Sepsis and/or bacteraemia (N=3951) | Sepsis regardless of bacteraemia (N=2969) | Bacteraemia without sepsis (N=982) | Uncomplicated infection without sepsis or bacteraemia† (N=6967) | |||||||||
Adj-OR | (95% CI) | Adj-OR | (95% CI) | Adj-OR | (95% CI) | Adj-OR | (95% CI) | |||||
Sex | ||||||||||||
Male | Ref | Ref | Ref | Ref | ||||||||
Female | 1.21*** | 1.13 | 1.30 | 1.27*** | 1.17 | 1.38 | 1.03 | 0.90 | 1.19 | 1.93*** | 1.84 | 2.03 |
Age | ||||||||||||
20–49 years | Ref | Ref | Ref | Ref | ||||||||
≥50 years | 1.03 | 0.95 | 1.11 | 1.08 | 0.99 | 1.18 | 0.89 | 0.77 | 1.03 | 1.50*** | 1.40 | 1.59 |
Remoteness of residence | ||||||||||||
Major city | Ref | Ref | Ref | Ref | ||||||||
Inner regional | 1.12* | 1.03 | 1.22 | 1.07 | 0.96 | 1.18 | 1.29** | 1.08 | 1.52 | 0.92** | 0.86 | 0.99 |
Outer regional | 0.98 | 0.90 | 1.07 | 0.95 | 0.85 | 1.05 | 1.07 | 0.90 | 1.28 | 0.93** | 0.86 | 0.99 |
Remote/very remote | 1.31*** | 1.14 | 1.51 | 1.23* | 1.04 | 1.44 | 1.56** | 1.20 | 2.04 | 1.13** | 1.01 | 1.27 |
Q1 most affluent | Ref | Ref | Ref | Ref | ||||||||
Q2 | 0.87* | 0.76 | 0.99 | 0.85* | 0.73 | 0.99 | 0.94 | 0.73 | 1.22 | 0.97 | 0.88 | 1.07 |
Q3 | 1.10 | 0.97 | 1.25 | 1.10 | 0.96 | 1.28 | 1.10 | 0.85 | 1.40 | 1.13** | 1.03 | 1.25 |
Q4 | 1.14* | 1.01 | 1.30 | 1.14 | 0.99 | 1.31 | 1.15 | 0.91 | 1.47 | 1.16** | 1.06 | 1.28 |
Q5 most disadvantaged | 1.19** | 1.05 | 1.33 | 1.23** | 1.08 | 1.41 | 1.04 | 0.82 | 1.32 | 1.21*** | 1.10 | 1.32 |
Diabetes | 1.87*** | 1.74 | 2.01 | 1.97*** | 1.82 | 2.13 | 1.51*** | 1.31 | 1.75 | 1.97*** | 1.87 | 2.08 |
Alcohol | 2.90*** | 2.71 | 3.09 | 2.96*** | 2.74 | 3.19 | 2.53*** | 2.23 | 2.87 | 2.30*** | 2.18 | 2.42 |
Covariates adjusted for the above listed variables | ||||||||||||
Charlson co-morbidity index | ||||||||||||
0 | Ref | Ref | Ref | Ref | ||||||||
1 | 1.72*** | 1.54 | 1.91 | 1.97*** | 1.74 | 2.22 | 1.11 | 0.89 | 1.38 | 1.67*** | 1.54 | 1.82 |
2 | 1.08 | 0.98 | 1.19 | 1.28*** | 1.14 | 1.43 | 0.65*** | 0.53 | 0.80 | 0.68*** | 0.63 | 0.74 |
≥3 | 3.54*** | 3.19 | 3.93 | 4.23*** | 3.76 | 4.76 | 1.82*** | 1.46 | 2.27 | 2.07*** | 1.90 | 2.25 |
Complications of cirrhosis | ||||||||||||
Hepatorenal syndrome | 4.53*** | 3.85 | 5.34 | 4.76*** | 3.99 | 5.68 | 2.82*** | 1.99 | 3.99 | 2.16*** | 1.82 | 2.56 |
Hepatic encephalopathy | 4.26*** | 3.77 | 4.81 | 4.69*** | 4.12 | 5.35 | 2.26*** | 1.73 | 2.97 | 2.02*** | 1.78 | 2.29 |
Variceal bleeding | 1.45*** | 1.33 | 1.57 | 1.41*** | 1.28 | 1.55 | 1.50*** | 1.28 | 1.76 | 0.96 | 0.89 | 1.04 |
Ascites | 1.93*** | 1.79 | 2.07 | 1.90*** | 1.74 | 2.06 | 1.91*** | 1.65 | 2.20 | 1.49*** | 1.41 | 1.59 |
Hepatocellular carcinoma | 0.94 | 0.80 | 1.10 | 0.92 | 0.77 | 1.10 | 0.99 | 0.73 | 1.34 | 1.06 | 0.94 | 1.18 |
Infections | ||||||||||||
Urinary tract infection | 6.88*** | 6.31 | 7.51 | 6.97*** | 6.33 | 7.68 | 4.60*** | 3.86 | 5.48 | † | ||
Bacterial pneumonia/lower respiratory tract infection | 6.92*** | 6.33 | 7.56 | 7.42*** | 6.73 | 8.18 | 3.76*** | 3.12 | 4.53 | † | ||
Aspiration pneumonia | 8.77*** | 7.58 | 10.15 | 9.61*** | 8.24 | 11.21 | 3.50*** | 2.52 | 4.84 | † | ||
Spontaneous bacterial peritonitis | 8.55*** | 7.27 | 10.06 | 7.78*** | 6.52 | 9.29 | 6.42*** | 4.83 | 8.53 | † | ||
Cirrhosis aetiology | ||||||||||||
Chronic hepatitis C | 1.32*** | 1.22 | 1.43 | 1.19*** | 1.08 | 1.30 | 1.71*** | 1.48 | 1.98 | 1.16*** | 1.09 | 1.24 |
Chronic hepatitis B | 1.76*** | 1.51 | 2.04 | 1.81*** | 1.53 | 2.15 | 1.51* | 1.10 | 2.05 | 1.35*** | 1.18 | 1.53 |
NAFLD/NASH | 1.84*** | 1.56 | 2.17 | 2.02*** | 1.69 | 2.41 | 1.19 | 0.81 | 1.77 | 1.36*** | 1.20 | 1.56 |
Primary sclerosing cholangitis | 15.09*** | 12.24 | 18.60 | 13.19*** | 10.46 | 16.64 | 11.52*** | 8.14 | 16.32 | 1.16 | 0.80 | 1.68 |
Admission data | ||||||||||||
LOS | ||||||||||||
1 day | 0.09*** | 0.08 | 0.12 | 0.08*** | 0.06 | 0.11 | 0.13*** | 0.09 | 0.19 | 0.13*** | 0.12 | 0.14 |
2–4 days | Ref | Ref | Ref | Ref | ||||||||
5–9 days | 3.00*** | 2.68 | 3.34 | 2.80*** | 2.46 | 3.19 | 3.33*** | 2.71 | 4.08 | 2.04*** | 1.91 | 2.19 |
10–19 days | 7.52*** | 6.75 | 8.39 | 7.76*** | 6.85 | 8.79 | 5.67*** | 4.59 | 6.99 | 2.91*** | 2.70 | 3.14 |
20–29 days | 12.55*** | 11.00 | 14.33 | 12.45*** | 10.71 | 14.46 | 9.28*** | 7.22 | 11.92 | 4.34*** | 3.90 | 4.83 |
30+ days | 19.16*** | 17.02 | 21.58 | 19.40*** | 16.97 | 22.18 | 11.15*** | 8.87 | 14.01 | 5.43*** | 4.94 | 5.96 |
Note: reference group (Ref); adjusted OR (adj-OR).
*To indicate p<0.05, **p<0.01, ***p<0.001.
†The subgroup of uncomplicated infection without sepsis or documented bacteraemia included urinary tract infection, bacterial pneumonia/lower respiratory tract infection, aspiration pneumonia and spontaneous bacterial peritonitis.
LOS, length of stay; NAFLD/NASH, non-alcoholic fatty liver disease/non-alcoholic steatohepatitis.