Table 3.
Rates and unadjusted and adjusted odds of hospital mortality and of a DNR order on admission to the ICU in patients with single or multiple organ diseases, compared with those with no organ disease
Characteristic | No Major Organ Disease | Stroke only | Cancer only | CHF only | Dementia only | COPD only | Cirrhosis only | ESKD only | More Than One Organ Disease |
---|---|---|---|---|---|---|---|---|---|
N | 64,093 | 4074 | 9294 | 6442 | 1529 | 6863 | 983 | 1445 | 12,150 |
Hospital mortality | |||||||||
n (%) | 3929 (6.1) | 340 (8.3) | 970 (10.4) | 641 (10.0) | 200 (13.1) | 643 (9.4) | 149 (15.1) | 162 (11.2) | 1640 (13.5) |
Unadjusted | Reference | 1.40 1.24 to 1.56 | 1.78 1.65 to 1.92 | 1.69 1.55 to 1.85 | 2.32 2.00 to 2.71 | 1.58 1.45 to 1.72 | 2.75 2.29 to 3.27 | 1.93 1.63 to 2.27 | 2.39 2.29 to 3.26 |
Adjusted | Reference | 1.03 0.91 to 1.16 | 1.45 1.33 to 1.56 | 1.20 1.09 to 1.31 | 1.17 0.99 to 1.36 | 1.24 1.13 to 1.36 | 2.98 2.47 to 3.59 | 1.60 1.33 to 1.89 | 1.58 1.47 to 1.68 |
DNR order on admission to the ICU | |||||||||
n (%) | 1957 (3.1) | 304 (7.5) | 614 (6.6) | 511 (7.9) | 353 (23.1) | 421 (6.1) | 32 (3.3) | 41 (2.8) | 1477 (12.2) |
Unadjusted | Reference | 2.50 2.26 to 2.90 | 2.24 2.04 to 2.46 | 2.73 2.47 to 3.02 | 9.53 8.38 to 10.8 | 2.07 1.86 to 2.31 | 1.07 0.73 to 1.49 | 0.92 0.67 to 1.25 | 4.39 4.09 to 4.71 |
Adjusted | Reference | 1.54 1.34 to 1.76 | 1.46 1.32 to 1.61 | 1.44 1.29 to 1.61 | 2.52 2.20 to 2.89 | 1.28 1.13 to 1.43 | 1.41 1.32 to 1.61 | 1.02 0.73 to 1.39 | 1.99 1.84 to 2.15 |
Data are displayed as odds ratio with 95% CI. Adjusted for age, sex, race/ethnicity, admission diagnosis, and the other major organ diseases. Reference category is critically ill patients without organ disease.