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. 2020 Jul 7;3(7):e206004. doi: 10.1001/jamanetworkopen.2020.6004

Table 4. Risk Factors Associated With Mortality at 30 Days After Sepsis Diagnosisa.

Variableb Total patients, No. (Nā€‰=ā€‰1061) Deaths, No. Odds ratio (95% CI) P value
Age group, y
18-44 166 24 1 [Reference] NA
45-64 378 96 1.64 (0.96-2.80) .07
65-84 384 109 1.96 (1.14-3.39) .02
ā‰„85 133 53 4.68 (2.51-8.76) <.001
Sepsis-associated pathogen identified
Yes 605 148 1.21 (0.87-1.68) .27
No 456 134 1 [Reference] NA
Organ dysfunctionc
Yes 879 263 2.33 (1.35-4.04) .003
No 182 19 1 [Reference] NA
Septic shockd
Yes 362 148 2.65 (1.93-3.65) <.001
No 699 134 1 [Reference] NA
Receipt of influenza or pneumococcal vaccine
Yes 493 124 1 [Reference] NA
No 568 158 1.51 (1.10-2.06) .01
Immunosuppressione
Yes 280 111 2.52 (1.81-3.52) <.001
No 781 171 1 [Reference] NA
Cirrhosis
Yes 64 32 3.59 (2.03-6.32) <.001
No 997 250 1 [Reference] NA
Underlying vascular disease
Yes 323 109 1.54 (1.10-2.15) .01
No 738 173 1 [Reference] NA
Sepsis-associated infection documented at hospital discharge
No infection 317 102 1 [Reference] NA
>1 infection 130 34 0.87 (0.52-1.46) .61
Infection with source undetermined 28 12 1.62 (0.67-3.91) .28
Type of infection
Abdominalf 74 18 0.63 (0.34-1.19) .15
Bloodstream 58 21 1.57 (0.80-3.09) .18
Respiratoryg 239 62 0.81 (0.54-1.21) .30
Skin and soft tissue 60 8 0.49 (0.21-1.14) .10
Urinary tract 141 19 0.39 (0.22-0.71) .002
Otherh 14 6 3.28 (0.98-11.02) .05

Abbreviation: NA, not applicable.

a

Variable descriptions and reference levels are listed in eTable 2 in the Supplement.

b

Age group, septic shock, sepsis-associated pathogen, and presence of organ dysfunction were included in the model. A full list of variables is in eTable 2 in the Supplement.

c

Includes any of the following documented in the medical record within 7 calendar days of initial sepsis documentation: receipt of invasive mechanical ventilation or noninvasive positive pressure ventilation, receipt of vasopressor medication, systolic blood pressure level less than 90 mm Hg, or altered mental status.

d

Defined as 2 or more criteria of systemic inflammatory response syndrome plus the receipt of a vasopressor medication within 1 calendar day of sepsis diagnosis.

e

Includes steroid or immunosuppressive therapy, AIDS, hematologic malignancy, immunodeficiency or primary immunodeficiency, neutropenia, solid organ tumor with and without metastasis, history of bone marrow transplant, and history of solid organ transplant.

f

Includes any intra-abdominal, gastrointestinal tract, or hepatobiliary infection.

g

Includes lower respiratory infection and pneumonia.

h

Includes bone and joint infections; cardiovascular infections; infections of the ear, nose, or throat; central nervous system infections; disseminated viral infections; and infections of the reproductive tract.