Table 4.
Variables for | Univariate analysis |
Multivariate model 1 |
Multivariate model 2 |
Multivariate model 3 |
Multivariate model 4 |
Multivariate model 5 |
Multivariate model 6 |
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HR [95% CI] | P | HR [95% CI] | P | VIF | HR [95% CI] | P | VIF | HR [95% CI] | P | VIF | HR [95% CI] | P | VIF | HR [95% CI] | P | VIF | HR [95% CI] | P | VIF | |
Host | ||||||||||||||||||||
Critically ill | 6·78 [4·75–9·69] | <0·001 | 5·85 [4·06–8·42] | <0·001* | 1·01 | 5·76 [3·98–8·35] | <0·001* | 1·02 | 5·67 [3·92–8·21] | <0·001* | 1·02 | 5·55 [3·82–8·05] | <0·001* | 1·02 | 5·72 [3·94–8·29] | <0·001* | 1·02 | 5·99 [4·13–8·68] | <0·001* | 1·02 |
Polymicrobial infection | 1·72 [0·97–3·05] | 0·061 | 1·63 [0·91–2·89] | 0·098 | 1·01 | 1·57 [0·87–2·84] | 0·137 | 1·01 | 1·58 [0·87–2·85] | 0·130 | 1·01 | 1·49 [0·83–2·68] | 0·185 | 1·01 | 1·53 [0·84–2·77] | 0·164 | 1·01 | 1·53 [0·85–2·76] | 0·159 | 1·01 |
Primary infection of peritoneum | 4·82 [1·98–11·78] | <0·001 | 2·80 [1·10–7·15] | 0·031 | 1·01 | 2·85 [1·13–7·18] | 0·026 | 1·01 | 3·04 [1·21–7·69] | 0·018 | 1·01 | 2·88 [1·12–7·42] | 0·028 | 1·01 | 3·21 [1·27–8·11] | 0·013 | 1·01 | 3·02 [1·20–7·63] | 0·019 | 1·01 |
Primary infection of urinary tract | 0·54 [0·38–0·77] | <0·001 | 0·56 [0·39–0·81] | <0·001* | 1·03 | 0·55 [0·38–0·79] | 0·001* | 1·07 | 0·55 [0·38–0·79] | <0·001* | 1·04 | 0·59 [0·41–0·85] | 0·005* | 1·03 | 0·56 [0·39–0·81] | 0·002* | 1·03 | 0·61 [0·42–0·87] | 0·007* | 1·03 |
Moderate to severe kidney disease | 1·81 [1·04–3·14] | 0·037 | 1·24 [0·69–2·22] | 0·465 | 1·02 | 1·18 [0·66–2·12] | 0·582 | 1·03 | 1·19 [0·66–2·15] | 0·553 | 1·02 | 1·10 [0·61–1·98] | 0·746 | 1·03 | 1·08 [0·59–1·96] | 0·802 | 1·03 | |||
Chronic liver disease incl. Cirrhosis | 1·80 [1·04–3·13] | 0·027 | 2·09 [1·06–4·12] | 0·033 | 1·00 | 2·11 [1·06–4·20] | 0·033 | 1·02 | 1·86 [0·93–3·71] | 0·080 | 1·02 | 1·97 [0·99–3·94] | 0·055 | 1·02 | 1·97 [0·99–3·94] | 0·053 | 1·02 | 1·84 [0·91–3·73] | 0·089 | 1·02 |
White blood cells | 1·01 [1·00–1·02] | 0·020 | 1·01 [1.00–1·02] | 0·148 | 1·01 | 1·01 [1·00–1·01] | 0·167 | 1·02 | 1·01 [1·00–1·02] | 0·072 | 1·01 | 1·00 [1·00–1·01] | 0·328 | 1·02 | 1·01 [1·00–1·01] | 0·157 | 1·02 | |||
Pathogen | ||||||||||||||||||||
Phylogenetic group B2 | 1·50 [1·06–2·12] | 0·022 | 1·69 [1·18–2·42] | 0·004* | 1·06 | |||||||||||||||
ST131-sublineage H30Rx | 1·89 [1·25–2·86] | 0·003 | 2·09 [1·37–3·20] | <0·001* | 1·02 | |||||||||||||||
MDR | 1·62 [1·13–2·31] | 0·008 | 1·59 [1·10–2·29] | 0·014 | 1·02 | |||||||||||||||
Group 1 CTX-M ESBL | 1·87 [1·29–2·71] | <0·001 | 2·05 [1·40–3·01] | <0·001* | 1·02 | 1·94 [1·33–2·84] | <0·001* | 1·02 | ||||||||||||
fyuA for siderophore | 1·65 [1·18–2·32] | 0·004 | 1·53 [1·08–2·16] | 0·020 | 1·02 | 1·61 [1·14–2·27] | 0·007* | 1·01 | 1·60 [1·14–2·26] | 0·007* | 1·01 | 1·59 [1·13–2·25] | 0·008* | 1·01 | ||||||
afa for invasion | 1·99 [1·15–3·45] | 0·015 | 2·21 [1·27–3·86] | 0·005* | 1·01 | 2·11 [1·19–3·73] | 0·010 | 1·01 | 2·08 [1·17–3·67] | 0·012 | 1·01 | 2·03 [1·14–3·60] | 0·016 | 1·01 | 2·03 [1·14–3·60] | 0·015 | 1·01 | |||
sfa/foc for adhesion | 1·65 [0·98–2·77] | 0·060 | 1·65 [0·95–2·87] | 0·074 | 1·03 | 1·63 [0·95–2·79] | 0·075 | 1·01 | ||||||||||||
Treatment | ||||||||||||||||||||
Delayed definitive therapy | 1·54 [0·96–2·48] | 0·073 | 1·58 [0·97–2·55] | 0·063 | 1·00 |
HR, hazard ratio; CI, confidence interval; VIF, variance inflation factor; ESBL, extended-spectrum beta-lactamase; ST, sequence type.
Multivariate analysis model 1 was constructed by a stepwise selection procedure and the other five from model two to model six were taken including fixed host factors, and flexible pathogen and treatment variables: phylogenetic group B2 and afa in model 2; ST131 sublineage H30Rx, fyuA and afa in model 3; MDR, and afa/foc in model 4, group 1 CTX-M ESBL production, fyuA and afa in model 5, and pathogen variables fyuA, and afa and a treatment variable. Bonferroni corrected significance level was considered as P < 0.008 and the significant P values are indicated with asterisks.