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Table 2 Univariate analysis of factors associated with transmission of SARS

From: Clinical and epidemiological predictors of transmission in Severe Acute Respiratory Syndrome (SARS)

 

Patients with secondary transmission

Patients with no secondary transmission

   
 

(n = 22)

(n = 76)

   

Factors

n

%

n

%

OR

95%CI

p-value

Demographics

       

Age

       

- < = 24

4

18.2%

19

25.0%

1.00

(Ref)

- 25 to 49

12

54.5%

49

64.5%

1.16

(0.33–4.06)

0.812

- 50 and above

6

27.3%

8

10.5%

3.56

(0.79–16.14)

0.099

Female gender (vs male)

19

86.4%

60

78.9%

1.69

(0.44–6.43)

0.442

Non-Chinese ethnicity (vs Chinese)

6

27.3%

34

44.7%

0.46

(0.16–1.31)

0.148

Epidemiological features

       

Context of exposure to SARS

       

- healthcare worker

7

31.8%

50

65.8%

1.00

(Ref)

- hospital inpatient

6

27.3%

4

5.3%

10.70

(2.41–47.6)

0.002

- *others

9

40.9%

22

28.9%

2.92

(0.97–8.85)

0.058

Date of onset

       

- 21/3/03 or earlier (before universal PPE)

18

81.8%

60

78.9%

1.00

(Ref)

- 22/3//03 or later (after universal PPE)

4

18.2%

16

21.1%

1.61

(0.49–5.32)

0.437

Delayed isolation (on Day 7 or later)

16

72.7%

18

23.7%

8.59

(2.93–25.23)

<0.001

Ever admitted to a non-isolation ward

11

50.0%

1

1.3%

75.00

(8.8–639.18)

<0.001

Clinical features

       

Chronic illness

       

- chronic respiratory illness

5

22.7%

2

2.6%

10.88

(1.94–60.92)

0.007

- disease with immunosuppression

5

22.7%

5

6.6%

4.18

(1.09–16.08)

0.038

Disease severity at time of isolation

       

- had an abnormal chest radiograph

15

68.2%

63

82.9%

0.44

(0.15–1.3)

0.138

- required oxygen therapy

7

31.8%

7

9.2%

4.60

(1.4–15.08)

0.012

- admitted to ICU or HD

4

18.2%

0

0.0%

NC

- intubated

2

9.1%

0

0.0%

NC

Signs and symptoms at time of isolation

       

- temperature > = 38oC

16

72.7%

58

76.3%

0.83

(0.28–2.43)

0.731

- fever

21

95.5%

74

97.4%

0.57

(0.05–6.57)

0.65

- cough

13

59.1%

42

55.3%

1.17

(0.45–3.06)

0.75

- dyspnoea

9

40.9%

15

19.7%

2.82

(1.01–7.81)

0.047

- vomiting

8

36.4%

9

11.8%

4.25

(1.4–12.95)

0.011

- diarrhoea

6

27.3%

8

10.5%

3.19

(0.97–10.48)

0.056

^Laboratory investigations

       

- alanine aminotransferase >41IU/L

7

31.8%

17

22.4%

1.62

(0.57–4.61)

0.367

- maximum lactate dehydrogenase >650IU/L

14

63.6%

10

13.2%

11.55

(3.87–34.49)

<0.001

- minimum platelet count < = 184*10^9/L

8

36.4%

16

21.1%

2.14

(0.77–6)

0.147

- maximum neutrophil count >5.04*10^9/L

11

50.0%

13

17.1%

4.85

(1.74–13.53)

0.003

- minimum lymphocyte count < = 0.93*10^9/L

9

40.9%

15

19.7%

2.82

(1.01–7.81)

0.047

  1. *others: original imported index patient and hospital visitors
  2. ^unit of measurement as in Table 1