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editorial
. 2019 Dec;7(Suppl 8):S258. doi: 10.21037/atm.2019.12.79

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.