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Table 3 Risk factors for in-hospital mortality

From: Risk factors for and clinical outcomes of carbapenem non-susceptible gram negative bacilli bacteremia in patients with acute myelogenous leukemia

Variables

Survival (N = 426)

In-hospital mortality (N = 63)

Univariate

Multivariate

OR (95%CI)

P

aOR (95%CI)

P

Age, mean (± SD)

50.9 (± 14.8)

55.4 (± 14.2)

1.0 (1.0–1.0)

0.025

Male

250 (58.7)

33 (52.4)

0.8 (0.5–1.3)

0.344

Chemotherapy

 Induction or re-induction

158 (37.1)

45 (71.4)

4.2 (2.4–7.6)

< 0.001

3.5 (1.7–7.0)

0.001

 Consolidation

268 (62.9)

18 (28.6)

Diabetes mellitus

113 (26.5)

23 (36.5)

1.6 (0.9–2.8)

0.099

Isolation of resistant organism in the prior 1 year

 VRE

27 (6.3)

17 (27.0)

5.5 (2.8–10.8)

< 0.001

4.3 (1.8–10.2)

0.001

 ESBL

21 (4.9)

8 (12.7)

2.8 (1.2–6.6)

0.023

 CRPA

8 (1.9)

3 (4.8)

2.6 (0.7–10.1)

0.158

 CRAB

4 (0.9)

5 (7.9)

9.1 (2.4–34.8)

0.003

History of GNB bacteremia in the prior 1 year

136 (31.9)

31 (49.2)

2.1 (1.2–3.5)

0.007

Presence of preceding bacteremia during the hospitalization

42 (9.9)

19 (30.2)

3.9 (2.1–7.4)

< 0.001

Primary foci of infection

 Intra-abdominal infection

66 (15.5)

6 (9.5)

0.6 (0.2–1.4)

0.212

 Central line associated infection

54 (12.7)

6 (9.5)

0.7 (0.3–1.8)

0.507

 Urinary tract infection

7 (1.6)

1 (1.6)

1.0 (1.1–8.0)

1.000

 Pneumonia

2 (0.5)

4 (6.3)

14.4 (2.6–80.2)

0.003

32.7 (5.1–208.5)

< 0.001

 Others

9 (2.1)

0 (0.0)

0.9 (0.8–0.9)

0.374

 Unknown

288 (67.6)

46 (73.0)

1.3 (0.7–2.3)

0.389

Pitt score, median (IQR)

1.3 (0.0–2.0)

4.1 (1.0–5.0)

1.5 (1.3–1.7)

< 0.001

1.5 (1.3–1.7)

< 0.001

Septic shock

73 (17.1)

29 (46.0)

4.1 (2.4–7.2)

< 0.001

Carba-NS

24 (5.6)

21 (33.3)

8.4 (4.3–16.3)

< 0.001

6.6 (3.0–14.8)

< 0.001

Inappropriate empiric antibiotics

27 (6.3)

13 (20.6)

3.8 (1.9–7.9)

< 0.001

Hospital stay, median

 Days from chemotherapy to GNB bacteremia, median (IQR)

14.2 (11.0–16.0)

18.0 (11.0–21.0)

1.1 (1.0–1.1)

< 0.001

Hospital days to GNB bacteremia, median (IQR)

21.2 (14.0–20.0)

40.3 (18.0–61.0)

1.0 (1.0–1.1)

< 0.001

  1. OR odds ratio, aOR adjusted odds ratio, CI confidence interval, SD standard deviation, VRE vancomycin resistant enterococci, ESBL extended-spectrum β-lactamase-producing enterobacteriaceae, CRPA carbapenem resistant Pseudomonas aeruginosa, CRAB carbapenem resistant Acinetobacter baumannii, GNB gram negative bacilli, IQR interquartile range, Carba-NS carbapenem non-susceptible