Table 3

Multivariable Cox proportional hazards model for the identification of independent variables associated with in-hospital death

Variable

Start model

Final model



HR

95% CI

p value

HR

95% CI

p value


Δ ln(lactate) T1 to T2*

0.20

0.05 to 0.79

0.022

0.20

0.05 to 0.76

0.018

SBP T1 per mmHg

1.00

0.99 to 1.01

0.56

Not in model

0.87

Heart rate T1 per beat/minute

1.01

0.99 to 1.02

0.47

Not in model

0.66

GCS T1 per unit

0.93

0.87 to 0.99

0.034

0.93

0.88 to 0.99

0.022


The variables were simultaneously entered in the model (start model). A backward elimination method was used to construct the final model.

* Δ ln(lactate) T1 to T2: for every 63% decrease (100*(1-(1/e)) = 63%) of the lactate level at T2 relative to the level at T1, the hazard of death decreased by 80% (100 (1-HR)) in the final model (95% CI = 24 to 95%). e = 2.71828, GCS = Glasgow Coma Scale, HR = hazard ratio, ln = natural logarithm, SBP = systolic blood pressure, T1 = on arrival of the ambulance on the scene, T2 = just before or on arrival at the emergency department.

Jansen et al. Critical Care 2008 12:R160   doi:10.1186/cc7159

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