Table 2.
Variables Versus Severity and Outcomes (Unadjusted)
| Variable | IDSA Severity | 30-Day Mortality | DRCsa | |||
|---|---|---|---|---|---|---|
| OR (95% CI) | P | OR (95% CI) | P | OR (95% CI) | P | |
| Age | 1.00 [0.99, 1.01] | .745 | 1.03 [1.01, 1.05] | .009** | 1.03 [1.01, 1.06] | .013* |
| White race | 1.33 [0.71, 2.60] | .384 | 0.82 [0.35, 2.22] | .658 | 0.40 [0.65, 0.26] | .394 |
| Female sex | 1.05 [0.69, 1.58] | .823 | 1.27 [0.67, 2.44] | .459 | 1.05 [0.69, 1.58] | .823 |
| Albumin, g/dL | 0.58 [0.41, 0.80] | .001*** | 0.14 [0.07, 0.26] | <.001*** | 0.20 [0.10, 0.37] | <.001*** |
| Total bilirubin, mg/dL | 1.12 [1.02, 1.26] | .028* | 1.25 [1.13, 1.40] | <.001*** | 1.28 [1.16, 1.44] | <.001*** |
| PPI | 1.84 [1.07, 3.21] | .030* | 2.38 [1.02, 6.52] | .063 | 5.01 [1.42, 31.8 | .032* |
| Prior high-risk antibiotic | 1.03 [0.39, 2.53] | .957 | 2.71 [0.85, 7.32] | .063 | 1.43 [0.22, 5.36] | .642 |
| Concurrent high-risk antibiotic | 1.42 [0.73, 2.71] | .295 | 0.79 [0.23, 2.13] | .677 | 1.92 [0.61, 5.17] | .223 |
| IBD | 0.75 [0.42, 1.30] | .318 | 0.12 [0.01, 0.55] | .036* | 0.58 [0.14, 1.69] | .381 |
| Ribotypes | ||||||
| 027 | 1.57 [0.69, 3.51] | .275 | 0.26 [0.01, 1.59] | .238 | 0.40 | .719 |
| 014–020 | 1.21 [0.76, 2.29] | .320 | 3.33 [1.59, 6.80] | .001 | 3.17 [1.28, 7.57] | .010* |
| 106 | 0.72[0.33, 1.48] | .387 | 0.51 [0.08, 1.75] | .367 | 0.84 [0.13, 2.98] | .818 |
| 002 | 1.63 [0.78, 3.40] | .190 | 0.28 [0.02, 1.32] | .208 | 0.39 [0.01, 2.50] | .498 |
| Detectable stool toxin by EIA | 1.85 [1.18, 2.89] | .007** | 1.09 [0.53, 2.12] | .805 | 0.74 [0.29, 1.69] | .501 |
| Quantitative toxin >6.4 ng/mLb | 2.11 [1.22, 3.80] | .009** | 1.44 [0.52, 3.93] | .430 | 0.83 [0.33, 2.36] | .704 |
Significance levels: *P < .05, **P < .01, ***P < .001.
Abbreviations: CDI, Clostridioides difficile infection; DRC, disease-related complication; EIA, enzyme immunoassay; IBD, inflammatory bowel disease; IDSA, Infectious Diseases Society of America; OR, odds ratio; PPI, proton pump inhibitors.
aDefined as occurrence of any of the following outcomes attributed to CDI within 30 days of diagnosis: admission to an intensive care unit, colectomy, or death.
bMeasured by a custom cell cytotoxicity assay.