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).