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Table 2 Univariable and multivariable analysis of factors associated with hospital mortality in ventilated patients with ARDS

From: Outcome of acute respiratory distress syndrome in university and non-university hospitals in Germany

Variable

Univariable analysisa

Multivariable analysisb

Odds ratio (95% CI)

p value

Odds ratio (95% CI)

p value

Factors related to patients’ baseline factors

 Sex

 

0.068

  

  Male

1.82 (0.96–3.46)

   

  Female

1

   

 SAPS II at ICU admission

 

0.005

  

  ≤40

1

   

  40–59

2.09 (1.03–4.22)

   

  ≥60

3.69 (1.64–8.29)

   

Factors related to individual patient management

 FiO2 (0.1 increments)

1.79 (1.35–2.38)

<0.001

1.62 (1.17–2.24)

0.004

 Driving pressurec (1 cmH2O increments)

1.17 (1.08–1.26)

<0.001

1.10 (1.02–1.20)

0.016

 Use of vasoactive drugs (2 consecutive days)

2.01 (1.00–4.02)

0.049

  

Factors developing during mechanical ventilation

 Liver failure

7.85 (2.24–27.55)

0.001

6.93 (1.68–28.59)

0.007

 Renal failure

4.15 (2.25–7.64)

<0.001

3.46 (1.59–7.55)

0.002

 Metabolic acidosis

3.29 (1.48–7.29)

0.003

2.94 (1.03–8.27)

0.043

 pHa

 

0.001

  

  Acidosis (<7.35)

4.09 (1.90–8.77)

   

  7.35–7.45

1

   

  Alkalosis (>7.45)

1.17 (0.55–2.47)

   

 Lowest PaO2/FiO2 (mmHg)

 

0.009

  

  ≤100

3.08 (1.38–6.85)

   

  100–150

2.53 (1.26–5.10)

   

  >150

1

   

Factors related to the setting of care

 Non-university hospital

2.10 (1.17–3.75)

0.013

2.89 (1.31–6.38)

0.008

 University hospital

1

 

1

 
  1. ARDS acute respiratory distress syndrome, CI confidence interval, SAPS II Severe Acute Physiology Score II, ICU intensive care unit, FiO 2 fraction of inspired oxygen, PaO 2 partial pressure of arterial oxygen tension, PEEP positive end-expiratory pressure
  2. aOnly those variables are shown that qualified with p < 0.1 in the four prior multivariate analyses within the four variable categories for the overall final multivariable model (as described in Methods and in Additional file 1, the other variables in each category including tidal volume, PEEP, hospital size, ICU size and case volume of ventilated patients per ICU were eliminated in the multivariate analysis within each category by the presented parameters and did not qualify for the final model)
  3. bOnly those variables are shown that remained significant in the final multivariable model for n = 169 with stepwise backward elimination using a threshold of p = 0.05 according to Wald statistics. Goodness of fit: Hosmer–Lemeshow test, p = 0.398; area under the receiver-operator curve, 0.84 (95% CI 0.78–0.90), p < 0.001
  4. cDriving pressure = plateau pressure – PEEP