Table 4.

Factors Associated With 90-day Mortality in NSTI Caused by GAS

Univariate Model (n = 125)Adjusted Modela (n = 125)Lasso Regressionb (n = 125)
CharacteristicORP valueORP valueOR
Age (years)1.06.0151.32<.00051.15
Sex (male)3.33.066145.82.0025.09
CVD 0.69.7650.02.0060.22
Active malignancy0.891.000<0.01.0080.04
Septic shockc1.93.54125.73.0481.96
Initial surgery > 24 hours after admissiond0.33.2160.30.4220.95
No clindamycin before inclusione0.40.3420.06.1660.36
IVIG not given2.98.0867.60.1253.15
HBOT not given23.81<.00051220.47<.000578.80
Univariate Model (n = 125)Adjusted Modela (n = 125)Lasso Regressionb (n = 125)
CharacteristicORP valueORP valueOR
Age (years)1.06.0151.32<.00051.15
Sex (male)3.33.066145.82.0025.09
CVD 0.69.7650.02.0060.22
Active malignancy0.891.000<0.01.0080.04
Septic shockc1.93.54125.73.0481.96
Initial surgery > 24 hours after admissiond0.33.2160.30.4220.95
No clindamycin before inclusione0.40.3420.06.1660.36
IVIG not given2.98.0867.60.1253.15
HBOT not given23.81<.00051220.47<.000578.80

Abbreviations: CVD, cardiovascular disease (including hypertension and peripheral vascular disease); GAS, group A Streptococcus, Streptococcus pyogenes; HBOT, hyperbaric oxygen treatment; IVIG, treatment with polyspecific immunoglobulin G (any dose); NSTI, necrotizing soft tissue infection; OR, odds ratio.

aLogistic regression analysis.

bLasso regression is a shrinkage method, which gives us a more reliable model by shrinking the coefficient estimates (compared to the logistic model). Variables with little or no predictive value will be shrunken to zero (an OR of 1). P values or confidence intervals can not be calculated (see also Supplementary Methods).

cSeptic shock the first 24 hours after admission to intensive care unit/high-dependency unit, defined as lactate >2 mmol/L and use of vasopressor or inotrope.

dInitial surgery performed >24 hours after the first admission to hospital.

eClindamycin not given before admission to intensive care unit/high-dependency unit of the study hospital.

Table 4.

Factors Associated With 90-day Mortality in NSTI Caused by GAS

Univariate Model (n = 125)Adjusted Modela (n = 125)Lasso Regressionb (n = 125)
CharacteristicORP valueORP valueOR
Age (years)1.06.0151.32<.00051.15
Sex (male)3.33.066145.82.0025.09
CVD 0.69.7650.02.0060.22
Active malignancy0.891.000<0.01.0080.04
Septic shockc1.93.54125.73.0481.96
Initial surgery > 24 hours after admissiond0.33.2160.30.4220.95
No clindamycin before inclusione0.40.3420.06.1660.36
IVIG not given2.98.0867.60.1253.15
HBOT not given23.81<.00051220.47<.000578.80
Univariate Model (n = 125)Adjusted Modela (n = 125)Lasso Regressionb (n = 125)
CharacteristicORP valueORP valueOR
Age (years)1.06.0151.32<.00051.15
Sex (male)3.33.066145.82.0025.09
CVD 0.69.7650.02.0060.22
Active malignancy0.891.000<0.01.0080.04
Septic shockc1.93.54125.73.0481.96
Initial surgery > 24 hours after admissiond0.33.2160.30.4220.95
No clindamycin before inclusione0.40.3420.06.1660.36
IVIG not given2.98.0867.60.1253.15
HBOT not given23.81<.00051220.47<.000578.80

Abbreviations: CVD, cardiovascular disease (including hypertension and peripheral vascular disease); GAS, group A Streptococcus, Streptococcus pyogenes; HBOT, hyperbaric oxygen treatment; IVIG, treatment with polyspecific immunoglobulin G (any dose); NSTI, necrotizing soft tissue infection; OR, odds ratio.

aLogistic regression analysis.

bLasso regression is a shrinkage method, which gives us a more reliable model by shrinking the coefficient estimates (compared to the logistic model). Variables with little or no predictive value will be shrunken to zero (an OR of 1). P values or confidence intervals can not be calculated (see also Supplementary Methods).

cSeptic shock the first 24 hours after admission to intensive care unit/high-dependency unit, defined as lactate >2 mmol/L and use of vasopressor or inotrope.

dInitial surgery performed >24 hours after the first admission to hospital.

eClindamycin not given before admission to intensive care unit/high-dependency unit of the study hospital.

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