Table 4 Variables associated with mortality in 148 HIV-infected patients with ALI in the ICU
Characteristic*Unadjusted analysisAdjusted‡ analysis
Odds ratio (95% CI)p ValueOdds ratio (95% CI)p Value
Age per 10-year increase1.19 (0.80 to 1.79)0.39
Male vs female sex1.36 (0.62 to 3.00)0.44
Caucasian vs non-Caucasian ethnicity1.21 (0.63 to 2.34)0.57
MSM vs other HIV risk factor2.22 (1.08 to 4.58)0.031
CART use vs non-use0.67 (0.33 to 1.33)0.250.89 (0.34 to 2.35)0.82
PCP prophylaxis use vs non-use1.68 (0.84 to 3.36)0.14
Previous PCP vs no previous PCP1.60 (0.70 to 3.62)0.26
Extrapulmonary vs pulmonary cause of ALI2.19 (0.89 to 5.35)0.086
PCP vs non-PCP cause of ALI1.46 (0.73 to 2.92)0.293.19 (1.15 to 8.89)0.029
Pneumothorax vs absence of pneumothorax1.27 (0.53 to 3.02)0.59
CD4+ T cell count (per 100 cells/μl decrease)1.14 (0.95 to 1.38)0.16
HIV RNA (per 1 log10 copies/ml increase)1.03 (0.78 to 1.37)0.82
Albumin (per 1 g/dl decrease)2.48 (1.41 to 4.37)0.0022.51 (1.23 to 5.13)0.012
LDH (per 100 IU increase)1.02 (0.93 to 1.12)0.65
pH† <7.25 vs ⩾7.253.10 (1.44 to 6.64)0.004
Paco2† <30 or >50 mm Hg vs 30–50 mm Hg3.05 (1.21 to 7.71)0.018
Pao2† (per 10 mm Hg decrease)1.23 (1.05 to 1.43)0.010
APACHE-II score (per 5 point increase)1.50 (1.12 to 2.00)0.007
SAPS-II score (per 20 point increase)1.92 (1.18 to 3.12)0.0082.41 (1.24 to 4.70)0.010
LIS ⩾2.75 vs <2.751.93 (0.99 to 3.79)0.054
Pressure-regulated vs volume-regulated ventilation0.82 (0.40 to 1.66)0.58
Vt† (per 1 ml/kg decrease)0.87 (0.74 to 1.03)0.110.76 (0.58 to 0.99)0.043
RR† (per 5 breath/min increase)1.03 (0.78 to 1.34)0.86
VE†>12 l/min vs ⩽12 l/min1.53 (0.80 to 2.95)0.20
PIP† (per 5 cm H2O increase)1.40 (1.11 to 1.77)0.005
Pplat† (per 5 cm H2O increase)2.05 (1.44 to 2.93)<0.0012.13 (1.36 to 3.33)0.001
Paw† (per 5 cm H2O increase)1.50 (1.03 to 2.20)0.037
PEEP† (per 5 cm H2O increase)1.91 (0.97 to 3.77)0.061
Crs† (per 20 ml/cm H2O decrease)0.94 (0.53 to 1.68)0.84
Pao2/Fio2† (per 50 mm Hg decrease)2.07 (1.47 to 2.92)<0.0011.37 (0.88 to 2.12)0.17
Worst Pao2/Fio2† (per 50 mm Hg decrease)2.48 (1.68 to 3.68)<0.001
O2 index† (per 5 mm Hg/cm H2O increase)1.95 (1.40 to 2.73)<0.001
Post-ARDSNet vs pre-ARDSNet protocol period0.80 (0.42 to 1.54)0.512.17 (0.73 to 6.47)0.16
  • *Up to 35 observations may be missing (as for HIV RNA), but odds ratios are calculated using only actual observations.

  • †Physiological variables averaged over days 1–3.

  • ‡Adjusted for all characteristics with odds ratios listed in the adjusted analysis column of the table. The adjusted model included 130 subjects.

  • ALI, acute lung injury; APACHE-II, Acute Physiology and Chronic Health Evaluation II; ARDSNet, Acute Respiratory Distress Syndrome Network study; CART, combination antiretroviral therapy; CI, confidence interval; Crs, respiratory system compliance; Fio2, fractional inspired oxygen concentration; ICU, intensive care unit; LDH, lactate dehydrogenase; LIS, Lung Injury Score; MSM, men having sex with men; O2, oxygenation; Paco2, arterial carbon dioxide tension; Pao2, arterial oxygen tension; PCP, Pneumocystis pneumonia; PIP, peak inspiratory pressure; Pplat, end-inspiratory plateau pressure; Paw, mean airway pressure; PEEP, positive end-expiratory pressure; RR, respiratory rate; SAPS-II, Severe Acute Physiology Score II; Ve, minute ventilation; Vt, tidal volume.