Table 1.
Daily Clinical Parameters and Laboratory Values
| Day 1 | Day 2 | Day 3 | Day 4 | Reference Range | |
|---|---|---|---|---|---|
| Severity scores | |||||
| SOFA score | 7 | 10 | 5 | 3 | 0-24 |
| APACHE II | — | 24 | — | — | 0-71 |
| Laboratory values | |||||
| Hemoglobin, g/dL | 11.4 | 10.3 | 9.8 | 8.3 | 11.7-15.3 |
| White blood cell count, ×103/μL | 4.1 | 1.7 | 6.2 | 11.0 | 3.5-8.8 |
| Platelet count, ×103/μL | 217 | 178 | 206 | 177 | 165-387 |
| Hematocrit, % | 34 | 30 | 29 | 24 | 36-48 |
| Creatinine, mg/dLa | 6.55 | 4.40 | 2.36 | 1.46 | <1.02 |
| Estimated GFR, mL/min/1.73 m2 | 7 | 11 | 20 | 34 | >60 |
| Bilirubin, mg/dL | 0.94 | 0.64 | 0.58 | 0.58 | <1.5 |
| Procalcitonin, ng/mL | — | 24 | — | — | <0.5 |
| C-reactive protein, mg/L | 490 | 489 | 490 | 280 | <3 |
| Hs-cTnT, ng/Lb | — | 1) 24 2) 43 |
(3) 19 | — | <15 |
| NT-proBNP, pg/mLc | — | 13,900 | — | — | <222 |
| Arterial lactate, mmol/L | 3.2 | 1.9 | 1.8 | 0.8 | 0.5-2.3 |
Apache II = Acute Physiology and Chronic Health Evaluation II; GFR = glomerular filtration rate; hs-cTnT = high-sensitivity cardiac troponin T; NT-proBNP = N-terminal pro–B-type natriuretic peptide; SOFA = Sequential Organ Failure Assessment.
The patient’s habitual creatinine level before hospitalization was 0.96 mg/dL (estimated GFR, 58 mL/min/1.73 m2).
For hs-cTnT, measurements were sampled at 3-hour intervals: 1) day 2, 19:00; 2) day 2, 22:00; 3) day 3, 01:00.
NT-proBNP was measured on day 2 at 19:00.