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. 2020 Dec 31;15(12):e0244857. doi: 10.1371/journal.pone.0244857

Table 3. Characteristics of patients who died and predictors of mortality.

Patients overall Proportion died n/N (%) or median (IQR) Crude odds ratio (OR)1 (95% Confidence Interval (CI); Likelihood Ratio Test (LRT) p-value) Age category adjusted OR2 (95% CI; LRT p-value) Multivariable OR3 (95% CI; LRT p-value)
Socio-demographic characteristics
Age (y) 20–49 2/30 (6.7) - 0.001 - <0.001
50–59 5/41 (12.2)
60–69 15/54 (27.8)
70–79 32/75 (42.7) 3.72 (1.95,7.11) 3.33 (1.11,9.86)
80–89 35/66 (53.0) 5.65 (2.90,10.99) 4.76 (1.44,15.79)
≥ 90 17/21 (80.1) 21.25 (6.52,69.26) 15.72 (3.15,78.47)
Sex Female 36/111 (32.4) - 0.31 - 0.04 - 0.13
Male 70/183 (38.3) 1.29 (0.79,1.12) 1.78 (1.02,3.12) 1.70 (0.85,3.41)
Ethnicity White 94/239 (39.3) - 0.02 - 0.71 - 0.77
Asian, Black, Other 12/55 (21.8) 0.43 (0.22,0.86) 0.86 (0.39,1.90) 0.85 (0.29,2.53)
BMI4 26 (22.4,30) 0.95 (0.90,0.99) 0.03 0.98 (0.94,1.04) 0.56 1.00 (0.94,1.07) 0.87
Care home resident 37/65 (56.9) 3.06 (1.74,5.40) <0.001 1.63 (0.86,3.07) 0.13 1.51 (0.69,3.33) 0.30
Pre-existing comorbidities
Hypertension 47/109 (43.1) 1.62 (0.99,2.64) 0.05 1.29 (0.75,2.21) 0.36 1.16 (0.58,2.32) 0.67
Chronic cardiac disease 48/90 (53.3) 2.88 (1.72, 4.81) <0.001 1.43 (0.79,2.59) 0.23 1.18 (0.57,2.43) 0.66
Diabetes mellitus without complications 23/56 (41.1) 1.30 (0.72, 2.36) 0.39 1.30 (0.67,2.49) 0.44 1.15 (0.51,2.66) 0.73
Diabetes mellitus with complications 13/26 (50.0) 1.89 (0.84, 4.25) 0.12 3.10 (1.27,7.55) 0.01 2.73 (0.87,8.52) 0.09
Dementia 32/56 (57.1) 2.95 (1.63,5.36) <0.001 1.45 (0.74,2.85) 0.28 1.48 (0.68,3.24) 0.32
Chronic pulmonary disease 21/49 (42.9) 1.41 (0.76,2.63) 0.28 1.13 (0.57,2.23) 0.73 0.91 (0.41,2.04) 0.82
Chronic neurological disorder 17/38 (44.78) 1.52 (0.76,3.03) 0.24 1.39 (0.65,2.95) 0.39 1.15 (0.45,2.96) 0.76
Asthma 9/34 (26.5) 0.61 (0.27,1.35) 0.22 0.77 (0.33,1.82) 0.56 0.85 (0.30,2.42) 0.76
Chronic kidney disease 13/28 (46.4) 1.61 (0.74,3.53) 0.23 0.94 (0.40,2.23) 0.89 1.20 (0.43,3.33) 0.73
Rheumatological condition 6/22 (27.3) 0.65 (0.24,1.70) 0.38 0.46 (0.16,1.31) 0.15 0.57 (0.17,1.94) 0.37
Malignant neoplasm 7/20 (35.0) 0.96 (0.37,2.49) 0.94 0.64 (0.23,1.76) 0.39 0.64 (0.18,2.19) 0.47
Clinical features at admission
Temperature (degrees Celsius) 36.7 (36.3,37.5) 0.82 (0.65,1.03) 0.09 1.00 (0.77,1.29) 0.99 0.84 (0.58,1.23) 0.38
Respiratory rate (breaths per minute) 24 (21,30) 1.08 (1.04,1.12) <0.001 1.12 (1.07,1.18) <0.001 1.09 (1.03,1.15) 0.003
Heart rate (beats per minute) 92 (81,107) 1.01 (0.99,1.02) 0.38 1.02 (1.00,1.03) 0.02 1.01 (0.99,1.02) 0.47
Management
Ceiling-of-care pre-admission or within 24h5 80/138 (58.0) 10.43 (5.60,19.42) <0.001 6.91 (3.09,15.46) <0.001 41.81 (8.28,211.17) <0.001
Maximal respiratory support
Air/oxygen 68/215 (31.6) - 0.19 - <0.001 <0.001
CPAP 21/45 (46.7) 1.77 (0.93,3.40) 5.41 (2.32,12.64) 5.24 (1.38,19.81)
IMV 14/34 (41.2) 1.42 (0.68, 2.97) 7.86 (2.93,21.08) 46.47 (7.52, 287.08)

1 Logistic regression models were generated whereby for continuous variables the ORs are for each unit increase in value of the given characteristic; for binary variables the reference category was the absence of a given characteristic; for other categorical variables the reference category is indicated in the table; where there were low number of deaths, categories are combined as shown for age and ethnicity;

2 Adjusted for age category as in 4 categories: 20-69y, 70-79y, 80-89y, ≥90y;

3 Adjusted for age category, sex, ceiling-of-care pre-admission or within 24h, diabetes mellitus with complications (ie end organ damage) and maximal respiratory support received;

4 Missing values for BMI (N = 82) were excluded;

5 Patients who had a ceiling-of-care introduced after failure to respond to treatment were excluded (N = 19).