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