Table 4. Sensitivity analysis.
Sensitivity analysis I‡ | Sensitivity analysis II§ | Sensitivity analysis III|| | ||||
Boundary | HR (95% CI) | Boundary | HR (95% CI) | Boundary | HR (95% CI) | |
ALT (IU/L) | ||||||
Low | ≤11 | 1.43 (1.01–2.02)* | ≤9 | 1.20 (0.79–1.84) | ≤13 | 1.69 (1.23–2.34)† |
Middle | 1 (reference) | 1 (reference) | 1 (reference) | |||
High | >35 | 0.88 (0.54–1.44) | >23 | 0.68 (0.47–0.99)* | >30 | 0.95 (0.61–1.48) |
AST (IU/L) | ||||||
Low | ≤16 | 1.32 (0.89–1.95) | ≤17 | 1.39 (0.90–2.14) | ≤17 | 1.35 (0.93–1.96) |
Middle | 1 (reference) | 1 (reference) | 1 (reference) | |||
High | >34 | 1.42 (0.96–2.09) | >22 | 1.27 (0.86–1.86) | >30 | 1.38 (0.97–1.97) |
De Ritis ratio | ||||||
Low | ≤0.78 | 0.57 (0.30–1.10) | ≤1.19 | 0.63 (0.44–0.91)* | ≤0.85 | 0.58 (0.34–0.99)* |
Middle | 1 (reference) | 1 (reference) | 1 (reference) | |||
High | >1.75 | 1.67 (1.21–2.32)† | >2.06 | 1.54 (1.05–2.26)* | >1.62 | 1.59 (1.15–2.21)† |
*P<0.05, †P<0.01.
‡Serum aminotransferase levels were categorized into ≤15th percentile, 15th–85th percentile, and >85th percentile.
§Serum aminotransferase levels were categorized by “K-Adaptive Partitioning for survival data” method.
‡ §Adjusted by sex, age, body mass index, estimated glomerular filtration rate, type of surgery, urgent surgery, ejection fraction, pulmonary hypertension, acute coronary syndrome, albumin, bilirubin, liver disease, statin, and alcohol.
||Adjusted with EuroSCORE, MELD Xi, diabetes mellitus, hypertension, heart failure, coronary revascularization, atrial fibrillation, hematocrit, sodium, uric acid, diuretics, C-reactive protein, inotropes/vasopressors, dyslipidemia, alcohol, albumin, and liver disease.
SI conversion factors: To convert ALT and AST to μkat/L, multiply values by 0.0167.
ALT: alanine aminotransferase; AST: aspartate aminotransferase; HR: hazard ratio; CI: confidence interval.