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Table 5 Multivariate logistic regression analysis for the risk for development of CIP/CIM and prolonged mechanical ventilation

From: Benefits of intensive insulin therapy on neuromuscular complications in routine daily critical care practice: a retrospective study

 

Risk for development of CIP/CIMa

Risk for prolonged mechanical ventilationb

 

OR (95% CI)

p-value

OR (95% CI)

p-value

A. Uncorrected.

    

Glycaemic control, IIT

0.33 (0.22 to 0.48)

< 0.0001

1.28 (0.86 to 1.89)

0.2

B. Corrected for baseline risk factors.

Glycaemic control, IIT

0.24 (0.14 to 0.42)

< 0.0001

0.56 (0.32 to 0.96)

0.04

ICU type, medical

0.49 (0.27 to 0.90)

0.02

0.29 (0.16 to 0.53)

< 0.0001

Diagnostic category

    

   Cardiovascular

1.005 (0.55 to 1.82)

0.9

0.78 (0.41 to 1.47)

0.4

   Cerebral/neurological

0.77 (0.37 to 1.63)

0.5

0.79 (0.36 to 1.72)

0.5

   Haematological/oncological/transplant

1.04 (0.41 to 2.60)

0.9

0.96 (0.35 to 2.63)

0.9

   Other

1.02 (0.50 to 20.7)

0.9

0.60 (0.29 to 1.26)

0.2

   Polytrauma

1.03 (0.43 to 2.49)

0.9

0.75 (0.29 to 1.90)

0.5

   Respiratory/thoracic

1.43 (0.75 to 2.71)

0.3

0.85 (0.44 to 1.64)

0.6

On admission blood glucose

0.99 (0.99 to 1.001)

0.1

0.99 (0.99 to 1.002)

0.7

Gender, female

0.68 (0.47 to 1.000)

0.05

0.63 (0.43 to 0.93)

0.02

C. Corrected for baseline risk factors and known risk factors occurring during ICU stay.

Glycaemic control, IIT

0.25 (0.14 to 0.43)

< 0.0001

0.40 (0.22 to 0.72)

0.002

ICU type, medical

0.62 (0.33 to 1.16)

0.1

0.35 (0.18 to 0.67)

0.002

Diagnostic category

    

   Cardiovascular

0.99 (0.54 to 1.83)

0.9

0.64 (0.31 to 1.29)

0.2

   Cerebral/neurological

0.83 (0.39 to 1.80)

0.6

0.87 (0.36 to 2.11)

0.8

   Haematological/

1.18 (0.45 to 3.12)

0.7

0.60 (0.19 to 1.93)

0.4

   oncological/transplant

1.002 (0.49 to 2.07)

0.9

0.58 (0.26 to 1.27)

0.2

   Other

1.09 (0.43 to 2.73)

0.9

0.88 (0.30 to 2.57)

0.8

   Polytrauma

1.38 (0.72 to 2.66)

0.3

089 (0.43 to 1.86)

0.8

   Respiratory/thoracic

    

On admission blood glucose

0.99 (0.99 to 1.001)

0.1

0.99 (0.99 to 1.002)

0.4

Gender, female

0.74 (0.50 to 1.09)

0.1

0.74 (0.48 to 1.12)

0.2

Number of days treatment with noradrenaline, per day added

1.002 (0.98 to 1.03)

0.8

1.16 (1.11 to 1.22)

< 0.0001

Cumulative dose hydrocortisone equivalent, per mg added

1.000 (1.000 to 1.000)

0.3

1.00 (1.00 to 1.00)

0.9

Treatment with aminoglycosides, yes

1.073 (0.69 to 1.68)

0.8

1.72 (1.003 to 2.96)

0.05

Number of days treatment with NMBAs (min 1 bolus or drip), per day added

1.04 (0.98 to 1.10)

0.2

1.15 (1.04 to 1.27)

0.007

Number of days treatment with dialysis, per day added

1.004 (0.98 to 1.02)

0.7

1.09 (1.03 to 1.15)

0.004

Time t, per day added

1.01 (0.99 to 1.03)

0.2

-

-

Bacteraemia, yes

-

-

2.11 (1.26 to 3.55)

0.005

  1. CI = confidence interval; CIM = critical illness myopathy; CIP = critical illness polyneuropathy; ICU = intensive care unit; IIT = intensive insulin therapy; NMBA = neuromuscular blocking agent; OR = odds ratio; SD = standard deviation.
  2. a risk factors occurring during ICU stay were calculated for each patient up to the point of diagnosis of presence or absence of CIP/CIM;
  3. b risk factors occurring during ICU stay were calculated for the first 14 days.