From: Effect of intensive care after cardiac arrest on patient outcome: a database analysis
Univariate logistic regression | Multivariate generalized estimation equation model | ||||
---|---|---|---|---|---|
All patients (died in hospital, %) | Odds ratio (95% CI) | P value | Odds ratio (95% CI) | P value | |
SAPS II scorea | 1.061 (1.057-1.064) | <0.001 | 1.05 (1.05-1.06) | <0.001 | |
Male | 3,753 (54.92) | 0.85 (0.76-0.95) | 0.003 | 0.96 (0.84-1.09) | 0.5262 |
Age | 1.03 (1.02-1.03) | <0.001 | |||
Year | 1.01 (0.99-1.02) | 0.241 | 0.98 (0.96-1.01) | 0.187 | |
Year dichotomized (before and after 2005) | 1.065 (0.96-1.181) | 0.237 | 0.87 (0.73-1.04) | 0.1386 | |
Comorbidities | |||||
Chronic renal insufficiency | 618 (66.83) | 1.64 (1.37-1.95) | <0.001 | ||
Chronic respiratory insufficiency | 510 (63.92) | 1.41 (1.17-1.7) | <0.001 | ||
Chronic cardiac failure NYHAb IV | 1,474 (61.67) | 1.34 (1.19-1.51) | <0.001 | ||
Coronary angiography unit in hospital | 3,805 (56.64) | 0.93 (0.82-1.04) | 0.205 | ||
ICU type | |||||
Medical cardiac | 1,739 (58.48) | Reference | Reference | ||
Medical | 1,850 (55.84) | 0.9 (0.79-1.02) | 0.110 | 0.79 (0.59-1.07) | 0.1256 |
Postoperative:– hospital <500 beds | 1,172 (59.3) | 1.03 (0.89-1.2) | 0.660 | 0.82 (0.61-1.1) | 0.1858 |
Postoperative: hospital ≥500 beds | 1,008 (51.98) | 0.77 (0.66-0.9) | 0.001 | 0.76 (0.5-1.13) | 0.1767 |
Trauma | 88 (37.5) | 0.43 (0.27-0.66) | <0.001 | 0.39 (0.17-0.92) | 0.0313 |
Admission type | |||||
Medical | 5,665 (56.88) | Reference | |||
Scheduled surgery | 88 (28.41) | 0.3 (0.19-0.48) | <0.001 | ||
Unscheduled surgery | 95 (49.47) | 0.74 (0.49-1.11) | 0.147 | ||
10 resuscitations per year | 0.99 (0.95-1.03) | 0.497 | 0.7 (0.57-0.86) | 0.0009 | |
SAPS II × 10 resuscitations per year | 1 (1–1.01) | 0.014 | |||
Beds in ICU | 0.96 (0.95-0.98) | <0.001 | 1.02 (0.96-1.08) | 0.4823 | |
TISS-intervention (patient received: yes/no) | |||||
Mechanical ventilation | 5,339 (60.09) | 6.79 (5.39-8.55) | <0.001 | ||
Enteral nutrition | 2,962 (49.66) | 0.57 (0.52-0.64) | <0.001 | ||
Parenteral nutrition | 2951 (53) | 0.76 (0.68-0.84) | <0.001 | ||
Renal support | 482 (68.88) | 1.79 (1.47-2.19) | <0.001 | ||
Single vasoactive medication | 3,489 (52.08) | 0.65 (0.58-0.72) | <0.001 | ||
Multiple vasoactive medication | 2,803 (64.4) | 1.88 (1.69-2.09) | <0.001 | ||
Interventions outside the ICU | 2,738 (50.26) | 0.63 (0.56-0.69) | <0.001 | ||
Cardiopulmonary resuscitation | 2,704 (68.9) | 2.64 (2.37-2.94) | <0.001 |