Table 4:
Multivariable Analysis of Characteristics Associated with Mortality, Persistent Bacteremia, and Metastatic Complications in Hemodialysis (HD)-Dependent Patients
| All-Cause Mortalitya |
SABb-Attributable Mortalitya |
Persistent Bacteremiaa |
Metastatic Complicationsa |
|
|---|---|---|---|---|
| # of Events (%) | 106 (23.4) | 60 (13.2) | 140 (30.9) | 160 (35.3) |
| Variable | Odds Ratio (95% Confidence Interval) | |||
| Genotype | ||||
| MSSA | Reference | |||
| non-USA300 MRSA | 2.27 (1.36, 3.80) | 1.78 (0.95, 3.36) | 3.55 (2.21, 5.69) | 1.56 (1.01, 2.43) |
| USA300 | 0.44 (0.10, 1.88) | 0.83 (0.19, 3.61) | 2.96 (1.12, 7.83) | 1.34 (0.53, 3.41) |
| Age | ||||
| <45 Years | Reference | |||
| 45-54 Years | 1.46 (0.59, 3.63) | 1.49 (0.44, 5.14) | 1.23 (0.60, 2.54) | 1.10 (0.57, 2.11) |
| 55-64 Years | 2.30 (0.99, 5.22) | 2.41 (0.80, 7.23) | 1.34 (0.66, 2.70) | 0.95 (0.50, 1.82) |
| 65+ Years | 2.65 (1.18, 5.95) | 3.42 (1.17, 10.03) | 1.74 (0.88, 3.43) | 1.12 (0.60, 2.08) |
| Gender | ||||
| Male | Reference | |||
| Female | 1.04 (0.63, 1.72) | 0.94 (0.51, 1.74) | 1.01 (0.65, 1.58) | 0.77 (0.50, 1.16) |
| Race | ||||
| Non-Hispanic White | Reference | |||
| Black | 0.71 (0.40, 1.28) | 0.49 (0.25, 0.94) | 1.58 (0.90, 2.80) | 0.82 (0.49, 1.37) |
| Other | 2.04 (0.43, 9.76) | 2.33 (0.43, 12.49) | 6.62 (1.52, 28.91) | 2.53 (0.64, 9.96) |
| Comorbidities | ||||
| Diabetes Mellitus | 0.99 (0.59, 1.68) | 0.86 (0.46, 1.61) | 1.08 (0.68, 1.73) | 1.44 (0.92, 2.26) |
| Neoplasm | 1.91 (0.77, 4.78) | 0.64 (0.17, 2.45) | 0.44 (0.15, 1.27) | 0.22 (0.07, 0.73) |
| Transplantation | 0.67 (0.20, 2.17) | 0.54 (0.11, 2.76) | 0.91 (0.35, 2.35) | 0.46 (0.18, 1.16) |
| Corticosteroid use | 0.72 (0.27, 1.95) | 0.61 (0.16, 2.37) | 2.39 (1.11, 5.18) | 3.66 (1.72, 7.80) |
| Foreign Body Central Venous Catheter | 1.65 (0.75, 3.60) | 1.27 (0.52, 3.12) | 0.93 (0.45, 1.92) | 0.84 (0.42, 1.66) |
| Site of acquisition | ||||
| HAc | Reference | |||
| CA-HCAd | 0.25 (0.12, 0.53) | 0.39 (0.17, 0.88) | 0.89 (0.42, 1.87) | 1.82 (0.85, 3.93) |
| Source of Infection e | ||||
| Central Venous Catheter | Reference | |||
| Arteriovenous graft | 1.03 (0.38, 2.80) | 1.69 (0.54, 5.30) | 1.20 (0.50, 2.87) | 0.70 (0.31, 1.62) |
| Arteriovenous fistula | 1.36 (0.28, 6.66) | 2.65 (0.50, 13.90) | 0.30 (0.07, 1.35) | 1.51 (0.48, 4.73) |
| Non-Vascular Accessf | 3.34 (1.60, 6.97) | 3.20 (1.36, 7.55) | 2.11 (1.05, 4.22) | 1.51 (0.79, 2.91) |
Results for each variable are adjusted for all other variables shown. Odds ratios and confidence intervals marked in bold are significant
Staphylococcus aureus bacteremia
Hospital-acquired
Community-acquired, healthcare associated
Suspected source of infection
Includes: abscess, septic arthritis, biliary tract, burn, arterial catheter, intra-aortic balloon pump, peripheral catheter, other non-central venous catheter, cellulitis, decubitus ulcer, dermatitis, empyema, foot/leg ulcer, furuncle, gangrene, intravenous drug use, mediastinitis, percutaneous nephrostomy, peritoneal dialysis catheter, pneumonia, sinusitis, wound, and unknown/unspecified source of infection