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. 2018 Aug 20;35:76–86. doi: 10.1016/j.ebiom.2018.08.029

Table 4.

Uni- and multivariate analysis by Cox-regression model for early mortality in patients with E. col BSIa.

Variables for Univariate analysis
Multivariate model 1
Multivariate model 2
Multivariate model 3
Multivariate model 4
Multivariate model 5
Multivariate model 6
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.

a

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.