Table 3. Impact of preoperative serum aminotransferase levels on 90-day mortality.
Death | Patients | Cumulative mortality | Unadjusted | Multivariable adjusted | |
No. | No. | Rate (95% CI) | Hazard ratio (95% CI) | Hazard ratio (95% CI) | |
ALT | |||||
Low (≤13 IU/L) | 77 | 1528 | 5.0 (3.9–6.1) | 2.25 (1.65–3.08)‡ | 1.58 (1.14–2.18)† |
Middle (13–30 IU/L) | 80 | 3512 | 2.3 (1.8–2.8) | 1 (reference) | 1 (reference) |
High (>30 IU/L) | 26 | 1224 | 2.1 (1.3–2.9) | 0.93 (0.60–1.45) | 0.95 (0.60–1.49) |
AST | |||||
Low (≤17 IU/L) | 46 | 1384 | 3.3 (2.4–4.3) | 1.45 (1.02–2.08)* | 1.31 (0.91–1.89) |
Middle (17–30 IU/L) | 85 | 3687 | 2.3 (1.8–2.8) | 1 (reference) | 1 (reference) |
High (>30 IU/L) | 52 | 1193 | 4.4 (3.2–5.5) | 1.91 (1.35–2.70)‡ | 1.39 (0.96–2.01) |
De Ritis ratio | |||||
Low (≤0.85) | 17 | 1274 | 1.3 (0.7–2.0) | 0.57 (0.34–0.96)* | 0.74 (0.44–1.25) |
Middle (0.85–1.62) | 87 | 3745 | 2.3 (1.8–2.8) | 1 (reference) | 1 (reference) |
High (>1.62) | 79 | 1245 | 6.3 (5.0–7.7) | 2.79 (2.05–3.78)‡ | 1.59 (1.15–2.20)† |
*P<0.05, †P<0.01, ‡P<0.001.
SI conversion factors: To convert ALT and AST to μkat/L, multiply values by 0.0167.
ALT: alanine aminotransferase; AST: aspartate aminotransferase; CI: confidence interval.