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Table 3 Cox regression analysis on the association between in-hospital antibiotic use and time to discharge alive

From: In-hospital antibiotic use for severe chronic obstructive pulmonary disease exacerbations: a retrospective observational study

Ā 

Model 1

Model 2

Model 3

Ā 

Total

HR [95% C.I.], p-value

HR [95% C.I.], p-value

HR [95% C.I.], p-value

Main analysis

n events/totalā€‰=ā€‰397/430

n events/totalā€‰=ā€‰362/385

n events/totalā€‰=ā€‰209/228

No in-hospital AB

138

Reference

Reference

Reference

In-hospital AB (all)

293

0.61 [0.49; 0.75], pā€‰<ā€‰0.001

0.60 [0.47; 0.76], pā€‰<ā€‰0.001

0.60 [0.43; 0.84], pā€‰=ā€‰0.003

Subgroup analysis 1: by AB

n events/totalā€‰=ā€‰267/292

n events/totalā€‰=ā€‰249/266

n events/totalā€‰=ā€‰154/168

Co-amoxiclav

188

Reference

Reference

Reference

Pip-tazo

24

0.54 [0.34; 0.86], pā€‰=ā€‰0.010

0.49 [0.30; 0.80], pā€‰=ā€‰0.004

0.39 [0.22; 0.69], pā€‰=ā€‰0.001

Azithromycin

24

1.06 [0.69; 1.65], pā€‰=ā€‰0.782

1.22 [0.78; 1.91], pā€‰=ā€‰0.387

1.09 [0.62; 1.89], pā€‰=ā€‰0.769

Moxifloxacin

32

0.74 [0.50; 1.10], pā€‰=ā€‰0.142

0.82 [0.54; 1.26], pā€‰=ā€‰0.363

0.87 [0.50; 1.52], pā€‰=ā€‰0.628

Other

25

0.53 [0.34; 0.82], pā€‰=ā€‰0.005

0.49 [0.31; 0.79], pā€‰=ā€‰0.003

0.45 [0.24; 0.83], pā€‰=ā€‰0.011

Subgroup analysis 2: by SCS

n events/totalā€‰=ā€‰397/430

n events/totalā€‰=ā€‰362/385

n events/totalā€‰=ā€‰209/228

No AB, no SCS

17

Reference

Reference

Reference

Only SCS

121

0.56 [0.33; 0.96], pā€‰=ā€‰0.033

0.60 [0.34; 1.06], pā€‰=ā€‰0.080

0.70 [0.33; 1.49], pā€‰=ā€‰0.349

Only AB

52

0.50 [0.28; 0.88], pā€‰=ā€‰0.016

0.50 [0.27; 0.93], pā€‰=ā€‰0.029

0.60 [0.27; 1.36], pā€‰=ā€‰0.222

AB and SCS

241

0.34 [0.20; 0.57], pā€‰<ā€‰0.001

0.37 [0.21; 0.65], pā€‰<ā€‰0.001

0.42 [0.20; 0.88], pā€‰=ā€‰0.022

  1. Significant estimates (pā€‰<ā€‰0.05) are indicated in bold
  2. Abbreviations: AB antibiotics, Co-amoxiclav amoxicillin-clavulanic acid, CI confidence interval, HR hazard ratio, SCS systemic corticosteroids, Pip-tazo piperacillin-tazobactam
  3. Model 1 is adjusted for age (changed point estimate by more than 10%)
  4. Model 2 is additionally adjusted for sputum purulence, body mass index and in-hospital systemic corticosteroid use (H02) (not for subgroup analysis by H02 use) (changed point estimate by more than 5%)
  5. Model 3 is additionally adjusted for forced expiratory volume in 1Ā s % predicted (changed point estimate by more than 5%)