Table 2.
Multivariable analyses of odds ratio for hospital mortality using three definitions of sepsis
| Sepsis definition: | qSOFA ≥ 2 | P-value | Clinically suspected systemic infection | P-value | qSOFA ≥ 2 plus clinically suspected systemic infection | P-value |
|---|---|---|---|---|---|---|
| Sepsis | 2.2 (0.4–11.3) | 0.363 | 12.3 (1.2–123.5) | 0.032 | 5.7 (0.8–38.8) | 0.075 |
| Gender | – | – | – | – | – | – |
| Female | – | Reference | – | |||
| Male | – | 3.5 (0.7–17.3) | 0.119 | – | ||
| Age | – | – | 1.1 (0.9–1.1) | 0.051 | – | – |
| Vital signs at HDU/ICU admission | ||||||
| Heart rate | 1.0 (0.9–1.0) | 0.075 | 1.0 (0.9–1.1) | 0.060 | 1.0 (0.9–1.0) | 0.085 |
| Mean arterial pressure | 0.9 (0.9–1.0) | 0.175 | 0.9 (0.9–1.0) | 0.092 | 0.9 (0.9–1.0) | 0.185 |
| Presence of fever (> 38.4°C) during course | 2.6 (0.7–9.8) | 0.166 | 5.1 (1.2–21.3) | 0.024 | 2.3 (0.6–9.3) | 0.237 |
| Laboratory measurements | ||||||
| HIV positive | 7.8 (1.2–48.5) | 0.028 | – | – | 7.3 (1.1–48.3) | 0.039 |
C = Celsius; HDU = high-dependency unit; ICU = intensive care unit; IQR = interquartile range; mmHg = millimeters of mercury; OBGyn = obstetrics and gynecology; qSOFA = quick sequential organ failure assessment. Original variables included in the multivariable model before backward selection included the following: sepsis status, gender, age, postoperative status, heart rate at ICU/HDU admission, mean arterial pressure at ICU/HDU admission, presence of fever during ICU/HDU course, HIV status, and malaria status. Continuous variables were analyzed according to increments of 1 unit (e.g., 1 year for age, one beat per minute for heart rate, 1 mmHg for mean arterial pressure, and 1°C for temperature). All models were statistically significant at P < 0.05.