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Table 6 Predictors of ICU and hospital mortality stratified by risk (multivariate logistic regression analysis)

From: Computerized physician order entry of a sedation protocol is not associated with improved sedation practice or outcomes in critically ill patients

Variable

Adjusted odds ratio (95 % CI)

P-value

Risk 1: age ˂60 years, normal kidney function (MDRD ˃90), normal liver function (MELD ˂8)

ICU mortality

 CPOE protocol

0.82 (0.12–5.63)

0.84

 Revised CPOE protocol

0.45 (0.07–2.99)

0.41

 APACHE II

1.22 (1.07–1.38)

0.002

Hospital mortality

 CPOE protocol

0.67 (0.13–3.48)

0.63

 Revised CPOE protocol

0.21 (0.04–1.16)

0.07

 APACHE II

1.13 (1.00–1.28)

0.0492

 GCS

0.87 (0.73–1.03)

0.11

Risk 2: age = 60–70 years, moderate kidney function impairment (MDRD = 30–90), moderate liver function impairment (MELD = 8–14)

ICU mortality

 CPOE protocol

0.54 (0.06–4.82)

0.58

 Revised CPOE protocol

1.43 (0.15–13.88)

0.76

 GCS

1.47 (0.99–2.18)

0.06

Hospital mortality

 CPOE protocol

0.59 (0.09–4.01)

0.59

 Revised CPOE protocol

1.15 (0.198–6.74)

0.87

Risk 3: age ˃70 years, severe kidney function impairment (MDRD ˂30), severe liver function impairment (MELD ˃14)

ICU mortality

 CPOE protocol

2.64 (1.03–6.56)

0.04

 Revised CPOE protocol

0.68 (0.24–1.88)

0.45

 Chronic cardiovascular disease

2.07 (0.81–5.30)

0.13

 Chronic liver disease

5.87 (1.99–17.27)

0.001

 APACHE II

1.11 (1.05–1.18)

0.0002

Hospital mortality

 CPOE protocol

1.43 (0.59–3.46)

0.43

 Revised CPOE protocol

1.11 (0.44–2.79)

0.82

 Chronic liver disease

3.25 (1.07–9.84)

0.04

 APACHE II

1.12 (1.06–1.19)

<0.0001

  1. APACHE Acute Physiology and Chronic Health Evaluation, CPOE computerized physician order entry, ICU intensive care unit, GCS Glasgow Coma Scale, MDRD Modification of Diet in Renal Disease (surrogate for kidney function), MELD Model for End-Stage Liver Disease (surrogate for liver function)