Table 3

Multivariate analysis of the association between baseline covariates and in-hospital mortality in 303 patients with confirmed bacterial meningitis using logistic regression modelling

Baseline covariateNIn-hospital mortality N (%)*Crude OR for in-hospital mortality (95% CI)P valueAdjusted OR for in-hospital mortality (95% CI)†P value‡
Sex
 Male17326 (15.1)1
 Female13012 (9.23)0.57 (0.27 to 1.18)0.13
Age group
 ≤18 years180 (0)
 19–59 years15918 (11.3)1
 ≥60 years12620 (16.0)1.49 (0.75 to 2.96)0.25
Blood culture positive
 No13711 (8.09)11
 Yes16627 (16.3)2.21 (1.04 to 4.67)0.031.87 (0.87 to 4.01)0.10
GCS≤13§
 No1248 (6.45)11
 Yes14827 (18.2)3.24 (1.39 to 7.52)0.0042.90 (1.26 to 6.71)0.008
IV dexamethasone given¶
 No14923 (15.4)11
 Yes15014 (9.40)0.57 (0.27 to 1.16)0.110.57 (0.28 to 1.17)0.12
Intravenous dexamethasone given if Streptococcus pneumoniae**
 No7316 (21.9)11
 Yes9711 (11.5)0.46 (0.20 to 1.08)0.070.47 (0.20 to 1.10)0.08
Final diagnosis S. pneumoniae
 No13110 (7.63)11
 Yes17228 (16.4)2.37 (1.10 to 5.11)0.022.08 (0.96 to 4.48)0.05
ICU admission††
 No1447 (4.86)11
 Yes15731 (19.7)4.81 (1.99 to 11.60)<0.0014.28 (1.81 to 10.1)<0.001
  • *7/11 patient with progressing rash, 131/176 patients with GCS <13 and 13/16 patients with uncontrolled seizures.

  • †Adjusted for sex and age group.

  • ‡P value from Likelihood ratio test comparing models with and without primary exposure variable.

  • §31/303 (10%) participants did not have a GCS recorded.

  • ¶4/303 (1%) participants had missing data on intravenous dexamethasone administration.

  • **2/172 (1%) participants with confirmed S. pneumoniae meningitis had missing data on intravenous dexamethasone administration.

  • ††1/303 (0.3%) participants had missing data on ICU admission.

  • GCS, Glasgow Coma Score.