Table 3. Meta-analyses of body mass index and laboratorial potential predictors of in-hospital mortality.
Potential predictor | Reference range | Studies, n | Non-survivors | Survivors | Effect estimates | |||||
---|---|---|---|---|---|---|---|---|---|---|
Patients, n | Pooled Mean | Patients, n | Pooled Mean (95% CI) | Pooled Mean difference (95%CI) | Effect size (95% CI) | p-value | I2 | |||
(95% C I) | ||||||||||
BMI (kg/m2) | 18.5–24.9 | 6 | 1237 | 27.54 | 2887 | 27.88 | -0.13 | -0.01 | 0.925 | 89.1 |
(26.91, 28.18) | (26.73, 29.03) | (-0.70, 0.44) | (-0.29, 0.27) | |||||||
Routine blood tests | ||||||||||
Lymphocyte count(x109/L) | 1.0–4.0 | 26 | 3121 | 0.69 | 12876 | 1.06 | -0.36 | -1.97 | <0.001 | 99.3 |
(0.57, 0.82) | (0.91, 1.21) | (-0.52, -0.20) | (-2.55, -1.38)* | |||||||
Leucocyte count (x109/L) | 3.6–11.0 | 26 | 2515 | 8.56 | 10959 | 5.92 | 2.75 | 1.79 | <0.001 | 98.6 |
(8.09, 9.03) | (5.06, 6.23) | (2.02, 3.49) | (1.32, 2.25)* | |||||||
Neutrophil count (x109/L) | 1.8–6.3 | 19 | 2195 | 7.18 | 9313 | 4.53 | 2.69 | 2.20 | <0.001 | 99.0 |
(6.77, 7.59) | (3.75, 5.30) | (1.89, 3.48) | (1.57, 2.83)* | |||||||
Platelet count (x109/L) | 140.0–400.0 | 18 | 1927 | 174.81 | 6917 | 212.04 | -36.06 | -1.37 | <0.001 | 97.7 |
(162.65, 186.96) | (200.81, 223.28) | (-49.34, -22.77) | (-1.78, -0.95)* | |||||||
Haemoglobin (g/L) | Men 140–170 | 16 | 1096 | 127.56 | 8798 | 130.84 | -3.47 | -0.41 | 0.018 | 97.2 |
Women 120–150 | (125.83, 129.28) | (127.91, 133.76) | (-5.84, -1.09) | (-0.75, -0.07)* | ||||||
Coagulation | ||||||||||
D-dimer (mg/L) | 0–0.5 | 27 | 2460 | 4.17 | 8804 | 0.91 | 3.22 | 1.76 | <0.001 | 97.6 |
(3.65, 4.70) | (0.73, 1.09) | (2.84, 3.61) | (1.39, 2.13)* | |||||||
Prothrombin time (s) | 10.0–14.0 | 11 | 626 | 12.66 | 2345 | 11.67 | 0.93 | 1.35 | <0.001 | 97.2 |
(7.92, 17.40) | (7.54, 15.80) | (0.45, 1.40) | (0.73, 1.97)* | |||||||
APTT (s) | 30–40 | 10 | 671 | 34.17 | 2020 | 33.50 | 0.79 | 0.28 | 0.112 | 91.9 |
(31.38, 36.97) | (30.58, 36.42) | (-0.13, 1.71) | (-0.07, 0.63) | |||||||
Liver function/aggression | ||||||||||
Albumin (g/L) | 3.5–5.5 | 17 | 1145 | 29.50 | 7222 | 34.20 | -4.70 | -2.63 | <0.001 | 99.0 |
(26.24, 32.76) | (31.15, 37.26) | (-6.14, -3.26) | (-3.45, -1.80)* | |||||||
Total bilirubin (mmol/L) | 3.0–22.0 | 10 | 618 | 10.72 | 1908 | 8.97 | 1.86 | 0.79 | <0.001 | 94.5 |
(6.29, 15.15) | (6.64, 11.29) | (0.93, 2.78) | (0.34, 1.24)* | |||||||
AST (U/L) | 14.0–36.0 | 21 | 2098 | 49.53 | 9518 | 34.43 | 17.41 | 1.61 | <0.001 | 97.5 |
(45.36, 53.69) | (31.50, 37.36) | (13.99, 20.83) | (1.22, 2.00)* | |||||||
ALT (U/L) | 9.0–52.0 | 25 | 2373 | 32.45 | 10542 | 30.16 | 2.18 | 0.44 | <0.001 | 96.3 |
(30.18, 34.72) | (27.97, 32.34) | (0.09, 4.28) | (0.39, 0.49)* | |||||||
Kidney function | ||||||||||
Urea nitrogen (mmol/L) | 2.5–6.1 | 14 | 798 | 12.06 | 3737 | 5.80 | 6.64 | 2.43 | <0.001 | 96.7 |
(10.33, 13.79) | (5.31, 6.29) | (5.19, 8.09) | (1.90, 2.97)* | |||||||
Creatinine (μmmol/L) | 46.0–92.0 | 21 | 1442 | 90.09 | 8173 | 68.33 | 21.72 | 1.28 | <0.001 | 96.8 |
(66.44, 113.74) | (48.74, 87.92) | (16.72, 26.71) | (0.97, 1.59)* | |||||||
Inflammatory factors | ||||||||||
CRP (mg/L) | 0.5–10.0 | 30 | 3322 | 133.18 | 13338 | 64.39 | 68.31 | 2.49 | <0.001 | 98.9 |
(112.77, 153.59) | (54.96, 73.82) | (53.11, 83.50) | (2.01, 2.96)* | |||||||
Interleukin-6 (pg/mL) | 0–7 | 12 | 1734 | 73.87 | 5735 | 29.88 | 43.64 | 2.31 | <0.001 | 99.1 |
(57.99, 89.76) | (25.08, 34.68) | (30.92, 56.35) | (1.47, 3.15)* | |||||||
LDH (U/L) | 140.0–280.0 | 19 | 2230 | 506.89 | 9667 | 328.02 | 180.26 | 2.21 | <0.001 | 98.5 |
(336.59, 677.18) | (216.07, 439.97) | (131.02, 229.51) | (1.70, 2.72)* | |||||||
Procalcitonin (ng/mL) | 0–0.15 | 18 | 2045 | 0.63 | 6367 | 0.16 | 0.52 | 1.58 | <0.001 | 97.9 |
(0.52, 0.74) | (0.13, 0.19) | (0.42, 0.62) | (1.14, 2.02)* | |||||||
Ferritin (ng/L) | Men 24–336 | 13 | 1663 | 1396.19 | 4404 | 797.98 | 603.94 | 1.56 | <0.001 | 98.2 |
Women 11–307 | (1229.84, 1562.55) | (685.52, 910.44) | (383.27, 824.60) | (1.00, 2.12)* | ||||||
Cardiac troponin-I (ng/mL) | 0–0.04 | 15 | 1161 | 0.05 | 3852 | 0.07 | 0.02 | 0.91 | 0.022 | 98.9 |
(0.05, 0.06) | (0.04, 0.10) | (0.02, 0.02) | (0.13, 1.70)* | |||||||
ESR (mm/h) | 0–15 | 6 | 358 | 57.15 | 1369 | 48.12 | 9.57 | 0.34 | <0.001 | 91.5 |
(32.28, 82.02) | (35.05, 61.19) | (1.75, 17.39) | (0.22, 0.47)* |
* p-value <0.05.
ALT: alanine transaminase; APTT: activated partial thromboplastin time, AST: aspartate transaminase; BMI: body mass index; CRP: C-reactive protein; ESR: erythrocyte sedimentation rate, LDH: lactate dehydrogenase.