Table 1.
IU–ICU cohort (N = 185) | Penn–ICU cohort (N = 206) | P value | |
---|---|---|---|
Mean age (± SD), y | 55 ± 10 | 56.1 ± 10 | .11 |
Male, % | 67 | 61 | .2 |
Race, % | <.001 | ||
White | 89 | 59 | |
Black | 9 | 24 | |
Hispanic | 2 | 2 | |
Cirrhosis etiology, % | |||
Alcohol | 43 | 36 | .2 |
Viral | 38 | 47 | .1 |
NAFLD | 18 | 11 | .04 |
Autoimmune | 5 | 8 | .2 |
Othersa | 8 | 13 | .2 |
Presence of hepatocellular carcinoma, % | 7 | 8 | .8 |
Child–Pugh class, A/B/C, % | 4/19/77 | 1/5/94 | <.001 |
MELD score, median (IQR) | 25 (23–34) | 32 (26–41) | <.001 |
Total bilirubin level, mg/dL (IQR) | 9.8 (2.8–21) | 7.5 (3.5–18.1) | .007 |
INR (IQR) | 1.9 (1.6–2.5) | 2.4 (1.8–3.2) | <.001 |
Creatinine level, mg/dL (IQR) | 1.9 (1–3.3) | 2.4 (1.5–4.1) | <.001 |
Serum albumin level, g/dL (IQR) | 2.7 (2.3–3.4) | 2.2 (1.8–2.6) | .10 |
Serum sodium level, mmol/L (IQR) | 137 (134–139) | 135 (130–139) | .16 |
White blood count, 1000/mL (IQR) | 11.3 (7.4–13.9) | 12.5 (7.7–19.9) | .03b |
Indication for ICU care, % | |||
Gastrointestinal bleed | 26 | 22 | |
Renal failure | 15 | 9 | |
Infection/sepsis | 23 | 25 | |
Admitted to ICU directly or transferred within 3 d of hospitalization, % | 83 | 75 | .07 |
Mechanical ventilation, % | 64 | 77 | .01 |
Renal replacement therapy, % | 32 | 42 | .035 |
Vasopressor use, % | 43 | 78 | <.001 |
Length of stay, d, median (IQR) | |||
Total hospitalization | 11 (8–19) | 8 (4–16) | .6 |
ICU | 4 (2–9) | 3 (2–9) | .4 |
INR, international normalized ratio; NAFLD, nonalcoholic fatty liver disease; SD, standard deviation.
Others include Budd Chiari syndrome, nodular regenerative hyperplasia, α-1 antitrypsin deficiency, and secondary biliary cirrhosis.
There were no predefined criteria for establishing indications for ICU admission at both centers, limiting this to a strictly descriptive comparison.