Table 5. Multivariate analysis of factors affecting seropositivity and neutralizing antibody titer of severe acute respiratory syndrome (SARS) patients.
Variables*† | Seropositivity* |
Antibody titer† |
||
---|---|---|---|---|
OR (95% CI) | p value | Parameter estimates + SE | p value | |
Age (y) (n + 1 vs. n) | 0.97 (0.94-1.00) | 0.065 | 0.0056 + 0.0079 | 0.478 |
Women vs. men | 1.24 (0.47-3.3) | 0.67 | –0.417 + 0.235 | 0.081 |
Infection source, known vs. unknown | 15.6 (5.9-41.4) | <0.0001 | 0.248 + 0.313 | 0.431 |
Duration of illness (d) (n+1 vs. n, n = 1 through 44 d) | 1.08 (1.025-1.143) | 0.004 | 0.0638 + 0.0233 | 0.008 |
Time of convalescent-phase serum sample (weeks after fever onset) (n + 1 vs. n, n = 3 through 15 wk) | – | – | 0.449 + 0.198 | 0.026 |
(Duration of illness) ×(Time of convalescent-phase serum sample) | – | – | –0.005 + 0.0024 | 0.037 |
(Time of convalescent-phase serum sample)2 | – | – | –0.025 + 0.012 | 0.042 |
*Logistic model: age, with every additional year of age, the odds of seropositivity is 0.97 (odds ratio, OR) (see Figure 1); sex, the odds for women to be seropositive is 1.24 (OR) when compared with men; infectious source, the odds of patients with known infection source to be seropositive is 15.6 times that of the patients without known source of infection; duration of illness, for every additional day of illness, the odds of seropositivity increases by 1.08. †Linear mixed model: log2 (neutralizing antibody titer) = β0 + β1 (age) – β1 (sex) + β3 (infection source) + β4 (duration of illness) + β5 (time of convalescent-phase serum sample) –β6 (duration of illness ×time of convalescent-phase serum sample) –β7 (time of convalescent-phase serum sample)2. In results above, the model estimates are based on log2 (titers), to which the time of convalescent-phase serum collection (in weeks postonset of illness, starting from week 3) contributed in 3 terms; the antibody rise follows the first order of weeks postonset, and decay follows the second order of weeks postonset and an interactive term between duration of illness and weeks postonset.