Skip to main content

Table 4 Adjusted odds ratio for the completion of each intervention of the resuscitation bundle

From: The adverse effect of emergency department crowding on compliance with the resuscitation bundle in the management of severe sepsis and septic shock

Variables

Adjusted OR (95% CI)

P

Serum lactate measurement

  

 Intermediate crowding groupa

0.91 (0.51 to 1.63)

0.747

 High crowding groupa

0.73 (0.38 to 1.41)

0.346

 ED occupancy rate (+10%)b

0.95 (0.88 to 1.03)

0.206

Blood cultures before antibiotics

  

 Intermediate crowding groupa

1.31 (0.52 to 3.30)

0.561

 High crowding groupa

0.80 (0.30 to 2.16)

0.659

 ED occupancy rate (+10%)b

0.98 (0.86 to 1.10)

0.711

Early broad-spectrum antibiotics

  

 Intermediate crowding groupa

0.76 (0.50 to 1.15)

0.193

 High crowding groupa

0.57 (0.35 to 0.91)

0.019

 ED occupancy rate (+10%)b

0.93 (0.88 to 0.98)

0.018

Intravenous fluid challenge

  

 Intermediate crowding groupa

1.20 (0.60 to 2.39)

0.603

 High crowding groupa

0.86 (0.40 to 1.84)

0.697

 ED occupancy rate (+10%)b

0.99 (0.91 to 1.10)

0.974

CVP ≥8 mmHg achieved

  

 Intermediate crowding groupa

1.07 (0.69 to 1.65)

0.772

 High crowding groupa

0.83 (0.50 to 1.37)

0.462

 ED occupancy rate (+10%)b

0.95 (0.89 to 1.01)

0.095

MAP ≥65 mmHg achievedc

  

 Intermediate crowding groupa

0.29 (0.06 to 1.45)

0.133

 High crowding groupa

0.34 (0.07 to 1.79)

0.203

 ED occupancy rate (+10%)b

0.93 (0.80 to 1.10)

0.442

Scvo2 ≥70% achieved

  

 Intermediate crowding groupa

0.83 (0.53 to 1.29)

0.408

 High crowding groupa

0.42 (0.25 to 0.7)

0.001

 ED occupancy rate (+10%)b

0.90 (0.85 to 0.96)

0.001

  1. aReference category was the low crowding group; bincluded in models instead of the tertile groups; cVariables with significance of P <0.05 were adjusted without mandatory inclusion.
  2. CI, confidence interval; CVP, central venous pressure; ED, emergency department; MAP, mean arterial pressure; OR, odds ratio.