Table 3 Multivariable adjusted odds ratios for predictors of infection among STEMI Patients (n = 11, 879)*, † at acute care hospitals in Florida, 2006.
All Infections n = 1, 969 Odds-Ratio (95% CI) | Blood Stream Infection3 n = 310 Odds Ratio (95% CI) | Pneumonia‡ n = 550 Odds Ratio (95% CI) | Surgical Site Infection‡ n = 491 Odds Ratio (95% CI) | Urinary Tract Infection‡ n = 708 Odds Ratio (95% CI) | |
|---|---|---|---|---|---|
Patient Characteristics | |||||
Age | |||||
Each 5 year increase | 1.11 (1.00 - 1.14) ‡‡ | 1.06 (0.95 - 1.17) | 1.21 (0.14 - 1.28) | 0.99 (0.94 - 1.04) | 1.27 (1.21 - 1.33)** |
Sex | |||||
Female | 1.29 (1.15 - 1.44)** | 0.71 (0.43 - 1.21) | 0.83 (0.64 - 1.06) | 0.80 (0.62 - 1.04) | 2.46 (1.99 - 3.03)** |
Race/Ethnicity | |||||
Black race | 1.23 (1.00 - 1.51) ‡‡ | 1.27 (0.54 - 2.97) | 1.19 (0.75 - 1.90) | 1.44 (0.98 - 2.11) | 1.01 (0.67 - 1.52) |
Hispanic ethnicity | 1.05 (0.88 - 1.25) | 1.92 (0.99 - 3.73) | 0.98 (0.65 - 1.47) | 0.84 (0.57 - 1.22) | 1.02 (0.70 - 1.42) |
Income by Proxy | |||||
Low income (Medicaid, self-pay, uninsured) | 1.14 (0.97 - 1.34) | 1.36 (0.69 - 2.71) | 1.07 (0.73 - 1.58) | 1.30 (0.97 - 1.73) | 1.13 (0.78 - 1.64) |
Patient Risk Factors | |||||
Cigarette smoking | 0.76 (0.66 - 0.87) †† | 0.62 (0.32 - 1.22) | 1.16 (0.86 - 1.56) | 0.70 (0.53 - 0.91) †† | 0.66 (0.48 - 0.82) ‡‡ |
Alcohol abuse | 1.73 (1.30 - 2.31) †† | 0.94 (0.20 - 4.44) | 2.31 (1.33 - .01) †† | 1.67 (0.96 - 2.90) | 0.93 (0.37 - 2.36) |
Drug abuse | 1.55 (1.09 - 2.20) ‡‡ | 1.80 (0.37 - 8.80) | 0.64 (0.22 - 1.84) | 1.02 (0.52 - 2.00) | 1.38 (0.48 - 3.84) |
Patient Co-Morbidities | |||||
Chronic bronchitis | 2.39 (1.84 - 3.09)** | 2.56 (0.87 - 7.52) | 4.30 (2.82 - .56)** | 1.17 (0.54 - 2.53) | 1.47 (0.85 - 2.53) |
Chronic obstructive pulmonary disease (COPD) | 2.03 (1.79 - 2.30)** | 1.80 (1.03 - 3.14) ‡‡ | 2.28 (1.75 - .96)** | 1.22 (0.90 - 1.65) | 1.57 (1.24 - 2.00) †† |
Diabetes | 1.33 (1.19 - 1.49)** | 0.94 (0.56 - 1.58) | 1.10 (0.85 - 1.42) | 1.24 (0.98 - 1.58) | 1.59 (1.30 - 1.96)** |
Chronic Kidney Diseases§ | 1.47 (1.26 - 1.72)** | 1.72 (0.92 - 3.23) | 1.43 (1.04 - .98) ‡‡ | 0.85 (0.54 - 1.32) | 1.64 (1.26 - 2.14) †† |
Cardiomyopathy | 1.50 (1.25 - 1.80)** | 1.55 (0.75 - 3.22) | 1.20 (0.80 - 1.81) | 1.24 (0.81 - 1.91) | 1.26 (0.89 - 1.71) |
Valve disorders | 1.17 (1.01 - 1.37) ‡‡ | 2.22 (1.26 - 3.92) †† | 1.22 (0.88 - 1.68) | 0.94 (0.64 - 1.39) | 0.91 (0.69 - 1.22) |
Patient Procedures | |||||
Cardiac catheterization | 1.10 (0.93 - 1.30) | 0.51 (0.25 - 1.04) | 0.79 (0.55 - 1.15) | 2.89 (1.98 - 4.22)** | 1.07 (0.77 - 1.47) |
Percutaneous coronary intervention (PCI) | 0.81 (0.69 - 0.95) †† | 1.05 (0.53 - 2.08) | 0.85 (0.59 - 1.21) | 0.63 (0.46 - 0.88) †† | 0.85 (0.63 - 1.16) |
Cardiac surgical procedures | 1.53 (1.28 - 1.84)** | 1.42 (0.65 - 3.14) | 1.54 (1.02 - .33)# | 0.66 (0.43 - 1.01) | 1.83 (1.28 - 2.62) †† |
Indwelling arterial or venous catheter | 3.90 (3.29 - 4.63)** | 6.99 (3.93 - 12.41)** | 3.93 (2.79 - .55)** | 1.98 (1.30 - 3.03) †† | 1.69 (1.17 - 2.43) †† |
Pacemaker| | | 1.02 (0.74 - 1.40) | 0.63 (0.14 - 2.80) | 1.41 (0.76 - 2.58) | 1.43 (0.79 - 2.57) | 0.61 (0.30 - 1.23) |
Dialysis | 3.40 (2.40 - 4.82)** | 6.97 (2.81 - 17.26)** | 3.55 (1.76 - .09) †† | 2.61 (1.10 - .17) ‡‡ | 2.24 (1.19 - 4.19) ‡‡ |
Blood Transfusion | 1.64 (1.37 - 1.96)** | 2.10 (1.07 - 4.11) ‡‡ | 0.90 (0.58 - 1.40) | 1.62 (1.08 - .45) ‡‡ | 1.94 (1.43 - 2.64)** |