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. 2022 Jun 13;5(6):e2216778. doi: 10.1001/jamanetworkopen.2022.16778

Table 3. Multivariable Analysis of the Adjusted Association Between the Quality of the Global Management Before Admission to a Pediatric Intensive Care Unit in Children With a Community-Onset Severe Bacterial Infection and the Outcome.

Variable Patients, No. (%)a Multivariable analysis
Total (N = 159) Surviving without sequelae (n = 127) Died (n = 15) Surviving with sequelae (n = 17) Surviving without sequelae vs died Surviving without sequelae vs surviving with sequelae
aOR (95% CI) P value aOR (95% CI) P value
Age
1 mo to 5 y 113 (71.1) 87 (68.5) 12 (80.0) 14 (82.4) 2.38 (0.55-10.31) .25 1.92 (0.46-8.09) .37
≥5 y 46 (28.9) 40 (31.5) 3 (20.0) 3 (17.6) 1 [Reference] 1 [Reference]
Comorbidities
Yes 39 (24.5) 27 (21.3) 7 (46.7) 5 (29.4) 4.49 (1.25-16.09) .02 1.65 (0.42-6.43) .47
No 120 (75.5) 100 (78.7) 8 (53.3) 12 (70.6) 1 [Reference] 1 [Reference]
Hemodynamic severity signs at first consultation
Yes 49 (30.8) 35 (27.6) 8 (53.3) 6 (35.3) 1.54 (0.43-5.50) .51 1.36 (0.40-4.58) .62
No 110 (69.2) 92 (72.4) 7 (46.7) 11 (64.7) 1 [Reference] 1 [Reference]
Discharge diagnosis
Meningitis 52 (32.7) 42 (33.1) 4 (26.7) 6 (35.3) 1.91 (0.29-12.54) .50 1.10 (0.24-5.07) .90
Purpura fulminans 40 (25.2) 30 (23.6) 5 (33.3) 5 (29.4) 2.65 (0.35-19.77) .34 1.61 (0.31-8.41) .57
Sepsis with no source 29 (18.2) 22 (17.3) 4 (26.7) 3 (17.6) 3.42 (0.48-24.31) .22 1.26 (0.22-7.34) .80
Otherb 38 (23.9) 33 (26.0) 2 (13.3) 3 (17.6) 1 [Reference] NA 1 [Reference] NA
Global management
Certainly suboptimal 89 (56.0) 71 (55.9) 3 (20.0) 15 (88.2) 0.16 (0.04-0.65) .01 5.61 (1.19-26.36) .03
Optimal 70 (44.0) 56 (44.1) 12 (80.0) 2 (11.8) 1 [Reference] 1 [Reference]

Abbreviation: aOR, adjusted odds ratio.

a

Only children whose global management was assessed optimal or certainly suboptimal were included in these analyses.

b

Other diagnosis includes pulmonary, urinary, osteoarticular, intra-abdominal, cardiac, and soft-tissue severe infections.