Adjustment | Diarrhoea | Antibiotic use prior to admission | Diarrhoea:antibiotic interaction terms | |
No diarrhoea:antibiotic* | Diarrhoea:antibiotic* | |||
Unadjusted | 0.70 (0.53–0.94), p=0.018 | 1.42 (1.11–1.81), p=0.005 | 1.47 (1.14–1.90), p=0.003 | 0.90 (0.41–2.00), p=0.804 |
Age | 0.88 (0.66–1.18), p=0.397 | 1.28 (1.00–1.63), p=0.049 | 1.35 (1.05–1.75), p=0.021 | 0.78 (0.35–1.73), p=0.542 |
Age and gender | 0.92 (0.69–1.23), p=0.564 | 1.33 (1.04–1.69), p=0.023 | 1.41 (1.09–1.82), p=0.010) | 0.93 (0.37–1.83), p=0.635 |
Age, gender, and Index of Multiple Deprivation | 0.92 (0.68–1.23), p=0.558 | 1.34 (1.05–1.71), p=0.020 | 1.41 (1.09–1.83), p=0.009 | 0.83 (0.38–1.85), p=0.655 |
Age, gender, Index of Multiple Deprivation and comorbidities† | 0.96 (0.71–1.23), p=0.773 | 1.33 (1.03–1.70), p=0.026 | 1.40 (1.08–1.82), p=0.012 | 0.84 (0.37–1.87), p=0.665 |
Age, gender, Index of Multiple Deprivation, comorbidities† and severity markers‡ | 0.95 (0.70–1.29), p=0.761 | 1.24 (0.96–1.60), p=0.098 | 1.30 (1.00–1.70), p=0.050 | 0.79 (0.34–1.80), p=0.571 |
Age, gender, Index of Multiple Deprivation, comorbidities†, severity markers‡ and ethnicity | 0.96 (0.70–1.30), p=0.772 | 1.22 (0.94–1.57), p=0.135 | 1.37 (0.97–1.66), p=0.080 | 0.81 (0.36–1.87), p=0.636 |
Age, gender, Index of Multiple Deprivation, comorbidities†, severity markers‡ and BMI§ | 0.96 (0.71–1.31), p=0.808 | 1.18 (0.92–1.53), p=0.195 | 1.22 (0.94–1.60), p=0.141 | 0.86 (0.37–2.00), p=0.719 |
Full covariate set adjustment | 0.96 (0.70–1.32), p=0.813 | 1.17 (0.91–1.51), p=0.231 | 1.20 (0.92–1.57), p=0.187 | 0.92 (0.39–2.14), p=0.839 |
*The base model for the interaction term consisted of both the diarrhoea primary term and the diarrhoea:antibiotic interaction term; the introduction of the interaction term to the primary diarrhoea term improves the Akaike information criterion (AIC) from 4985.42 to 4981.19, but the Bayesian information criterion (BIC) deteriorates from 4988.23 to 4992.87.
†Comorbidities included: hypertension, ischaemic heart disease, congestive heart failure, cerebrovascular disease, dementia, chronic pulmonary disease, diabetes, chronic renal disease, previous or active malignancy, and moderate-severe chronic liver disease.
‡Severity markers included: C-reactive protein (CRP), urea, creatinine, platelet count, neutrophil count, neutrophil:lymphocyte ratio, lymphocyte count, and initial National Early Warning Score 2 (NEWS 2). All of the severity markers and age were modelled using a 3-knot restricted cubic spline. The Index of Multiple Deprivation was modelled as linear feature. BMI was specified using the categories presented in table 1.
BMI, body mass index.