Table 3.
Predictors of Inpatient Mortality, Need for Mechanical Ventilation, and Their Composite After Multivariable Regression Using Clinical Data Elements From the Emergency Department
Unadjusted OR (95% CI); p Value | Adjusted OR (95% CI); p Value | |
---|---|---|
Mortality | ||
RHS-ECG | 11.4 (5.2−24.9); <0.001 | 15.2 (5.1−45.2); <0.001 |
SPO2/FiO2 | 0.80 (0.74−0.86); <0.001 | 0.81 (0.74−0.89); <0.001 |
Cerebrovascular disease | 7.7 (2.5−24.3); <0.001 | 9.0 (1.6−50.7); 0.013 |
Cardiac injury | 6.6 (3.3−13.3); <0.001 | 3.8 (1.5−9.6); 0.004 |
Ferritin | 1.3 (1.1−1.7); 0.014 | 1.4. (1.1−1.9); 0.031 |
Smoking history | 3.5 (1.9−6.8); <0.001 | 3.1 (1.2−7.7); 0.016 |
Mechanical ventilation | ||
RHS-ECG | 6.4 (3.0−13.5); <0.001 | 8.8 (3.4−23.2); <0.001 |
Cerebrovascular disease | 6.2 (2.0−19.4); <0.001 | 5.5 (1.3−21.7); <0.016 |
SPO2/FiO2∗ | 0.78 (0.72−0.84); <0.001 | 0.80 (0.74−0.87); <0.001 |
Lactate dehydrogenase∗ | 1.3 (1.2−1.5); <0.001 | 1.2 (1.1−1.4); 0.013 |
Composite of mortality or mechanical ventilation | ||
RHS-ECG | 7.7 (3.6−16.3); <0.001 | 12.1 (4.3−33.9); <0.001 |
Cerebrovascular disease | 7.0 (2.2−22.4); <0.001 | 7.8 (1.8−33.9); 0.006. |
SPO2/FiO2∗ | 0.76 (0.71−0.82); <0.001 | 0.77 (0.70−0.84); <0.001 |
Lactate dehydrogenase∗ | 1.3 (1.1−1.5); <0.001 | 1.2 (1.1−1.3); 0.037 |
Variables controlled for RHS-ECG, age 65 yrs or older, cardiac injury, atrial fibrillation/ flutter, cerebrovascular disease, chronic kidney disease, chronic obstructive lung disease, smoking history, SPO2/FiO2, lactate dehydrogenase, ∗ferritin, and ∗D-dimer.
CI = confidence interval; OR = odds ratio; other abbreviations as in Table 1.
Continuous variables were converted to a 20-point scale with their maximal laboratory value (per assay) corresponding to 20 points.