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.
Only children whose global management was assessed optimal or certainly suboptimal were included in these analyses.
Other diagnosis includes pulmonary, urinary, osteoarticular, intra-abdominal, cardiac, and soft-tissue severe infections.