Table 4 Factors associated with mortality
Alive(n = 234)Died(n = 25)Total(n = 259)p Value‡OR (95% CI)
Residential care home
    Caritas75 (32.1)8 (32.0)83 (32.0)0.1021.00
    Sage52 (22.2)10 (40.0)62 (23.9)1.80 (0.67 to 4.88)
    Shui On79 (33.8)7 (28.0)86 (33.2)0.83 (0.29 to 2.40)
    Cambridge28 (12.0)028 (10.8)
Sex
    Male104 (44.4)11 (44.0)115 (44.4)0.9661.00
    Female130 (55.6)14 (56.0)144 (55.6)1.02 (0.44 to 2.34)
Mean (SD) age (years)85.0 (8.9)84.2 (9.3)84.9 (8.9)0.6740.99 (0.95 to 1.04)
Age groups
    <8056 (23.9)5 (20.0)61 (23.6)0.8201.00
    80–89107 (45.7)11 (44.0)118 (45.6)1.15 (0.38 to 3.48)
    90+71 (30.3)9 (36.0)80 (30.9)1.42 (0.45 to 4.48)
Withholding food
    No106 (45.7)5 (20.0)111 (43.2)0.0141.00
    Yes126 (54.3)20 (80.0)146 (56.8)3.37 (1.22 to 9.27)
BMI (kg/m2)22.5 (5.0)18.5 (3.7)22.2 (5.0)<0.0010.78 (0.68 to 0.90)
MMSE
    At beginning of illness16.6 (3.6)14.1 (4.1)16.4 (6.3)0.3230.94 (0.82 to 1.07)
    At end of illness17.7 (6.9)
Changes in ADL score
    No83 (35.6)6 (24.0)89 (34.5)0.2451.00
    Yes50 (64.4)19 (76.0)169 (65.5)1.75 (0.67 to 4.56)
ADL score
    Before illness (from cases)6.6 (6.0)5.0 (4.7)6.5 (5.9)0.1270.95 (0.88 to 1.03)
    During illness4.1 (4.7)1.8 (1.8)3.9(4.5)<0.0010.82 (0.69 to 0.97)
    At end of illness6.0 (5.8)
Identified organisms
    Streptococcus pneumoniae26 (11.1)5 (20.0)31 (12.0)0.1932.00 (0.69 to 5.78)
    Respiratory syncytial virus18 (7.7)3 (12.0)21 (8.1)0.4531.64 (0.45 to 6.00)
    Pseudomonas aeruginosa15 (6.4)1 (4.0)16 (6.2)0.6340.61 (0.08 to 4.81)
    Parainfluenza virus type 115 (6.4)015 (5.8)0.192
    Metapneumovirus14 (6.0)1 (4.0)15 (5.8)0.6870.66 (0.08 to 5.20)
    Chlamydia13 (5.6)1 (4.0)14 (5.4)0.7440.71 (0.09 to 5.65)
    Haemophilus influenzae11 (4.7)2 (8.0)13 (5.0)0.4731.76 (0.37 to 8.45)
    Parainfluenza virus type 313 (5.6)013 (5.0)0.227
    Influenza virus A9 (3.8)2 (8.0)11 (4.2)0.3282.17 (0.44 to 10.67)
    Staphylococcus aureus5 (2.1)4 (16.0)9 (3.5)<0.0018.72 (2.18 to 34.98)
    Coronavirus 229E/OC437 (3.0)1 (4.0)8 (3.1)0.7821.35 (0.16 to 11.45)
    Mycoplasma pneumoniae7 (3.0)1 (4.0)8 (3.1)0.7821.35 (0.16 to 11.45)
    Rhinovirus7 (3.0)07 (2.7)0.381
    E coli5 (2.1)1 (4.0)6 (2.3)0.5561.91 (0.21 to 17.01)
    Influenza virus B6 (2.6)06 (2.3)0.418
    Klebsiella spp3 (1.3)2 (8.0)5 (1.9)0.0206.70 (1.06 to 42.15)
    Moraxella catarrhalis5 (2.1)05 (1.9)0.460
    Enterovirus4 (1.7)04 (1.5)0.510
    Others*18 (7.7)2 (8.0)20 (7.7)0.8281.19 (0.26 to 5.48)
Premorbid conditions
    Hypertension147 (62.8)14 (56.0)161 (62.2)0.5040.8 (0.3 to 1.7)
    Cerebral vascular accident99 (42.3)10 (40.0)109 (42.1)0.8240.9 (0.4 to 2.1)
    Diabetes mellitus56 (23.9)4 (16.0)60 (23.2)0.3720.6 (0.2 to 1.8)
    Ischaemic heart disease25 (10.7)2 (8.0)27 (10.4)0.6760.7 (0.2 to 3.3)
    Congestive heart failure32 (13.7)4 (16.0)36 (13.9)0.7491.2 (0.4 to 3.7)
    Dementia84 (35.9)12 (48.0)96 (37.1)0.2341.6 (0.7 to 3.8)
    COPD43 (18.4)6 (24.0)49 (18.9)0.4951.4 (0.5 to 3.7)
    Cancer12 (5.1)2 (8.0)14 (5.4)0.5461.6 (0.3 to 7.6)
    R/T feeding40 (17.1)3 (12.0)43 (16.6)0.5150.7 (0.2 to 2.3)
No of premorbid conditions
    013 (5.6)1 (4.0)14 (5.4)0.4711.0
    147 (20.1)4 (16.0)51 (19.7)1.1 (0.1 to 10.8)
    274 (31.6)9 (36.0)83 (32.0)1.6 (0.2 to 13.6)
    365 (27.8)10 (40.0)75 (29.0)2.0 (0.2 to 17.0)
    4+35 (15.0)1 (4.0)36 (13.9)0.4 (0.02 to 6.4)
  • Data are given as n (%).

  • ADL, activities of daily living; BMI, body mass index; COPD, chronic obstructive pulmonary disease; MMSE, Mini Mental State Examination; R/T, Ryle's tube.

  • *Others included: parainfluenza virus type 2 (3 cases, 1 died), parainfluenza virus type 4 (3 cases), Mycobacterium avium complex (3 cases), Acinetobacter spp (2 cases), Enterobacter spp (2 cases), Proteus mirabilis (2 cases), Serratia spp (2 cases, 1 died), Coxiella burnetii (1 case), Mycobacterium tuberculosis (1 case) and Morganella morganii (1 case).

  • †The figure may not add up to 100% as patients may have more than one condition.

  • ‡The p value is for the χ2 test of a null hypothesis proposing a value of 1 for multiple odds ratio.