Table 3. Unadjusted and multivariate analyses of risk factors for mortality during ART.
Unadjusted analysis | Multivariate analysis | ||||||
IRR | 95% CI | p-value | IRR | 95% CI | p-value | ||
Age at enrolment a | 1.04 | 1.02–1.06 | <0.001 | 1.04 | 1.02–1.06 | <0.001 | |
Gender | F | 1 | 1 | ||||
M | 1.73 | 1.31–2.28 | <0.001 | 1.09 | 0.80–1.47 | 0.571 | |
WHO stage at enrolment | 1 & 2 | 1 | 1 | ||||
3 | 2.88 | 1.65–5.02 | <0.001 | 1.77 | 0.97–3.19 | <0.001 | |
4 | 5.50 | 3.13–9.67 | 3.41 | 1.87–6.24 | |||
Baseline CD4 cell count (cells/µl) | ≥150 | 1 | 1 | ||||
100–149 | 1.08 | 0.69–1.69 | 0.83 | 0.57–1.21 | |||
50–99 | 1.30 | 0.86–1.97 | <0.001 | 1.52 | 0.96–2.43 | 0.020 | |
<50 | 2.04 | 1.39–2.99 | 1.67 | 1.04–2.65 | |||
Baseline viral load (log10 copies/ml) | <5 | 1 | 1 | ||||
≥5 | 1.64 | 1.24–2.17 | 0.001 | 1.34 | 1.01–1.79 | 0.040 | |
Duration of ART (months) | 0–12 | 1 | 1 | ||||
12–24 | 0.23 | 0.15–0.36 | 0.61 | 0.38–0.98 | |||
24–36 | 0.19 | 0.12–0.31 | 0.62 | 0.36–1.07 | |||
36–48 | 0.21 | 0.13–0.34 | <0.001 | 0.66 | 0.37–1.16 | 0.123 | |
48–60 | 0.14 | 0.07–0.26 | 0.51 | 0.26–1.02 | |||
>60 | 0.13 | 0.07–0.25 | 0.45 | 0.21–0.96 | |||
Updated CD4 cell count (cells/µl) d | >500 | 1 | 1 | ||||
401–500 | 1.00 | 0.40–2.52 | 0.93 | 0.37–2.35 | |||
301–400 | 2.08 | 1.01–4.28 | 1.77 | 0.84–3.71 | |||
201–300 | 2.85 | 1.45–5.60 | <0.001 | 1.87 | 0.90–3.87 | <0.001 | |
101–200 | 6.66 | 3.60–12.31 | 2.98 | 1.44–6.20 | |||
0–100 | 31.84 | 17.87–56.74 | 10.41 | 4.69–23.14 | |||
Updated viral load (copies/ml) d | <1000 | 1 | 1 | ||||
≥1000 | 8.46 | 6.41–11.17 | <0.001 | 2.74 | 1.86–4.04 | <0.001 | |
Past History of TB at baseline b | No | 1 | |||||
Yes | 1.87 | 1.41–2.47 | <0.001 | ||||
Prevalent TB at baseline c | No | 1 | 1 | ||||
Yes | 1.85 | 1.40–2.44 | <0.001 | 1.67 | 1.23–2.25 | 0.001 | |
Incident TB | No | 1 | 1 | ||||
Yes | 1.80 | 1.33–2.43 | <0.001 | 2.70 | 1.91–3.81 | <0.001 |
ART, antiretroviral therapy; TB, tuberculosis; IRR, incident rate ratio; CI, confidence interval. All p-values were calculated using the likelihood ratio test.
Age is included as continuous variable, the IRR represents a 1 year increase in age.
includes all TB episodes where anti-TB treatment was completed prior to ART enrolment.
TB episodes where patients are taking anti-TB treatment at ART initiation.
CD4 cell counts and viral load are time-updated variables using serial measurements taken during ART.