Table 2.

Associations Between Viremia and Clinical Outcome

Cox Model (n = 329)Cumulative Incidence of ViremiaICU Discharge
(CSHR)
Death in ICU
(CSHR)
Death in ICU
(SHR)
Population-Attributable Fraction of ICU Mortality at Day 30
Individual viremia
 Cytomegalovirus60 (18)1.07 (0.77–1.49)1.61 (0.94–2.75)1.62 (0.80–3.25)0.12 (0.00–0.24)
 Epstein–Barr virus157 (48)0.75 (0.57–0.98)1.18 (0.70–2.01)1.61 (0.88–2.92)0.25 (0.05–0.44)
 Human herpesvirus 680 (24)0.80 (0.59–1.10)1.20 (0.71–2.03)1.41 (0.74–2.68)0.18 (0.04–0.42)
 Herpes simplex virus type 187 (26)0.84 (0.63–1.12)1.22 (0.73–2.05)1.27 (0.65–2.49)0.09 (-0.05–0.22)
 Herpes simplex virus type 213 (4)NANANANA
 Varicella zoster virus2 (1)NANANANA
Multiple viremia
 ≥2 concurrent viremia events112 (34)0.79 (0.59–1.06)1.52 (0.91–2.52)1.90 (0.98–3.69)0.23 (0.07–0.40)
Cox Model (n = 329)Cumulative Incidence of ViremiaICU Discharge
(CSHR)
Death in ICU
(CSHR)
Death in ICU
(SHR)
Population-Attributable Fraction of ICU Mortality at Day 30
Individual viremia
 Cytomegalovirus60 (18)1.07 (0.77–1.49)1.61 (0.94–2.75)1.62 (0.80–3.25)0.12 (0.00–0.24)
 Epstein–Barr virus157 (48)0.75 (0.57–0.98)1.18 (0.70–2.01)1.61 (0.88–2.92)0.25 (0.05–0.44)
 Human herpesvirus 680 (24)0.80 (0.59–1.10)1.20 (0.71–2.03)1.41 (0.74–2.68)0.18 (0.04–0.42)
 Herpes simplex virus type 187 (26)0.84 (0.63–1.12)1.22 (0.73–2.05)1.27 (0.65–2.49)0.09 (-0.05–0.22)
 Herpes simplex virus type 213 (4)NANANANA
 Varicella zoster virus2 (1)NANANANA
Multiple viremia
 ≥2 concurrent viremia events112 (34)0.79 (0.59–1.06)1.52 (0.91–2.52)1.90 (0.98–3.69)0.23 (0.07–0.40)

Abbreviations: CSHR, cause-specific hazard ratio; ICU, intensive care unit; NA, not applicable, no multivariable analyses because of low number of events; SHR, Subdistribution Hazard Ratio.

Data are presented as absolute numbers (%) or hazard ratios with 95% confidence intervals. The hazard ratios are derived from multivariable models with adjustment for the time-varying onset of viremia and baseline differences at ICU admission, including Acute Physiology and Chronic Health Evaluation (APACHE) IV score, prior ICU admission during the hospital stay, surgical reason for admission, and Charlson comorbidity index.

CSHR estimates the direct effect of viremia on clinical outcome (ie, ICU discharge or death). The subdistribution hazard ratio is a summary measure of both separate cause-specific hazards and estimates the overall risk of dying from viremia while taking into account the competing event of discharge alive from the ICU.

Table 2.

Associations Between Viremia and Clinical Outcome

Cox Model (n = 329)Cumulative Incidence of ViremiaICU Discharge
(CSHR)
Death in ICU
(CSHR)
Death in ICU
(SHR)
Population-Attributable Fraction of ICU Mortality at Day 30
Individual viremia
 Cytomegalovirus60 (18)1.07 (0.77–1.49)1.61 (0.94–2.75)1.62 (0.80–3.25)0.12 (0.00–0.24)
 Epstein–Barr virus157 (48)0.75 (0.57–0.98)1.18 (0.70–2.01)1.61 (0.88–2.92)0.25 (0.05–0.44)
 Human herpesvirus 680 (24)0.80 (0.59–1.10)1.20 (0.71–2.03)1.41 (0.74–2.68)0.18 (0.04–0.42)
 Herpes simplex virus type 187 (26)0.84 (0.63–1.12)1.22 (0.73–2.05)1.27 (0.65–2.49)0.09 (-0.05–0.22)
 Herpes simplex virus type 213 (4)NANANANA
 Varicella zoster virus2 (1)NANANANA
Multiple viremia
 ≥2 concurrent viremia events112 (34)0.79 (0.59–1.06)1.52 (0.91–2.52)1.90 (0.98–3.69)0.23 (0.07–0.40)
Cox Model (n = 329)Cumulative Incidence of ViremiaICU Discharge
(CSHR)
Death in ICU
(CSHR)
Death in ICU
(SHR)
Population-Attributable Fraction of ICU Mortality at Day 30
Individual viremia
 Cytomegalovirus60 (18)1.07 (0.77–1.49)1.61 (0.94–2.75)1.62 (0.80–3.25)0.12 (0.00–0.24)
 Epstein–Barr virus157 (48)0.75 (0.57–0.98)1.18 (0.70–2.01)1.61 (0.88–2.92)0.25 (0.05–0.44)
 Human herpesvirus 680 (24)0.80 (0.59–1.10)1.20 (0.71–2.03)1.41 (0.74–2.68)0.18 (0.04–0.42)
 Herpes simplex virus type 187 (26)0.84 (0.63–1.12)1.22 (0.73–2.05)1.27 (0.65–2.49)0.09 (-0.05–0.22)
 Herpes simplex virus type 213 (4)NANANANA
 Varicella zoster virus2 (1)NANANANA
Multiple viremia
 ≥2 concurrent viremia events112 (34)0.79 (0.59–1.06)1.52 (0.91–2.52)1.90 (0.98–3.69)0.23 (0.07–0.40)

Abbreviations: CSHR, cause-specific hazard ratio; ICU, intensive care unit; NA, not applicable, no multivariable analyses because of low number of events; SHR, Subdistribution Hazard Ratio.

Data are presented as absolute numbers (%) or hazard ratios with 95% confidence intervals. The hazard ratios are derived from multivariable models with adjustment for the time-varying onset of viremia and baseline differences at ICU admission, including Acute Physiology and Chronic Health Evaluation (APACHE) IV score, prior ICU admission during the hospital stay, surgical reason for admission, and Charlson comorbidity index.

CSHR estimates the direct effect of viremia on clinical outcome (ie, ICU discharge or death). The subdistribution hazard ratio is a summary measure of both separate cause-specific hazards and estimates the overall risk of dying from viremia while taking into account the competing event of discharge alive from the ICU.

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