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. 2024 Sep 9;29:453. doi: 10.1186/s40001-024-02049-2

Table 3.

Multifactorial logistic regression analysis of serum ALP levels and poor outcomes in patients with ALF following CA

Unadjusted Model 1 Model 2
OR (95% CI) P-value OR (95% CI) P-value OR (95% CI) P-value
ICU mortality
 Per-SD increase of ln (ALP levels) 2.66 (1.53–4.65) 0.001 2.65 (1.52–4.62) 0.001 2.49 (1.31–4.74) 0.005
  ALP levels
   ALP < 77 IU/L Ref. Ref. Ref.
   ALP ≥ 77 IU/L 2.64 (1.48–4.73) 0.001 2.61 (1.45–4.7) 0.001 2.53 (1.24–5.14) 0.010
Hospital mortality
 Per-SD increase of ln (ALP levels) 2.62 (1.49–4.62) 0.001 2.59 (1.47–4.56) 0.001 2.21 (1.18–4.16) 0.014
  ALP levels
   ALP < 77 IU/L Ref. Ref. Ref.
   ALP ≥ 77 IU/L 2.72 (1.5–4.92) 0.001 2.69 (1.47–4.9) 0.001 2.29 (1.13–4.64) 0.022
Unfavorable neurologic outcome
 Per-SD increase of ln (ALP levels) 2.61 (1.47–4.63) 0.001 2.57 (1.45–4.56) 0.001 2.40 (1.25–4.60) 0.009
  ALP levels
   ALP < 77 IU/L Ref. Ref. Ref.
   ALP ≥ 77 IU/L 2.42 (1.33–4.40) 0.004 2.38 (1.31–4.35) 0.005 2.09 (1.02–4.29) 0.044

ALP, alkaline phosphatase; ALF, acute liver failure; CA, cardiac arrest; CI: confidence interval; OR: odds ratio; ICU: intensive care unit; MAP = mean arterial pressure; CRP, C-reactive protein

Model 1: Adjust for age and sex

Model 2: Adjust for Model1 + adrenaline + cardiac cause + out of hospital + non-shockable rhythm + chronic anticoagulation + shock + vasopressor therapy + CRP + MAP