Table 4.
Clinical signs at admittance associated with death and survival (N=1521)
| Univariableb | Multivariablec | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| Total Na | Survival | Death | OR | 95% CI | p | aOR | 95% CI | p | |
| Total, N | 1521 | 1484 | 37 | ||||||
| Clinical signs at admittance | |||||||||
| GCS score, median (IQR) | 1232 | 15 (0) | 14 (7–15) | 0.72 | 0.65 to 0.78 | <0.0001 | 0.76 | 0.63 to 0.92 | 0.005 |
| Abnormal breathingd | 1513 | 123 (8) | 18 (49) | 10.48 | 5.36 to 20.50 | <0.0001 | 6.81 | 1.76 to 26.40 | 0.006 |
| Low urinary output (<750 ml) | 1196 | 3.32 | 2.35 to 4.69 | <0.0001 | 2.55 | 1.34 to 4.85 | 0.004 | ||
| >750 ml | 988 (85) | 13 (48) | |||||||
| 500–750 ml | 114 (12) | 4 (15) | |||||||
| 400–500 ml | 23 (2) | 3 (11) | |||||||
| < 400 ml | 14 (1) | 7 (26) | |||||||
| Abdominal tendernesse | 1516 | 108 (7) | 8 (22) | 3.52 | 1.57 to 7.88 | 0.002 | 5.76 | 1.27 to 26.10 | 0.023 |
| Saturation <95% | 1257 | 264 (22) | 15 (50) | 3.65 | 1.76 to 7.56 | <0.0001 | 3.52 | 0.97 to 12.72 | NS |
| Pulse rate, median (IQR) | 1497 | 92 (84–100) | 105 (87–119) | 1.02 | 1.00 to 1.04 | 0.014 | 0.98 | 0.95 to 1.01 | NS |
| Spontaneous bleedingf | 1508 | 13 (1) | 5 (14) | 17.68 | 5.95 to 52.55 | <0.0001 | 0.47 | 0.02 to 14.12 | NS |
| Icterus | 1514 | 106 (7) | 13 (35) | 7.01 | 3.47 to 14.15 | <0.0001 | 3.63 | 0.72 to 18.25 | NS |
| Neck stiffnessg | 1514 | 26 (2) | 3 (8) | 4.92 | 1.42 to 17.06 | 0.012 | NA | NA | NA |
| Edemah | 1515 | 89 (6) | 11 (30) | 6.63 | 3.17 to 13.86 | <0.0001 | 0.94 | 0.16 to 5.45 | NS |
| Pallor | 1515 | 320 (22) | 18 (50) | 3.62 | 1.86 to 7.04 | <0.0001 | 3.75 | 0.79 to 17.74 | NS |
| Conjunctival congestion | 1500 | 71 (5) | 6 (17) | 4.06 | 1.63 to 10.10 | 0.003 | 0.36 | 0.02 to 6.17 | NS |
| Eschar | 1476 | 38 (3) | 3 (8) | 3.35 | 0.99 to 11.41 | NS | |||
| Temp F, median (IQR) | 1425 | 101 (99–102) | 99 (99–100) | 1.00 | 0.98 to 1.02 | NS | |||
| BP systolic, median (IQR) | 1470 | 110 (100–120) | 110 (94–120) | 1.00 | 0.98 to 1.02 | NS | |||
| Respiratory rate, median (IQR) | 1487 | 24 (22–26) | 24 (20–30) | 1.04 | 0.99 to 1.09 | NS | |||
| Joint tenderness | 1520 | 46 (3) | 3 (8) | 2.76 | 0.82 to 9.30 | NS | |||
| Joint swelling | 1519 | 23 (2) | 1 (3) | 1.75 | 0.23 to 13.4 | NS | |||
| Rash | 1502 | 40 (3) | 1 (3) | 0.99 | 0.13 to 7.40 | NS | |||
| Coated tongue | 1504 | 126 (9) | 4 (11) | 1.38 | 0.48 to 3.96 | NS | |||
| Lymphadenopathy | 1499 | 85 (6) | 2 (6) | 0.02 | 0.24 to 4.31 | NS | |||
| Spleen palpable | 1490 | 110 (8) | 2 (6) | 0.72 | 0.17 to 3.03 | NS | |||
| Liver palpable | 1487 | 149 (10) | 5 (14) | 1.41| | 0.54 to 3.68 | NS | |||
| Liver tenderness | 1321 | 39 | 1 | 1.07 | 0.14 to 8.04 | NS | |||
| Renal angel tenderness | 1509 | 5 | 0 | NS | |||||
| Ascites | 1514 | 10 (1) | 0 | NS | |||||
| Cardiac murmur | 1514 | 5 (0.3) | 0 | NS | |||||
Abbreviations: aOR, adjusted odds ratio; GCS, Glasgow coma scale, score 1–15 and 15 optimal cerebral function; NA, not applicable.
Total number investigated among 1521 patients. Discrepancies due to missing values.
Univariable logistic regression.
Multivariable logistic regression, age and gender included.
Merged variables “Abnormal breathing pattern” (N=26 and 10), “Adventitious sounds” (N=77 and 13) and “Air entry unequal” (N=51 and 8).
Merged variables “Abdominal tenderness” (N=103 and 8), “Abdominal guarding” (N=14 and 2) and “Abdominal rigidity” (N=3 and 1).
Merged variables “Spontaneous bleeding” (N=8 and 3), “Bleeding from injection sites” (N=5 and 3) and “Torniquet positive” (N=3 and 0)
Results in multivariate analysis not applicable due to sparse data.
Merged variables “Facial puffiness” (N=57 and 8) and “Pedal edema” (N=51 and 7).
Missing coded as negative in merged variables for the sake of the analyses.