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Table 2 Delirium risk after antimicrobial exposure using a logistic regression model with cluster sandwich covariance estimator

From: Antimicrobial exposure and the risk of delirium in critically ill patients

Independent variable

OR

95% CI

P value

Antimicrobials on previous day

 Beta-lactams

  First- to third-generation cephalosporins

2.20

1.28–3.79

0.004

  Fourth-generation cephalosporins

0.97

0.68–1.38

0.867

  Penicillins

1.26

0.98–1.62

0.067

  Carbapenems

1.43

0.97–2.11

0.069

 Fluoroquinolones

0.92

0.69–1.23

0.572

 Macrolides

0.64

0.29–1.43

0.274

 Other antimicrobialsa

1.44

1.15–1.79

< 0.001

Covariates

OR

95% CI

P-value

Age at enrollment

1.50

1.31–1.71

< 0.001

Mechanical ventilation at enrollment

2.03

1.38–3.00

< 0.001

Sepsis at enrollment

1.18

0.93–1.5

0.182

Modified SOFA score, same day

1.04

0.92–1.18

0.494

Charlson Comorbidity Index

1.07

0.91–1.26

0.391

IQCODE score

1.00

0.98–1.03

0.769

Delirium on previous day

11.21

9.41–13.35

< 0.001

ICU type, surgical

1.02

0.82–1.27

0.859

Dose of analgesics and sedativessb on previous day

 Daily dose of benzodiazepines, mgc

1.16

1.06–1.25

< 0.001

 Daily dose of propofol, mg

2.24

1.15–4.37

0.017

 Daily dose of dexmedetomidine, μg

3.90

1.32–11.54

0.014

 Daily dose of opiates, μgd

1.19

1.03–1.37

0.015

Use of antipsychotic on previous daye

 Typical antipsychotic

1.62

1.15–2.29

0.006

 Atypical antipsychotic

1.35

1.07–1.69

0.012

  1. Abbreviations: CI confidence interval, ICU intensive care unit, IQCODE The Informant Questionnaire on Cognitive Decline in the Elderly, OR odds ratio, SOFA Sequential Organ Failure Assessment (excluding neurologic component)
  2. aFor other antimicrobial list, see Additional file 1: Table S1
  3. bAnalgesic and Sedative drug doses were cube root transformed to reduce the influence of extreme outliers
  4. cMidazolam equivalents, for example, midazolam 2.5 mg = lorazepam; 1 mg = diazepam 5 mg
  5. dFentanyl equivalents, for example, fentanyl 100 μg = hydromorphone 0.75 mg = morphine 5 mg
  6. eTypical antipsychotic (for example, haloperidol), atypical antipsychotic (for example, quetiapine and olanzapine)