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Table 3 Multivariate model of factors associated with dementia diagnosis during three years of follow-up.

From: Risk factors for dementia after critical illness in elderly medicare beneficiaries

 

Multivariable Model

 

Adjusted HR

(95% CI)

P Value

Index Hospitalization

   

No Infection

1 (ref)

-

-

Infection onlya

1.25

(1.17, 1.35)

< .01

Severe sepsis

1.40

(1.28, 1.53)

< .01

None

1 (ref)

-

-

Acute neurologic dysfunctionb

2.06

(1.72, 2.46)

< .01

No acute RRT

1 (ref)

-

-

Acute RRT (post 6 months)

1.70

(1.30, 2.23)

< .01

Acute RRT (6 months of follow-up)

0.73

(0.40, 1.33)

0.30

Surgical

1 (ref)

-

-

Medical

1.41

(1.33, 1.50)

< .01

None

1 (ref)

-

-

Any prior hospitalization

1.36

(1.27, 1.46)

< .01

Age 66 to 69 years

1 (ref)

-

-

Age 70 to 74 years

1.65

(1.45, 1.87)

< .01

Age 75 to 79 years

2.36

(2.09, 2.66)

< .01

Age 80 to 84 years

3.74

(3.33, 4.21)

< .01

Age 85+ years

5.37

(4.77, 6.05)

< .01

Non-hispanic, White

1 (ref)

-

-

Other races (hispanic and other)

1.18

(1.02, 1.36)

0.03

Non-hispanic, Black

1.78

(1.62, 1.97)

< .01

Male

1 (ref)

-

-

Female

1.17

(1.10, 1.24)

< .01

Cerebrovascular disease

1.53

(1.40, 1.68)

< .01

Depression

1.23

(1.08, 1.40)

< .01

Parkinson's Disease

2.31

(1.90, 2.80)

< .01

Alcohol Abuse

1.55

(1.18, 2.04)

< .01

Hypoglycemia (2 years of follow-up)

1.41

(1.12, 1.77)

< .01

Hypoglycemia (post 2 years of follow-up)

0.88

(0.57, 1.36)

0.56

Hypertension (6 months of follow-up)

1.08

(0.96, 1.22)

0.22

Hypertension (post 6 months of follow-up)

0.52

(0.48, 0.56)

< .01

Chronic renal failure (2 years of follow-up)

1.29

(1.11, 1.51)

< .01

Chronic renal failure (post 2 years of follow-up)

0.81

(0.62, 1.06)

0.12

  1. aBacterial or fungal infection but without acute organ failure (that is, no diagnosis of severe sepsis); bacute neurologic dysfunction includes delirium, anoxia, and encephalopathy. Extended Cox-model adjusted for risk factors of dementia and time dependent coefficients, see online data supplement for full model, global null hypothesis likelihood ratio test P < .0001. HR, hazard ratio; ref, reference; RRT, renal replacement therapy.