Table 1. Comparison of studies with liver impairment in critical illness.
Jensen et al. (3) | Kramer et al. (19) | |
---|---|---|
Study design | Clinical cohort study based on a multicentre randomized controlled trial | Prospective, multicenter cohort study with case-control design |
Number of Patients included | n=1,096 | n=4,146 |
(of 1,200 patients) | (of 38,036 consecutive patients) | |
Inclusion criteria | Medical and surgical intensive care patients | Medical and surgical intensive care patients |
No chronic liver disease | No chronic liver disease | |
Age >18 | Age >18 | |
Early hepatic impairment (bilirubin ≥2 mg/dL within 48 h after admission) | ||
Primary endpoint | All-cause mortality within 90 days | Raw and adjusted in-hospital mortality |
Biomarkers tested for liver impairment | HA | Bilirubin |
Bilirubin | ||
INR | ||
ALP | ||
Results | Quartile-wise hazard ratio for hepatic dysfunction (assessed by HA) for 90-day all-cause mortality after multivariable analysis: | Odds ratio for hepatic dysfunction (Bilirubin > 2mg/dl) for mortality after multiple logistic regression: |
HR 1st Ref | OR 1.86; 95% CI, 1.71–2.03; P<0.001 | |
HR 2nd 1.3; 95% CI, 0.9–1.8; P=0.14 | ||
HR 3rd 1.5; 95% CI, 1.1–2.2; P=0.02 | ||
HR 4th 1.9; 95% CI, 1.3–2.6; P<0.001 | ||
Quartile-wise hazard ratio for hepatic dysfunction (assessed by bilirubin) for 90-day all-cause mortality after multivariable analysis: | ||
HR 1st Ref | ||
HR 2nd 1.2; 95% CI, 0.8–1.6; P=0.4 | ||
HR 3rd 1.5; 95% CI, 1.1–2.1; P=0.01 | ||
HR 4th 1.5; 95% CI, 1.1–2.2; P=0.01 |
HA, hyaluronic acid; INR, international normalized ratio; ALP, alkaline phosphatase.