Table 5.
Impact of LT abnormalities on mortality and risk of mechanical ventilation
Predictor | Mortality | Predictor | Mechanical ventilation | ||
---|---|---|---|---|---|
OR (95% CI) | P value | OR (95% CI) | P value | ||
Admission variables | |||||
Age | 1.076 (1.046–1.107) | <0.001 | D-dimer ≥ 1.0 | 2.486 (1.441–4.288) | 0.001 |
Ch. medical illness | 3.563 (1.438–8.832) | 0.006 | Ferritin ≥ 500 | 2.322 (1.335–4.039) | 0.003 |
Tn ≥ 0.05 ng/ml | 3.347 (1.664–6.733) | 0.001 | Procalcitonin ≥ 0.5 | 1.788 (1.011–3.160) | 0.046 |
Bilirubin ≥ 1.0 mg/dl | 3.553 (1.524–8.281) | 0.003 | |||
Procalcitonin ≥ 0.5 | 2.256 (1.069–4.761) | 0.033 | |||
Peak variables | |||||
Age | 1.082 (1.049–1.115) | <0.001 | AKI | 2.844 (1.572–5.144) | 0.001 |
Chronic medical illness | 2.508 (0.964–6.522) | 0.059 | Elevated peak AST | 2.798 (1.304–6.001) | 0.008 |
Elevated peak ALT | 0.118 (0.038–0.362) | <0.001 | Peak D-dimer ≥ 1.0 | 3.738 (1.706–8.190) | 0.001 |
Elevated peak AST | 9.770 (2.496–38.247) | 0.001 | Peak procalcitonin ≥ 0.5 | 3.017 (1.710–5.323) | <0.001 |
Peak bilirubin ≥ 1.0 mg/dl | 4.099 (1.752–9.587) | 0.001 | |||
Peak Tn ≥ 0.05 ng/ml | 3.146 (1.507–6.568) | 0.002 | |||
Peak procalcitonin ≥ 0.5 | 2.296 (1.012–5.209) | 0.047 |
Admission markers and mortality: R2 = 0.344; AUC = 0.848 (0.796–0.900, P < 0.001).
Admission markers and mechanical ventilation: R2 = 0.119; AUC = 0.694 (0.637–0.752, P < 0.001).
Peak markers and mortality: R2 = 0.454; AUC = 0.865 (0.819–0.911, P < 0.001).
Peak markers and mechanical ventilation: R2 = 0.355; AUC = 0.825 (0.781–0.870, P < 0.001).
AKI, acute kidney injury; ALT, alanine aminotransferase; AST, aspartate aminotransferase; AUC, area under the curve; CI, confidence interval; LT, liver test; OR, odds ratio; ULN, upper limit of normal.