Table 2.
Association Between CMV Reactivation and Clinical Outcomes at 28 Daysa
CMV Measure | Hospitalized or Died by Day 28b | Ventilator-Free Daysc | ICU-Free Daysc | Hospital-Free Daysc |
---|---|---|---|---|
CMV reactivation any level | 3.1 (1.2 to 8.6) P = .021 | −3.3 (−6.7 to .1) P = .063 | −4.1 (−7.3 to −.8) P = .016 | −4.9 (−8.0 to −1.9) P = .002* |
CMV reactivation > 100 IU/mL | 6.0 (2.1 to 18.7) P = .001* | −5.2 (−9.0 to −1.4) P = .009* | −6.0 (−9.6 to −2.3) P = .002* | −6.3 (−9.7 to −2.9) P = .0005* |
CMV reactivation >1000 IU/mL | 5.6 (1.6 to 23.7) P = .011 | −6.3 (−11.1 to −1.5) P = .012 | −7.5 (−12.1 to −2.9) P = .002* | −6.5 (−10.9 to −2.1) P = .005* |
Average AUC CMV load, log IU/mL | 2.0 (1.0 to 4.0) P = .049 | −1.6 (−4.0 to .8) P = .190 | −2.5 (−4.8 to −.2) P = .032 | −2.9 (−5.0 to −.7) P = .011 |
Peak CMV load, log IU/mL | 1.7 (1.2 to 2.5) P = .005* | −1.5 (−2.8 to −.3) P = .019 | −1.9 (−3.1 to −.7) P = .003* | −2.1 (−3.2 to −1.0) P = .0004* |
P values in bold represent values that were statistically significant.
Abbreviations: APACHE, Acute Physiology and Chronic Health Evaluation; AUC, area under the curve; CI, confidence interval; CMV, cytomegalovirus; ICU, intensive care unit.
*P values remained statistically significant (P < .05) after Bonferroni adjustment.
aAfter adjustment for baseline transfusion status and a standardized score created from APACHE II and APACHE III scores used in the individual studies, confounders found relevant in backward stepwise regression.
bEstimates represent odds ratios and associated 95% CIs.
cEstimates represent the difference in mean days and associated 95% CIs.