Table 5. Multivariate analysis of factors associated with suboptimal immune recovery among adults receiving first-line antiretroviral therapy at seven sites in East Africa.
| CD4+ cell count (SO-IR 200) <200 cells/μl |
CD4+ cell count <350 cells/μl |
CD4+ cell count <500 cells/μl |
||||
|---|---|---|---|---|---|---|
| (N=42 306) |
(N=52 762) |
(N=54 895) |
||||
| Patient factors | Sub-hazard ratio (95% CI) | P | Sub-hazard ratio (95% CI) | P | Sub-hazard ratio (95% CI) | P |
| Age per 5-year increase | 1.01 (1.00–1.03) | 0.026 | 1.04 (1.03–1.05) | <0.001 | 1.04 (1.03–1.05) | <0.001 |
| Male gender | 1.14 (1.08–1.20) | <0.001 | 1.09 (1.05–1.12) | <0.001 | 1.03 (1.00–1.05) | 0.035 |
| Baseline CD4+ cell count (cells/μl)a | ||||||
| <100 | 0.89 (0.80–0.99) | <0.001 | 0.72 (0.68–0.74) | <0.001 | 0.74 (0.71–0.76) | <0.001 |
| 100–200 | 1.00 | 0.68 (0.65–0.71) | <0.001 | 0.65 (0.63–0.67) | <0.001 | |
| ≥200 | 1.00 | 1.00 | ||||
| WHO clinical stage | ||||||
| I–II | 1.00 | <0.001 | 1.00 | <0.001 | 1.00 | <0.001 |
| III–IV | 0.79 (0.74–0.83) | 0.72 (0.70–0.74 | 0.73 (0.71–0.75) | |||
| First-line cART regimen | ||||||
| Triple-NRTI | 0.83 (0.66–1.04) | 0.104 | 0.72 (0.62–0.82) | <0.001 | 0.73 (0.66–0.81) | <0.001 |
| PI-based | 0.68 (0.39–1.19) | 0.176 | 0.79 (0.59–1.06) | 0.117 | 0.86 (0.71–1.05) | 0.148 |
| NNRTI-based | 1.00 | 1.00 | 1.00 | |||
| Baseline hemoglobin count (g/dl) | ||||||
| <10 | 1.39 (1.29–1.48) | <0.001 | 1.29 (1.24–1.34) | <0.001 | 1.29 (1.26–1.33) | <0.001 |
| ≥10 | 1.00 | 1.00 | 1.00 | |||
| Baseline weight (kg) | ||||||
| <60 | 1.00 | 0.181 | 1.00 | 0.008 | 1.00 | <0.001 |
| ≥60 | 1.04 (0.98–1.10) | 1.04 (1.01–1.08) | 1.05 (1.02–1.07) | |||
NNRTI, non-nucleoside reverse transcriptase inhibitor; NRTI, nucleoside reverse transcriptase inhibitor; PI, protease inhibitors; antiretroviral therapy (ART).
The reference group for SO-IR200 is CD4+ cell count 100–200 cells/μl.