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Table 3 Delirium risk after antimicrobial exposure using a proportional odds logistic regression model

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

Independent variable

OR

95% CI

P value

Total days of antimicrobial therapy

 Beta-lactams

  First- to third-generation cephalosporins

4.61

0.78–27.11

0.091

  Fourth-generation cephalosporins

1.83

0.28–12.11

0.533

  Penicillins

1.08

0.90–1.29

0.404

  Carbapenems

2.14

0.51–9.04

0.299

 Fluoroquinolones

1.05

0.89–1.24

0.566

 Macrolides

0.16

0.03–1.03

0.054

 Other antimicrobialsa

3.14

2.27–4.35

< 0.001

Covariates

OR

95% CI

p-value

Age at enrollment

1.79

1.39–2.3

< 0.001

Mechanical ventilation at enrollment

4.75

2.51–9.0

< 0.001

Sepsis at enrollment

0.84

0.55–1.28

0.416

Modified SOFA score, same day

1.16

0.90–1.48

0.255

Charlson Comorbidity Index

0.88

0.69–1.14

0.344

IQCODE score

1.05

0.99–1.12

0.129

ICU type, surgical

0.86

0.57–1.30

0.477

Use of analgesics and sedatives in the ICU

 Benzodiazepines

1.03

0.68–1.59

0.875

 Propofol

0.86

0.57–1.30

0.472

 Dexmedetomidine

0.55

0.21–1.45

0.227

 Opiates

1.03

0.6–1.77

0.904

Use of antipsychotics in the ICUb

 Typical antipsychotic

1.28

0.49–3.32

0.613

 Atypical antipsychotic

2.03

0.7–5.94

0.194

  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. bTypical antipsychotic (for example, haloperidol), atypical antipsychotic (for example, quetiapine and olanzapine)