TABLE 2.
LOGISTIC REGRESSION MODELS OF HOSPITAL MORTALITY
| |
|
Trivariate Model |
Final Multivariate Model |
||
|---|---|---|---|---|---|
| Variable | Value | OR (95% CI) | P Value | OR (95% CI) | P Value |
| Age* |
Per year |
1.03 (1.02–1.03) |
<0.0001 |
1.03 (1.03–1.04) |
<0.0001 |
| Acute Physiology Score† |
Per point |
1.11 (1.10–1.12) |
<0.0001 |
1.12 (1.11–1.14) |
<0.0001 |
| Charlson Comorbidity Index Score† |
Per point |
1.06 (1.04–1.09) |
<0.0001 |
1.05 (1.02–1.08) |
<0.001 |
| Inotropes and packed red blood cells* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
2.31 (1.72–3.11) |
<0.0001 |
1.62 (1.12–2.33) |
<0.01 |
|
| Glucocorticoids* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
2.06 (1.62–2.62) |
<0.0001 |
1.76 (1.32–2.37) |
<0.001 |
|
| Use of low tidal volume ventilation, if mechanically ventilated* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
2.77 (1.98–3.87) |
<0.0001 |
1.84 (1.24–2.73) |
<0.01 |
|
| Sex |
Male |
Referent |
|
|
|
| Female |
1.00 (0.84–1.21) |
0.97 |
|
|
|
| Severity of sepsis* |
Severe sepsis |
Referent |
|
|
|
| Septic shock |
2.08 (1.71–2.53) |
<0.0001 |
|
|
|
| Serum lactate measured* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
1.22 (0.92–1.61) |
0.17 |
|
|
|
| Blood cultures before antibiotics* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
1.55 (1.14–2.11) |
<0.01 |
|
|
|
| Broad-spectrum antibiotics* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
1.26 (0.97–1.65) |
0.09 |
|
|
|
| Fluid resuscitation* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
1.27 (0.86–1.89) |
0.23 |
|
|
|
| Vasopressors |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
0.94 (0.63–1.41) |
0.77 |
|
|
|
| Central venous pressure and ScvO2* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
1.71 (1.32–2.19) |
<0.0001 |
|
|
|
| Glucose control* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
1.38 (1.08–1.76) |
<0.01 |
|
|
|
| Glucocorticoids* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
2.06 (1.62–2.62) |
<0.0001 |
1.76 (1.32–2.37) |
<0.001 |
|
| Drotrecogin alfa eligibility assessed* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
2.56 (1.87–3.49) |
<0.0001 |
|
|
|
| Use of low tidal volume ventilation, if mechanically ventilated* |
Compliant‡ |
Referent |
|
|
|
| Noncompliant‡ |
2.77 (1.98–3.87) |
<0.0001 |
1.84 (1.24–2.73) |
<0.01 |
|
| Total resuscitation bundle |
Compliant§ |
Referent |
|
|
|
| Noncompliant§ |
1.46 (1.21–1.76) |
<0.0001 |
|
|
|
| Total maintenance bundle |
Compliant§ |
Referent |
|
|
|
| Noncompliant§ |
1.80 (1.42–2.18) |
<0.0001 |
|
|
|
| Total bundle | Compliant§ |
Referent |
|
|
|
| Noncompliant§ | 1.48 (1.22–1.79) | <0.0001 | |||
Definition of abbreviations: CI = confidence interval; ED = emergency department; OR = odds ratio; ScvO2 = central venous oxygen saturation.
Potential predictors for the final model (P < 0.25 on trivariate analysis).
Covariates for trivariate and multivariate models.
Compliant = eligible and compliant or ineligible for that single bundle element. Noncompliant = eligible and noncompliant for that single bundle element.
Compliant = eligible and compliant or ineligible for all elements in that bundle. Noncompliant = eligible and noncompliant for any one element in that bundle.