| Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc |
| Journal website https://jocmr.elmerjournals.com |
Original Article
Volume 18, Number 2, February 2026, pages 63-74
Risk Factors for Adverse Outcomes in Cancer Patients With Sepsis
Tables
| Variable | Cancer (n = 310) | No cancer (n = 628) | P |
|---|---|---|---|
| SD: standard deviation; BMI: body mass index; HFrEF: heart failure with reduced ejection fraction; WBC: white blood cell count; Hb: hemoglobin; PT: prothrombin time; aPTT: activated partial thromboplastin time; LD: lactate dehydrogenase; HFpEF: heart failure with preserved ejection fraction; CAD: coronary artery disease; CVA: cerebrovascular accident; TIA: transient ischemic attack; COPD: chronic obstructive pulmonary disease; OSA: obstructive sleep apnea; PAD: peripheral arterial disease; Afib: atrial fibrillation; SLE: systemic lupus erythematosus; RA: rheumatoid arthritis; MCTD: mixed connective tissue disease; CKD: chronic kidney disease; CLD: chronic liver disease; HIV: human immunodeficiency virus; GERD: gastroesophageal reflux disorder; IBD: inflammatory bowel disease. | |||
| Age (years), mean (SD) | 66.78 (13.64) | 61.47 (16.11) | < 0.01 |
| Sex | 0.03 | ||
| Male, n (%) | 173 (55.80) | 303 (48.20) | |
| Female, n (%) | 137 (44.20) | 325 (51.80) | |
| Race | |||
| White, n (%) | 188 (60.60) | 324 (51.70) | 0.01 |
| Black, n (%) | 90 (29) | 175 (27.90) | |
| Hispanic, n (%) | 21 (6.80) | 95 (15.20) | |
| Other, n (%) | 11 (3.50) | 33 (5.30) | |
| Social | |||
| Tobacco use, n (%) | 183 (59.20) | 330 (52.60) | 0.06 |
| Alcohol use, n (%) | 96 (31.10) | 211 (33.60) | 0.44 |
| Recreational drug use, n (%) | 31 (10.00) | 107 (17.00) | 0.01 |
| BMI, mean (SD) | 28.07 (9.27) | 30.02 (10.38) | 0.01 |
| Lab values | |||
| WBC (cells/mL) (median, 25th–75th) | 15.3 (11.9–22.6) | 15.9 (12.3–21.9) | 0.09 |
| Hb (g/dL), mean (SD) | 10.1 (3.7) | 9.9 (3.9) | 0.31 |
| Platelets (× 103/µL) (median, 25th–75th) | 108 (68–126) | 103 (56–112) | 0.06 |
| D-dimer (µg (FEU)/mL) (median, 25th–75th) | 4.4 (3.3–6.4) | 4.1 (2.9–7.2) | 0.13 |
| PT (s) (median, 25th–75th) | 14.2 (12.7–16.1) | 13.9 (10.2–16.8) | 0.23 |
| aPTT (s) (median, 25th–75th) | 38.4 (29.9–44.3) | 37.2 (25.2–48.1) | 0.94 |
| LD (U/L) (median, 25th–75th) | 691 (352–985) | 728 (289–967) | 0.39 |
| Comorbidities | |||
| Diabetes mellitus, n (%) | 111 (35.9) | 288 (45.9) | 0.01 |
| Hyperlipidemia, n (%) | 171 (55.20) | 333 (53.00) | 0.54 |
| HFrEF, n (%) | 45 (14.50) | 101 (16.10) | 0.53 |
| HFpEF, n (%) | 40 (12.90) | 81 (12.90) | 0.99 |
| CAD, n (%) | 87 (28.10) | 167 (26.60) | 0.63 |
| CVA, n (%) | 50 (16.20) | 126 (20.10) | 0.15 |
| TIA, n (%) | 19 (6.10) | 17 (2.70) | 0.01 |
| COPD, n (%) | 83 (26.80) | 163 (26.00) | 0.79 |
| Asthma, n (%) | 43 (13.90) | 115 (18.30) | 0.09 |
| OSA, n (%) | 38 (12.30) | 95 (15.10) | 0.236 |
| Hypothyroidism, n (%) | 43 (13.90) | 117 (18.70) | 0.07 |
| PAD, n (%) | 32 (10.30) | 92 (14.60) | 0.07 |
| Afib, n (%) | 99 (31.90) | 167 (26.60) | 0.09 |
| SLE, n (%) | 4 (1.30) | 12 (1.90) | 0.49 |
| RA, n (%) | 16 (5.20) | 21 (3.30) | 0.18 |
| MCTD, n (%) | 0 (0.00) | 1 (0.20) | 1.00 |
| Sjogren’s syndrome, n (%) | 0 (0.00) | 3 (0.50) | 0.56 |
| Vasculitis, n (%) | 2 (0.60) | 5 (0.80) | 1.00 |
| Systemic sclerosis, n (%) | 1 (0.30) | 2 (0.30) | 1.00 |
| CKD, n (%) | 102 (32.90) | 214 (34.10) | 0.72 |
| CLD, n (%) | 52 (16.80) | 128 (20.40) | 0.19 |
| Immunodeficiency, n (%) | 17 (5.50) | 28 (4.50) | 0.49 |
| HIV, n (%) | 9 (2.90) | 16 (2.50) | 0.75 |
| Chronic steroid use, n (%) | 26 (8.40) | 39 (6.20) | 0.22 |
| GERD, n (%) | 105 (33.90) | 220 (35.00) | 0.73 |
| IBD, n (%) | 5 (1.60) | 17 (2.70) | 0.29 |
| Type of cancer | Frequency (n) | Percent (%) |
|---|---|---|
| Lung cancer | 52 | 16.8 |
| Colorectal cancer | 36 | 11.6 |
| Breast cancer | 29 | 9.4 |
| Prostate cancer | 27 | 8.7 |
| Skin cancer other than melanoma | 25 | 8.1 |
| Leukemias | 21 | 6.8 |
| Lymphomas | 20 | 6.5 |
| Gastroesophageal cancer | 20 | 6.5 |
| Urinary/bladder cancer | 14 | 4.5 |
| Uterine cancer | 12 | 3.9 |
| Kidney cancer | 12 | 3.9 |
| Esophageal cancer | 12 | 3.9 |
| Larynx cancer | 10 | 3.2 |
| Melanoma | 10 | 3.2 |
| Myelodysplastic syndrome | 9 | 2.9 |
| Liver cancer | 9 | 2.9 |
| Thyroid cancer | 7 | 2.3 |
| Brain cancer | 7 | 2.3 |
| Connective/soft tissue cancer | 6 | 1.9 |
| Anal cancer | 4 | 1.3 |
| Pharynx cancer | 4 | 1.3 |
| Multiple myeloma | 4 | 1.3 |
| Meningioma | 3 | 1 |
| Parotid gland cancer | 2 | 0.6 |
| Tonsil cancer | 2 | 0.6 |
| Tongue cancer | 1 | 0.3 |
| Type of treatment | Frequency (n) | Percent (%) |
|---|---|---|
| Chemotherapy | 153 | 49.8 |
| Radiotherapy | 92 | 30 |
| Hormonal therapy | 17 | 5.5 |
| Outcome | SCa, n (%) | SnoCa, n (%) | Pa |
|---|---|---|---|
| aChi-square test. | |||
| Palliative care | 153 (49.40) | 203 (32.30) | < 0.01 |
| Readmission | 108 (34.80) | 223 (35.50) | 0.84 |
| Bloodstream infection | 96 (31.00) | 219 (34.60) | 0.23 |
| In hospital mortality | 163 (52.60) | 300 (47.80) | 0.17 |
| All-cause mortality | 205 (66.10) | 334 (53.20) | < 0.01 |
| Risk factor | β | T-statistic | P |
|---|---|---|---|
| Age | –0.01 | –0.32 | 0.75 |
| Male sex | 0.06 | 1.73 | 0.08 |
| White vs. Black | 0.03 | 0.96 | 0.34 |
| White vs. Hispanic | –0.04 | –1.24 | 0.21 |
| White vs. other races | 0.03 | 0.78 | 0.44 |
| Body mass index | 0.04 | 1.16 | 0.25 |
| Alcohol use | 0.05 | 1.51 | 0.13 |
| Tobacco use | –0.02 | –0.56 | 0.57 |
| Cardiovascular disorder | 0.03 | 0.81 | 0.42 |
| Rheumatological disorder | –0.05 | –1.36 | 0.17 |
| Respiratory disorder | 0.04 | 0.97 | 0.33 |
| Immunodeficiency disorder | 0.03 | 0.73 | 0.47 |
| Chronic kidney disease | 0.02 | 0.58 | 0.56 |
| Chronic liver disease | –0.08 | –2.25 | 0.03 |
| Gastrointestinal disorder | 0.04 | 0.97 | 0.33 |
| Cancer | –0.08 | –2.21 | 0.03 |
| Risk factor | B | P | Exp(B) | 95% CI for Exp(B) | |
|---|---|---|---|---|---|
| Lower | Upper | ||||
| CI: confidence interval. | |||||
| Age | –0.02 | < 0.01 | 0.98 | 0.97 | 0.99 |
| Sex male | –0.19 | 0.22 | 0.83 | 0.62 | 1.12 |
| White vs. Black | –0.24 | 0.17 | 0.78 | 0.56 | 1.11 |
| White vs. Hispanic | 0.022 | 0.92 | 1.02 | 0.65 | 1.60 |
| White vs. other races | –0.72 | 0.07 | 0.49 | 0.23 | 1.06 |
| Body mass index | < 0.01 | 0.97 | 1.00 | 0.99 | 1.02 |
| Alcohol use | –0.27 | 0.10 | 0.77 | 0.56 | 1.05 |
| Tobacco use | 0.35 | 0.03 | 1.42 | 1.04 | 1.93 |
| Cardiovascular disorder | 0.60 | 0.01 | 1.83 | 1.24 | 2.70 |
| Rheumatological disorder | 0.28 | 0.34 | 1.32 | 0.74 | 2.36 |
| Respiratory disorder | 0.12 | 0.46 | 1.13 | 0.82 | 1.56 |
| Immunodeficiency disorder | –0.43 | 0.19 | 0.65 | 0.34 | 1.26 |
| Gastrointestinal disorder | 0.77 | < 0.01 | 2.16 | 1.58 | 2.96 |
| Chronic kidney disease | 0.53 | 0.01 | 1.69 | 1.24 | 2.32 |
| Chronic liver disease | 0.30 | 0.12 | 1.35 | 0.93 | 1.96 |
| Cancer | 0.06 | 0.72 | 1.06 | 0.77 | 1.45 |
| Risk factor | B | P | Exp(B) | 95% CI for Exp(B) | |
|---|---|---|---|---|---|
| Lower | Upper | ||||
| CI: confidence interval. | |||||
| Age | –0.01 | 0.35 | 0.99 | 0.99 | 1.01 |
| Sex male | –0.09 | 0.55 | 0.92 | 0.69 | 1.22 |
| White vs. Black | –0.08 | 0.63 | 0.92 | 0.66 | 1.29 |
| White vs. Hispanic | 0.34 | 0.13 | 1.40 | 0.91 | 2.16 |
| White vs. other races | 0.58 | 0.08 | 1.78 | 0.94 | 3.39 |
| Body mass index | 0.02 | 0.02 | 1.02 | 1.00 | 1.03 |
| Alcohol use | –0.13 | 0.43 | 0.88 | 0.65 | 1.20 |
| Tobacco use | –0.13 | 0.39 | 0.88 | 0.65 | 1.18 |
| Cardiovascular disorder | –0.03 | 0.87 | 0.97 | 0.66 | 1.39 |
| Rheumatological disorder | –0.53 | 0.10 | 0.59 | 0.31 | 1.11 |
| Respiratory disorder | –0.11 | 0.49 | 0.89 | 0.65 | 1.23 |
| Immunodeficiency disorder | –0.41 | 0.21 | 0.66 | 0.34 | 1.27 |
| Gastrointestinal disorder | –0.02 | 0.89 | 0.98 | 0.71 | 1.35 |
| Chronic kidney disease | 0.19 | 0.23 | 1.21 | 0.89 | 1.66 |
| Chronic liver disease | 0.27 | 0.15 | 1.31 | 0.91 | 1.88 |
| Cancer | –0.09 | 0.56 | 0.91 | 0.67 | 1.24 |
| Risk factor | B | P | Exp(B) | 95% CI for Exp(B) | |
|---|---|---|---|---|---|
| Lower | Upper | ||||
| CI: confidence interval. | |||||
| Age | 0.01 | 0.71 | 1.00 | 0.99 | 1.01 |
| Sex male | 0.21 | 0.14 | 1.23 | 0.94 | 1.63 |
| White vs. Black | 0.64 | < 0.01 | 1.90 | 1.38 | 2.62 |
| White vs. Hispanic | 0.18 | 0.42 | 1.19 | 0.78 | 1.82 |
| White vs. other races | 0.42 | 0.20 | 1.52 | 0.80 | 2.90 |
| Body mass index | 0.01 | 0.33 | 1.01 | 0.99 | 1.02 |
| Alcohol use | 0.24 | 0.11 | 1.27 | 0.95 | 1.71 |
| Tobacco use | 0.05 | 0.76 | 1.05 | 0.79 | 1.39 |
| Cardiovascular disorder | 0.03 | 0.85 | 1.03 | 0.73 | 1.46 |
| Rheumatological disorder | 0.10 | 0.72 | 1.11 | 0.64 | 1.94 |
| Respiratory disorder | 0.02 | 0.88 | 1.02 | 0.76 | 1.39 |
| Immunodeficiency disorder | 0.19 | 0.53 | 1.21 | 0.67 | 2.19 |
| Gastrointestinal disorder | –0.43 | 0.01 | 0.65 | 0.48 | 0.88 |
| Chronic kidney disease | 0.16 | 0.30 | 1.17 | 0.87 | 1.59 |
| Chronic liver disease | 0.45 | 0.01 | 1.58 | 1.10 | 2.26 |
| Cancer | 0.26 | 0.08 | 1.29 | 0.97 | 1.74 |
| Risk factor | B | P | Exp(B) | 95% CI for Exp(B) | |
|---|---|---|---|---|---|
| Lower | Upper | ||||
| CI: confidence interval. | |||||
| Age | 0.01 | 0.33 | 1.01 | 0.99 | 1.02 |
| Sex male | 0.23 | 0.12 | 1.25 | 0.95 | 1.66 |
| White vs. Black | 0.69 | < 0.01 | 2.01 | 1.45 | 2.79 |
| White vs. Hispanic | 0.19 | 0.39 | 1.20 | 0.79 | 1.84 |
| White vs. other races | 0.24 | 0.48 | 1.27 | 0.66 | 2.43 |
| Body mass index | 0.01 | 0.65 | 1.00 | 0.99 | 1.02 |
| Alcohol use | –0.02 | 0.92 | 0.99 | 0.73 | 1.33 |
| Tobacco use | 0.12 | 0.43 | 1.12 | 0.84 | 1.50 |
| Cardiovascular disorder | –0.02 | 0.91 | 0.98 | 0.69 | 1.39 |
| Rheumatological disorder | 0.10 | 0.72 | 1.11 | 0.63 | 1.95 |
| Respiratory disorder | 0.34 | 0.03 | 1.41 | 1.03 | 1.92 |
| Immunodeficiency disorder | –0.08 | 0.79 | 0.92 | 0.51 | 1.69 |
| Gastrointestinal disorder | –0.40 | 0.01 | 0.67 | 0.49 | 0.91 |
| Chronic kidney disease | 0.15 | 0.35 | 1.16 | 0.85 | 1.57 |
| Chronic liver disease | 0.35 | 0.06 | 1.42 | 0.99 | 2.06 |
| Cancer | 0.60 | < 0.01 | 1.82 | 1.35 | 2.46 |