Table 7.
Univariable analysis | Multivariable analysis (final model) | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
HR | 95% CI | p value | HR | 95% CI | p value | ||||||||
Body mass index (BMI) | |||||||||||||
45≤ | 1.57 | 0.53, 4.65 | 0.4172 | ||||||||||
BMI <18 | - | - | - | ||||||||||
BMI 18≤, <30 | Ref | ||||||||||||
Sex, male | 1.25 | 0.49, 3.18 | 0.6357 | 1.07 | 0.285, 3.983 | 0.9244 | |||||||
Age, years | |||||||||||||
<65 | Ref | ||||||||||||
65-74 | 1.65 | 0.44, 6.16 | 0.4531 | 0.48 | 0.07, 3.17 | 0.4438 | |||||||
75≤ | 12.33 | 4.42, 34.41 | <0.0001 | 8.49 | 1.79, 40.36 | 0.0072 | |||||||
Smoking history, yes | 0.59 | 0.25, 1.36 | 0.2113 | ||||||||||
Pulmonary diseases | |||||||||||||
Chronic obstructive pulmonary disease | 1.39 | 0.33, 6.93 | 0.6567 | ||||||||||
Bronchial asthma | 0.99 | 0.13, 7.38 | 0.9952 | ||||||||||
Bronchiectasis | 40.49 | 4.98, 329.11 | 0.0005 | ||||||||||
Interstitial lung diseases | 3.42 | 0.80, 14.60 | 0.0970 | ||||||||||
Non-pulmonary diseases | |||||||||||||
Hypertension | 1.67 | 0.73, 3.80 | 0.2262 | ||||||||||
Congestive heart failure | 6.21 | 0.83, 46.27 | 0.0748 | ||||||||||
Ischemic heart diseases | 2.63 | 0.78, 8.88 | 0.1187 | ||||||||||
Diabetes mellitus | 4.69 | 1.99, 11.06 | 0.0004 | 3.72 | 0.82, 16.77 | 0.0878 | |||||||
Arrythmias | 1.14 | 0.15, 8.49 | 0.8967 | ||||||||||
Cerebrovascular diseases | 2.02 | 0.27, 15.02 | 0.4906 | ||||||||||
Neuromuscular diseases | 8.89 | 2.07, 38.28 | 0.0034 | ||||||||||
Post upper digestive system surgery | 3.89 | 0.52, 28.97 | 0.1852 | ||||||||||
Chronic liver diseases | 2.76 | 0.37, 20.52 | 0.3202 | ||||||||||
Systemic steroids or immunosuppressants | 2.31 | 0.31, 17.14 | 0.4136 | ||||||||||
Malignancy | 1.23 | 0.17, 9.09 | 0.8430 | ||||||||||
Chronic kidney disease | 3.00 | 0.40, 22.32 | 0.2841 | ||||||||||
Vaccination history, pneumococcus | 0.59 | 0.18, 1.99 | 0.3961 | ||||||||||
Vaccination history, influenza | 1.46 | 0.50, 4.29 | 0.4914 | ||||||||||
Severity on admission, severe | 9.04 | 3.95, 20.71 | <0.0001 | 0.48 | 0.10, 2.41 | 0.3729 | |||||||
Premorbid performance status | |||||||||||||
0 | Ref | ||||||||||||
1-2 | 3.12 | 1.15, 8.47 | 0.0254 | ||||||||||
3-4 | 2.42 | 0.32, 18.23 | 0.3903 | ||||||||||
Viral coinfection, yes | 1.49 | 0.63, 3.52 | 0.3672 | 1.11 | 0.30, 4.16 | 0.876 | |||||||
Bacterial coinfection, yes | 1.65 | 0.49, 5.56 | 0.4225 | ||||||||||
PaCO2, Torr | |||||||||||||
<35 | 2.11 | 0.83, 5.36 | 0.1151 | ||||||||||
35-45 | Ref | ||||||||||||
45≤ | - | - | - | ||||||||||
Lactate, mmol/L | |||||||||||||
<2 | Ref | ||||||||||||
2≤ | 1.44 | 0.49, 4.23 | 0.5094 | ||||||||||
Lymphocytes, /mm3 | |||||||||||||
<500 | 8.68 | 3.51, 21.48 | <0.0001 | 9.07 | 1.79, 46.01 | 0.0078 | |||||||
500≤ | Ref | ||||||||||||
D-dimer, μg/mL | |||||||||||||
<2 | Ref | ||||||||||||
2≤ | 3.70 | 1.52, 9.03 | 0.0040 | 4.67 | 1.16, 18.77 | 0.0300 | |||||||
KL-6, U/mL | |||||||||||||
<500 | Ref | ||||||||||||
500≤ | 4.03 | 1.71, 9.51 | 0.0015 | 1.76 | 0.43, 7.21 | 0.4316 | |||||||
Ferritin, ng/mL | |||||||||||||
<500 | Ref | ||||||||||||
500-1,000 | 12.74 | 2.85, 57.01 | 0.0009 | 15.65 | 1.70, 144.31 | 0.0153 | |||||||
1,000≤ | 11.65 | 2.51, 54.03 | 0.0017 | 3.67 | 0.39, 34.77 | 0.2573 | |||||||
Procalcitonin, ng/mL | |||||||||||||
<0.5 | Ref | ||||||||||||
0.5≤, <1 | 6.75 | 1.99, 22.91 | 0.0022 | ||||||||||
1≤ | 4.95 | 0.66, 37.23 | 0.1199 | ||||||||||
qSOFA, 2≤ | 12.38 | 1.61, 94.85 | 0.0155 | ||||||||||
Treatment during hospital stay | |||||||||||||
Antibiotics, yes | 4.17 | 1.64, 10.58 | 0.0027 | ||||||||||
Corticosteroids, no | Ref | ||||||||||||
Corticosteroid use in non-respiratory failure | 28.03 | 6.63, 118.50 | <0.0001 | 15.62 | 1.99, 122.68 | 0.009 | |||||||
Corticosteroid use in respiratory failure | 16.87 | 4.42, 64.31 | <0.0001 | 10.66 | 1.57, 72.18 | 0.0153 | |||||||
Neuraminidase inhibitors, yes | 0.86 | 0.36, 20.26 | 0.7279 | ||||||||||
NSAIDs, yes | 0.47 | 0.06, 3.50 | 0.4631 | ||||||||||
Pneumonia subtypes | |||||||||||||
Primary viral pneumonia | Ref | ||||||||||||
Mixed viral and bacterial pneumonia | 1.65 | 0.49, 5.56 | 0.4225 |
KL-6: Krebs von der Lungen-6, qSOFA: quick Sequential Organ Failure Assessment Score, NSAIDs: nonsteroidal anti-inflammatory drugs