TABLE 3.
Multivariable analysis for the association of mean VTC with mortality in Apache IV score subgroups.
| ICU mortality | Hospital mortality | |||
|---|---|---|---|---|
| VTC variable | OR (95% CI) | p value | OR (95% CI) | p value |
| APACHE IV score ≤64 | ||||
| Continuous variable | 0.995 (0.952,1.040) | 0.838 | 0.980 (0.946,1.015) | 0.257 |
| Categorical variable | ||||
| <10 mg/L | 1 | 1 | ||
| 10–15 mg/L | 1.486 (0.588,3.758) | 0.403 | 0.857 (0.475,1.546) | 0.609 |
| 15–20 mg/L | 1.443 (0.576,3.618) | 0.434 | 0.803 (0.446,1.449) | 0.467 |
| >20 mg/L | 1.459 (0.549,3.873) | 0.449 | 0.809 (0.423,1.550) | 0.523 |
| APACHE IV score >64 | ||||
| Continuous variable | 1.057 (1.027,1.087) | <0.001 | 1.049 (1.024,1.074) | <0.001 |
| Categorical variable | ||||
| <10 mg/L | 1 | 1 | ||
| 10–15 mg/L | 1.724 (0.864,3.438) | 0.122 | 1.552 (0.916,2.629) | 0.102 |
| 15–20 mg/L | 2.053 (1.043,4.040) | 0.037 | 1.889 (1.125,3.172) | 0.016 |
| >20 mg/L | 2.895 (1.457,5.751) | 0.002 | 2.333 (1.371,3.970) | 0.002 |
Multivariable model: adjusted for age (category), sex, ethnicity, BMI, CCl, the use of ventilation, dialysis, vasodepressor and vasopressor, and diagnoses at ICU admission (tumour, hepatic failure, COPD, heart failure, diabetes, gastrointestinal bleed, pancreatitis, burns, pneumonia, sepsis, and renal failure).
VTC, vancomycin trough concentration; APACHE, Acute Physiology and Chronic Health Evaluation; ICU, intensive care unit; OR, odds ratio; CI, confidence interval; BMI, body mass index; CCl, creatinine clearance; COPD, chronic obstructive pulmonary disease.