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. 2021 Apr 1;18(4):e1003587. doi: 10.1371/journal.pmed.1003587

Table 3. Multivariable Poisson regression for predictors of fatality among for confirmed and probable diphtheria patients, Cox’s Bazar, Bangladesh, November 10, 2017 to November 10, 2019.

Unadjusted Adjusted
Independent variable Level N RR (95% CI) p-value RR (95% CI) p-value
Age group 0–6 932 Reference - Reference -
7–14 1,879 0.02 (0.001–0.003) <0.001 0.11 (0.02–0.53) 0.006
15+ 1,080 0.00 (0.00–Inf) 0.993 0.00 (0.00–Inf) 0.992
Sex Female 2,145 Reference - - -
Male 1,750 0.75 (0.30–1.79) 0.530 - -
Vaccination status Unvaccinated 1,214 Reference - - -
Vaccinated 845 1.08 (0.21–4.89) 0.922 - -
Delay 1 day* 3,895 1.13 (0.99–1.22) 0.011 1.13 (0.99–1.29) 0.076
Respiratory distress False 3,805 Reference - Reference -
True 90 13.21 (4.32–33.73) <0.001 13.65 (4.59–40.61) <0.001
Pseudomembrane False 1,442 Reference - Reference -
True 2,453 11.76 (2.45–211.01) 0.016 10.85 (1.28–92.27) 0.029
GCL False 1,730 Reference - Reference -
True 2,165 0.32 (0.11–0.79) 0.018 0.50 (0.17–1.47) 0.207
Antibiotic treatment False 1,141 Reference - Reference -
True 2,754 0.38 (0.16–0.89) 0.025 0.22 (0.06–0.76) 0.017
DAT False 980 Reference - Reference -
True 983 3.35 (1.02–14.93) 0.066 5.43 (1.39–21.23) 0.015

* RR for each additional day delay between disease onset and presentation at health facility.

Covariates with a p-value of < = 0.1 were included in the multivariate model.

CI, confidence interval; DAT, diphtheria antitoxin; GCL, gross cervical lymphadenopathy; RR, risk ratio.