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Table 1 Risk factors for inpatient-mortality among adults hospitalized with lower respiratory tract infection, South Africa, 2010–2011 (N = 1356)

From: Development of a respiratory severity score for hospitalized adults in a high HIV-prevalence setting—South Africa, 2010–2011

Risk factor

Cases with available data (N = 1356)

Died N = 101, No. (%)

Discharged N = 1255, No. (%)

p-value*

Unadjusted odds ratio (95% confidence interval)

Adjusted odds ratio (95% confidence interval)

Age ≥ 45 years

1356

67 (66.3)

561 (44.7)

<0.001

2.4 (1.6–3.7)

2.5 (1.4–4.2)

Male

1356

49 (48.5)

464 (37.0)

0.0214

1.6 (1.1–2.4)

0.8 (0.5–1.3)

Medical condition

 HIV

1325

87/98 (88.8)

932/1227 (76.0)

0.0038

2.5 (1.3–4.8)

2.9 (1.2–6.9)

 Asthma

1356

2 (2)

82 (6.5)

0.0678

0.3 (0.1–1.2)

 Diabetes

1356

3 (3)

43 (3.4)

1.0

0.9 (0.3–2.8)

 Cardiovascular§

1356

2 (2)

41 (3.2)

0.77

0.6 (0.1–2.5)

 Emphysema

1356

1 (1)

22 (1.8)

1.0

0.6 (0.1–4.2)

 Cancer

1356

0 (0)

10 (0.8)

1.0

Not applicable

 Other¶

1356

0 (0)

18 (1.4)

0.39

Not applicable

Clinical Data

 Confusion**

1356

14 (13.9)

24 (1.9)

<0.001

8.3 (4.1–16.5)

7.6 (3.0–19.5)

 Received any supplemental oxygen

1356

35 (34.7)

200 (15.9)

<0.001

2.8 (1.8–4.3)

2.0 (1.2–3.5)

 Temperature ≥38 °C

1328

20/99 (20.2)

299 (24.3)

0.355

0.8 (0.4–1.3)

 Respiratory Rate >20 breaths per minute

1333

36/100 (36.0)

462/1233 (37.5)

0.770

0.9 (0.6–1.4)

 Heart Rate ≥115 beats per minute

1347

50/100 (50.0)

493/1247 (39.5)

0.040

1.5 (1.0–2.3)

1.6 (0.9–2.7)

 Hypotension (Systolic <90 mmHg or diastolic ≤60 mmHg)

1352

24/101 (23.8)

249/1251 (19.9)

0.353

1.3 (0.8–2.0)

 Serum Sodium <135 mmol/L

1029

54/80 (67.5)

478/949 (50.4)

0.003

2.0 (1.3–3.3)

1.6 (0.9–2.8)

 Urea >7 mmol/L

1029

55/80 (68.8)

274/949 (28.9)

<0.001

5.4 (3.3–8.9)

4.4 (2.5–7.6)

 Serum Creatinine ≥ 106.08 μmol/L

1028

34/80 (42.5)

190/948 (20.0)

<0.001

2.9 (1.8–4.7)

††

  1. * p-value refers to chi-square or Fischer’s exact test for categorical variables and to a Wilcoxon rank sum test for continuous variables
  2. Age (median, interquartile range, years) Died 45 (35–53) versus Discharged 38 (30–48) p >0.001
  3. §Includes cardiac and cerebrovascular disease
  4. Other includes liver disease, renal disease, spinal disorders, obesity, pregnancy, chemotherapy, autoimmune diseases, and seizure disorders
  5. **“Confusion” based on positive documentation in the medical chart. A no or lack of documentation in the medical chart was classified as “not confused”
  6. ††Not included in final multivariate analysis because it demonstrated co-linearity with urea