Association between corticosteroid use and composite endpoints in univariate and multivariable analyses
Composite endpoints | Univariate regression analysis | Multivariate regression analysis | ||
OR (95% CI) | P value | OR (95% CI) | P value | |
Corticosteroid therapy* | ||||
Mortality (n=153) | 0.85 (0.69 to 1.03) | 0.12 | 0.73 (0.55 to 0.97) | 0.03 |
ICU admission (n=39) | 0.88 (0.62 to 1.25) | 0.48 | 0.72 (0.47 to 1.11) | 0.14 |
Invasive mechanical ventilation (n=86) | 0.80 (0.46 to 1.39) | 0.44 | 0.73 (0.38 to 1.42) | 0.36 |
Timing of corticosteroids use* | ||||
Mortality | ||||
≤7 days (n=86) | 0.42 (0.39 to 0.44) | 0.01 | 0.67 (0.47 to 0.97) | 0.03 |
≥8 days (n=67) | 1.23 (0.96 to 1.57) | 0.09 | 0.86 (0.56 to 1.31) | 0.49 |
ICU admission | ||||
≤7 days (n=23) | 2.25 (0.86 to 5.87) | 0.09 | 0.67 (0.31 to 0.71) | 0.02 |
≥8 days (n=16) | 1.59 (0.61 to 4.16) | 0.34 | 2.59 (0.71 to 9.42) | 0.15 |
Intubation | ||||
≤7 days (n=55) | 1.06 (0.59 to 1.91) | 0.84 | 1.35 (0.69 to 2.65) | 0.75 |
≥8 days (n=31) | 0.75 (0.42 to 1.30) | 0.34 | 0.89 (0.46 to 1.75) | 0.38 |
Impact of inflammatory biomarkers† | ||||
CRP ≥150 mg/L | 0.85 (0.70 to 1.04) | 0.12 | 0.73 (0.55 to 0.97) | 0.03 |
IL-6 ≥20 pg/mL | 0.85 (0.70 to 1.04) | 0.12 | 0.73 (0.55 to 0.97) | 0.03 |
D-dimer ≥2.0 µg/L | 0.85 (0.6 to 1.02) | 0.11 | 0.73 (0.55 to 0.97) | 0.03 |
*Multivariate logistic regression analysis—adjusted simultaneously for age, female, BMI, race, disease severity, Charlson Comorbidity Index, asthma, C reactive protein, creatinine, D-dimer, blood culture, adjuvant therapies (hydroxychloroquine+azithromycin+tocilizumab) and anticoagulation.
†Multivariable analysis—adjusted simultaneously for age, female, BMI, race, disease severity, Charlson Comorbidity Index, asthma, creatinine, blood culture, adjuvant therapies (hydroxychloroquine+azithromycin+tocilizumab) and anticoagulation.
BMI, body mass index; CRP, C reactive protein; ICU, intensive care unit; IL-6, interleukin-6.