From: Influence of ICU-bed availability on ICU admission decisions
Dead D60 N = 308 | Alive D60 N = 823 | Non adjusted analysis | Adjusted analysis | |||
---|---|---|---|---|---|---|
Crude OR | p | Adjusted OR | P | |||
ICU | ||||||
With low refusal rate (HBA) | 175 (56.8) | 479 (58.2) | 1 | 0.67 | 1 | |
With high refusal rate (LBA) | 133 (43.2) | 344 (41.8) | 1.06 (0.81–1.38) | 1.30 (0.90–1.56) | 0.16 | |
Age (mean ± SD) | 67 ± 14 | 54 ± 19 | 1.05 (1.04–1.05) | <0.001 | ||
Sex | ||||||
Male (%) | 204 (66) | 459 (56) | 1 | 1 | ||
Female (%) | 104 (34) | 364 (44) | 0.64 (0.49–0.84) | 0.002 | 0.54 (0.37–0.78) | 0.001 |
Characteristics on proposal, n (%) | ||||||
Shock | 145 (47.4) | 134 (16.3) | 4.70 (3.51–6.29) | <0.001 | 1.83 (1.23–2.72) | 0.003 |
Catecholamine infusion | 85 (27.6) | 63 (7.6) | 4.71 (3.29–6.75) | <0.001 | ||
Glasgow score | 10.0 ± 4.8 | 11.9 ± 4.1 | 0.91 (0.88–0.94) | <0.001 | ||
Platelets count <50,000/dl | 13 (4.2) | 11 (1.3) | 3.54 (1.57–8.00) | 0.002 | ||
Prothrombine time <30 % | 26 (8.4) | 12 (1.5) | 6.73 (3.35–13.53) | <0.001 | 3.02 (1.22–7.49) | 0.02 |
Creatinine level >250 µmol/l | 54 (17.5) | 70 (9.3) | 2.57 (1.75–3.78) | <0.001 | ||
Jaundice | 19 (6.2) | 17 (8.5) | 3.20 (1.64–6.25) | 0.0006 | ||
Mechanical ventilation (all setting) | 159 (51.6) | 316 (38.4) | 1.76 (1.35–2.30) | <0.001 | ||
NIV | 17 (5.5) | 52 (6.3) | 0.88 (0.50–1.56) | 0.67 | ||
Oxygen administration > 10L/min | 76 (24.7) | 137 (16.6) | 1.68 (1.22–2.32) | 0.001 | ||
Preexisting diseases | ||||||
COPD | 23 (7.5) | 45 (5.5) | 1.45 (0.86–2.44) | 0.16 | ||
Cardiac insufficiency | 26 (8.4) | 29 (3.5) | 2.65 (1.53–4.57) | 0.0005 | ||
Evolutive malignancy | 54 (17.5) | 93 (11.3) | 1.74 (1.20–2.50) | 0.003 | ||
Cirrhosis | 32 (10.4) | 24 (2.9) | 4.01 (2.32–6.93) | <0.001 | ||
Renal failure with ERT | 13 (4.2) | 14 (1.7) | 2.62 (1.22–5.64) | 0.01 | ||
Mac cabe score | ||||||
0 | 90 (31.0) | 481 (59.6) | 1 | 1 | ||
1 | 116 (40.0) | 247 (30.6) | 2.51 (1.83–3.44) | <0.001 | 1.64 (1.10–2.46) | 0.02 |
2 | 84 (29.0) | 79 (9.8) | 5.68 (3.88–8.32) | <0.001 | 3.66 (2.23–6.00) | <0.001 |
SAPS2 | 60 ± 20 | 33 ± 15 | 1.08 (1.07–1.10) | <0.001 | 1.08 (1.06–1.09) | <0.001 |