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Table 5 Final model resulting from multinomial logistic regression for factors associated with unfavorable outcomes in new cases of drug-resistant pulmonary tuberculosis, Brazil, 2013 and 2014. (980 cases)

From: Brazilian cohort study of risk factors associated with unsuccessful outcomes of drug resistant tuberculosis

 

Lost to follow-up

Failure

Death

 

Adjusted OR

(CI95%)

p value*

Adjusted OR

(CI95%)

p value*

Adjusted OR

(CI95%)

p value*

Block I

         

Race/color

White

1.0

  

1.0

  

1.0

  

Brown/Black1

1.1

(0.73–1.58)

0.72

1.1

(0.62–1.90)

0.76

1.7

(1.08–2.77)

0.02

Asian/Indigenous

0.8

(0.08–6.77)

0.80

  

0.99

  

0.99

Age group (years)

15–59

1.0

  

1.0

  

1.0

  

60 or more

0.4

(0.18–1.09)

0.08

1.1

(0.44–2.82)

0.81

3.4

(1.90–6.03)

 < 0.01

Education (years)

0 to 7

1.8

(1.13–2.66)

0.01

0.9

(0.50–1.59)

0.69

1.9

(1.09–3.19)

0.02

8 or more

1.0

  

1.0

  

1.0

  

Missing

1.8

(0.89–3.62)

0.10

0.6

(0.17–1.90)

0.36

2.8

(1.27–6.02)

0.01

HIV

Positive

1.0

(0.57–1.85)

0.94

1.0

(0.39–2.52)

0.99

2.7

(1.45–4.83)

 < 0.01

Negative

1.0

  

1.0

  

1.0

  

Missing

1.2

(0.66–2.02)

0.61

0.8

(0.36–1.97)

0.70

1.5

(0.79–2.76)

0.22

Use of illicit drugs

Yes

2.5

(1.57–3.82)

 < 0.01

0.9

(0.41–2.06)

0.84

1.3

(0.73–2.38)

0.37

No/don't know

1.0

  

1.0

  

1.0

  

Prison population

Yes

1.3

(0.64–2.65)

0.48

0.5

(0.06–3.85)

0.48

0.1

(0.02–1.01)

0.05

No/don't know

1.0

  

1.0

  

1.0

  

Block II

         

Bilateral disease

Yes

1.2

(0.89–1.71)

0.43

2.0

(1.09–3.62)

0.03

1.9

(1.20–3.08)

0.01

No

1.0

  

1.0

  

1.0

  

Resistance type

         

Primary

1.0

  

1.0

  

1.0

  

Acquired

1.4

(0.87–2.17)

0.17

1.3

(0.66–2.50)

0.47

1.8

(1.02–3.31)

0.04

Initial resistance pattern

MDR/RR

1.0

  

1.0

  

1.0

  

XDR

0.7

(0.07–6.25)

0.73

1.5

(0.22–9.69)

0.70

7.3

(1.97–27.09)

 < 0.01

Injectable drug treatment

Only used Am

1.0

  

1.0

  

1.0

  

Only used S

0.9

(0.58–1.38)

0.61

1.0

(0.51–1.90)

0.97

0.8

(0.52–1.38)

0.50

Only use Cm

1.4

(0.59–3.24)

0.46

1.7

(0.51–5.55)

0.40

0.8

(0.25–2.61)

0.73

Used more than one injectable or did not use

0.9

(0.36–2.13)

0.76

2.8

(1.05–7.69)

0.04

1.5

(0.60–3.61)

0.40

Block III

         

Resides in different municipality than treatment

Yes

0.7

(0.46–0.99)

0.04

1.7

(0.97–2.92)

0.07

0.8

(0.54–1.31)

0.45

No

1.0

  

1.0

  

1.0

  

Reported unfavorable clinical evaluation

Yes

3.1

(2.02–4.86)

 < 0.01

18.0

(10.18–31.90)

 < 0.01

3.3

(2.02–5.44)

 < 0.01

No

1.0

  

1.0

  

1.0

  

Changed regimen type

Yes

0.6

(0.30–1.07)

0.08

0.7

(0.35–1.57)

0.43

0.4

(0.17–0.76)

0.01

No

1.0

  

1.0

  

1.0

  

Had adverse reaction

No adverse reaction records

1.0

  

1.0

  

1.0

  

Only minor adverse reactions

0.5

(0.25–0.83)

0.01

1.3

(0.66–2.52)

0.45

0.6

(0.33–1.23)

0.18

At least one major adverse reaction

0.6

(0.24–1.32)

0.18

0.3

(0.06–1.21)

0.09

0.8

(0.33–1.85)

0.58

  1. IBlack = combines black and brown
  2. OR odds ratio, CI confidence interval, MDR multidrug resistant, RR resistant to rifampicin diagnosed by GeneXpert MTB/RIF® (RR), XDR extensively resistant, Am amikacin, S streptomycin, Cm capreomycin
  3. *Significance level = 0.05