) | 1.43 (0.92 to 2.23) | 0.103 | 1.30 (0.77 to 2.18) | 0.321 |
Overweight or obese (body mass index ≥25) | 0.88 (0.70 to 1.11) | 0.274 | 0.93 (0.71 to 1.22) | 0.606 |
Charlson comorbidity index | 1.10 (1.06 to 1.15) | <0.001 | 1.07 (1.02 to 1.12) | 0.006 |
APACHE II score | 1.05 (1.04 to 1.07) | <0.001 | 1.00 (0.98 to 1.01) | 0.647 |
Non-pulmonary sepsis as risk factor for acute lung injury | 2.04 (1.61 to 2.58) | <0.001 | 1.47 (1.11 to 1.95) | 0.006 |
Admission to medical intensive care unit | 1.46 (1.03 to 2.08) | 0.030 | 1.38 (0.90 to 2.11) | 0.131 |
Admission to intensive care unit from emergency department | 0.82 (0.65 to 1.04) | 0.091 | 0.74 (0.56 to 0.98) | 0.033 |
Mean daily sequential organ failure assessment score | 1.22 (1.18 to 1.25) | <0.001 | 1.20 (1.16 to 1.25) | <0.001 |
Days of delirium in intensive care unit | 1.04 (1.03 to 1.06) | <0.001 | 1.02 (0.99 to 1.05) | 0.160 |
Days of deep sedation in intensive care unit | 1.04 (1.02 to 1.06) | <0.001 | 1.01 (0.98 to 1.04) | 0.508 |
Days of corticosteroid use | 1.04 (1.03 to 1.04) | <0.001 | 1.01 (0.99 to 1.03) | 0.329 |
Cumulative dose of prednisone, per 50 mg† | 1.01 (1.00 to 1.01) | 0.028 | 1.00 (0.99 to 1.01) | 0.984 |
Days of neuromuscular blockade | 1.16 (1.07 to 1.26) | <0.001 | 1.16 (1.01 to 1.33) | 0.036 |
Cumulative dose of vecuronium, per 5 mg | 1.00 (1.00 to 1.01) | 0.119 | 1.01 (0.99 to 1.02) | 0.288 |
Cumulative fluid balance in intensive care unit, per litre | 1.03 (1.02 to 1.03) | <0.001 | 1.02 (1.01 to 1.03) | <0.001 |
High frequency oscillatory ventilation, No of ventilator settings | 1.04 (1.00 to 1.07) | 0.022 | 0.93 (0.88 to 0.97) | 0.002 |
Airway pressure release ventilation, No of ventilator settings | 1.00 (0.99 to 1.02) | 0.689 | 0.98 (0.96 to 0.99) | 0.005 |
Mean daily positive end expiratory pressure, per 1 cm H2O | 1.12 (1.07 to 1.16) | <0.001 | 1.10 (1.05 to 1.16) | <0.001 |
Mean daily PaO2:FiO2, per 10 units | 1.00 (0.99 to 1.01) | 0.358 | 1.00 (1.00 to 1.01) | 0.146 |
No with arterial pH <7.25‡ | 1.12 (1.09 to 1.15) | <0.001 | 1.04 (0.99 to 1.10) | 0.077 |
Mean daily static compliance of respiratory system, per 10 mL/cm H2O | 0.97 (0.90 to 1.05) | 0.421 | 0.96 (0.87 to 1.05) | 0.321 |
Mean daily respiratory rate, per 1 breath/min | 1.04 (1.03 to 1.06) | <0.001 | 1.02 (0.99 to 1.04) | 0.162 |
Second year of study enrolment | 1.28 (1.01 to 1.60) | 0.033 | 1.30 (0.96 to 1.77) | 0.086 |
Third year of study enrolment | 0.88 (0.68 to 1.13) | 0.305 | 1.17 (0.83 to 1.64) | 0.357 |
Study site 2 | 1.05 (0.82 to 1.34) | 0.698 | 1.30 (0.92 to 1.84) | 0.133 |
Study site 3 and 4§ | 0.76 (0.59 to 0.98) | 0.030 | 1.23 (0.85 to 1.77) | 0.257 |
APACHE II=acute physiology and chronic health evaluation II; PaO2=partial pressure of arterial oxygen; FiO2=fraction of inspired oxygen.
*From Cox proportional hazards regression model.
†Corticosteroid dose presented as prednisone-equivalent; conversions done using standard methods.43
‡From arterial blood gas measurements abstracted from medical records twice daily, when available.
§Sites were combined for analysis as site 4 had a small sample size and shared all intensive care unit physicians with site 3.