Before PSM | ||||
---|---|---|---|---|
Overall (n = 955) | High NMLR (n = 210) | Low NMLR (n = 745) | p | |
Demographic | ||||
Female, n (%) | 395 (41.4) | 91 (43.3) | 304 (40.8) | 0.563 |
age, y (median [IQR]) | 66.00 [55.00, 77.00] | 68.50 [56.00, 79.00] | 65.00 [55.00, 76.00] | 0.191 |
BMI, kg/m2 (median [IQR]) | 27.21 [23.26, 32.32] | 26.25 [22.75, 31.42] | 27.66 [23.50, 32.44] | 0.118 |
Diagnosis [underlying cardiac causes], n (%) | 74 (7.7) | 15 (7.1) | 59 (7.9) | 0.821 |
Admission location [Emergency], n (%) | 541 (56.6) | 115 (54.8) | 426 (57.2) | 0.585 |
Comorbidities | ||||
aCCI, median [IQR] | 6.00 [4.00, 9.00] | 6.00 [4.00, 9.00] | 6.00 [4.00, 9.00] | 0.785 |
Age_score, median [IQR] | 3.00 [2.00, 4.00] | 3.50 [2.00, 4.00] | 3.00 [2.00, 4.00] | 0.358 |
Myocardial_infarct, n (%) | 264 (27.6) | 63 (30.0) | 201 (27.0) | 0.437 |
Congestive_heart_failure, n (%) | 424 (44.4) | 91 (43.3) | 333 (44.7) | 0.785 |
Peripheral_vascular_disease, n (%) | 137 (14.3) | 37 (17.6) | 100 (13.4) | 0.155 |
Cerebrovascular_disease, n (%) | 135 (14.1) | 26 (12.4) | 109 (14.6) | 0.475 |
Dementia, n (%) | 38 (4.0) | 9 (4.3) | 29 (3.9) | 0.954 |
Chronic_pulmonary_disease, n (%) | 241 (25.2) | 55 (26.2) | 186 (25.0) | 0.787 |
Rheumatic_disease, n (%) | 35 (3.7) | 5 (2.4) | 30 (4.0) | 0.361 |
Peptic_ulcer_disease, n (%) | 34 (3.6) | 6 (2.9) | 28 (3.8) | 0.681 |
Mild_liver_disease, n (%) | 169 (17.7) | 32 (15.2) | 137 (18.4) | 0.34 |
Diabetes_without_cc, n (%) | 282 (29.5) | 56 (26.7) | 226 (30.3) | 0.345 |
Diabetes_with_cc, n (%) | 160 (16.8) | 29 (13.8) | 131 (17.6) | 0.234 |
Paraplegia, n (%) | 34 (3.6) | 10 (4.8) | 24 (3.2) | 0.394 |
Renal_disease, n (%) | 335 (35.1) | 72 (34.3) | 263 (35.3) | 0.849 |
Malignant_cancer, n (%) | 124 (13.0) | 22 (10.5) | 102 (13.7) | 0.268 |
Severe_liver_disease, n (%) | 52 (5.4) | 8 (3.8) | 44 (5.9) | 0.312 |
Metastatic_solid_tumor, n (%) | 52 (5.4) | 11 (5.2) | 41 (5.5) | 1 |
AIDS, N (%) | 7 (0.7) | 1 (0.5) | 6 (0.8) | 1 |
Sepsis, n (%) | 660 (69.1) | 166 (79.0) | 494 (66.3) | 0.001 |
Treatment, n (%) | ||||
Defibrillation | 33 (3.5) | 7 (3.3) | 26 (3.5) | 1 |
Ventilation | 624 (65.3) | 141 (67.1) | 483 (64.8) | 0.59 |
Laboratory indicators, median [IQR] | ||||
WBC, × 10^9/L | 9.40 [6.60, 14.60] | 15.95 [11.53, 20.98] | 8.50 [6.10, 12.00] | < 0.001 |
Basophils, × 10^9/L | 0.03 [0.01, 0.05] | 0.02 [0.00, 0.04] | 0.03 [0.01, 0.05] | < 0.001 |
Eosinophils, × 10^9/L | 0.09 [0.02, 0.22] | 0.02 [0.00, 0.07] | 0.12 [0.04, 0.25] | < 0.001 |
Lymphocytes, × 10^9/L | 1.21 [0.77, 1.84] | 0.62 [0.43, 0.89] | 1.40 [1.00, 2.00] | < 0.001 |
Monocytes, × 10^9/L | 0.51 [0.35, 0.78] | 0.60 [0.35, 1.10] | 0.50 [0.35, 0.73] | 0.001 |
Neutrophils, × 10^9/L | 7.12 [4.48, 11.91] | 14.32 [10.22, 19.09] | 6.00 [3.98, 9.23] | < 0.001 |
pco2,mmHg | 43.00 [36.00, 52.00] | 44.00 [37.00, 54.00] | 43.00 [36.00, 52.00] | 0.235 |
aado2_calc,mmHg | 259.50 [171.95, 488.62] | 290.68 [180.75, 519.09] | 252.25 [170.20, 479.00] | 0.132 |
PaO2/FiO2 | 178.00 [88.79, 325.00] | 184.50 [87.39, 288.00] | 178.00 [89.00, 330.00] | 0.299 |
ph | 7.32 [7.21, 7.39] | 7.28 [7.18, 7.36] | 7.32 [7.22, 7.39] | 0.001 |
Lactate, mmol/L | 2.80 [1.70, 5.10] | 3.40 [1.80, 6.10] | 2.70 [1.60, 4.80] | 0.006 |
Hematocrit, % | 32.40 [27.50, 38.30] | 33.25 [28.02, 39.48] | 32.10 [27.30, 38.00] | 0.065 |
Hemoglobin, g/L | 10.50 [8.80, 12.40] | 10.70 [9.10, 12.97] | 10.40 [8.70, 12.30] | 0.054 |
Platelet, × 10^9/L | 194.00 [142.00, 266.50] | 211.00 [157.25, 281.00] | 189.00 [137.00, 262.00] | 0.002 |
Outcomes | ||||
Death (%) | 458 (48.0) | 129 (61.4) | 329 (44.2) | < 0.001 |
Los, day (median [IQR]) | 3.27 [1.61, 7.07] | 3.58 [1.73, 7.13] | 3.17 [1.54, 7.00] | 0.277 |
In hospital time, day (median [IQR]) | 9.17 [4.29, 19.08] | 7.58 [3.33, 18.95] | 9.62 [4.50, 19.12] | 0.083 |
ICU_28,day (median [IQR]) | 28.00 [4.27, 28.00] | 13.94 [2.43, 28.00] | 28.00 [4.92, 28.00] | < 0.001 |
IV_time_sum, hour (median [IQR]) | 29.00 [9.00, 73.50] | 35.00 [12.00, 95.75] | 27.00 [9.00, 67.00] | 0.073 |
NE_sum, μg | 0.58 [0.00, 17.47] | 2.45 [0.00, 28.49] | 0.13 [0.00, 15.08] | 0.003 |
Va_sum, IU | 0.00 [0.00, 0.00] | 0.00 [0.00, 5.42] | 0.00 [0.00, 0.00] | 0.016 |
DB_sum, μg | 0.00 [0.00, 0.00] | 0.00 [0.00, 0.00] | 0.00 [0.00, 0.00] | 0.674 |
Sofa score | 8.00 [5.00, 12.00] | 9.00 [6.00, 11.00] | 8.00 [5.00, 12.00] | 0.219 |
GCS score | 15.00[14.00, 15.00] | 15.00 [14.00, 15.00] | 15.00 [14.00, 15.00] | 0.698 |
After PSM | ||||
---|---|---|---|---|
Overall (n = 382) | High NMLR (n = 191) | Low NMLR (n = 191) | p | |
Demographic | ||||
Female, n (%) | 152 (39.8) | 80 (41.9) | 72 (37.7) | 0.464 |
Age, y (median [IQR]) | 68.00 [54.00, 78.00] | 68.00 [56.00, 78.00] | 68.00 [54.00, 76.50] | 0.579 |
BMI, kg/m2 (median [IQR]) | 26.82 [23.08, 32.17] | 26.29 [22.89, 31.92] | 27.34 [23.72, 32.67] | 0.228 |
Diagnosis [underlying cardiac causes], n (%) | 33 (8.6) | 13 (6.8) | 20 (10.5) | 0.275 |
Admission location [Emergency], n (%) | 215 (56.3) | 102 (53.4) | 113 (59.2) | 0.302 |
Comorbidities | ||||
aCCI, median [IQR] | 7.00 [5.00, 9.00] | 6.00 [4.00, 9.00] | 7.00 [5.00, 9.00] | 0.363 |
Age_score, median [IQR] | 3.00 [2.00, 4.00] | 3.00 [2.00, 4.00] | 3.00 [2.00, 4.00] | 0.603 |
Myocardial_infarct, n (%) | 111 (29.1) | 59 (30.9) | 52 (27.2) | 0.499 |
Congestive_heart_failure, n (%) | 186 (48.7) | 85 (44.5) | 101 (52.9) | 0.125 |
Peripheral_vascular_disease, n (%) | 60 (15.7) | 33 (17.3) | 27 (14.1) | 0.482 |
Cerebrovascular_disease, n (%) | 48 (12.6) | 26 (13.6) | 22 (11.5) | 0.643 |
Dementia, n (%) | 15 (3.9) | 8 (4.2) | 7 (3.7) | 1 |
Chronic_pulmonary_disease, n (%) | 107 (28.0) | 50 (26.2) | 57 (29.8) | 0.494 |
Rheumatic_disease, n (%) | 15 (3.9) | 4 (2.1) | 11 (5.8) | 0.114 |
Peptic_ulcer_disease, n (%) | 11 (2.9) | 5 (2.6) | 6 (3.1) | 1 |
Mild_liver_disease, n (%) | 62 (16.2) | 31 (16.2) | 31 (16.2) | 1 |
Diabetes_without_cc, n (%) | 116 (30.4) | 50 (26.2) | 66 (34.6) | 0.095 |
Diabetes_with_cc, n (%) | 58 (15.2) | 27 (14.1) | 31 (16.2) | 0.669 |
Paraplegia, n (%) | 13 (3.4) | 10 (5.2) | 3 (1.6) | 0.09 |
Renal_disease, n (%) | 143 (37.4) | 68 (35.6) | 75 (39.3) | 0.526 |
Malignant_cancer, n (%) | 37 (9.7) | 16 (8.4) | 21 (11.0) | 0.489 |
Severe_liver_disease, n (%) | 18 (4.7) | 8 (4.2) | 10 (5.2) | 0.809 |
Metastatic_solid_tumor, n (%) | 23 (6.0) | 9 (4.7) | 14 (7.3) | 0.39 |
AIDS, n (%) | 3 (0.8) | 1 (0.5) | 2 (1.0) | 1 |
Sepsis, n (%) | 297 (77.7) | 148 (77.5) | 149 (78.0) | 1 |
Treatment, n (%) | ||||
Defibrillation | 13 (3.4) | 6 (3.1) | 7 (3.7) | 1 |
Ventilation | 253 (66.2) | 126 (66.0) | 127 (66.5) | 1 |
Laboratory indicators, median [IQR] | ||||
WBC, × 10^9/L | 12.15 [8.20, 17.05] | 15.70 [11.50, 20.20] | 9.00 [6.60, 13.10] | < 0.001 |
Basophils, × 10^9/L | 0.02 [0.00, 0.05] | 0.02 [0.00, 0.04] | 0.03 [0.01, 0.05] | < 0.001 |
Eosinophils, × 10^9/L | 0.05 [0.00, 0.18] | 0.02 [0.00, 0.07] | 0.14 [0.05, 0.30] | < 0.001 |
Lymphocytes, × 10^9/L | 0.93 [0.60, 1.48] | 0.62 [0.42, 0.88] | 1.40 [1.04, 1.98] | < 0.001 |
Monocytes, × 10^9/L | 0.54 [0.35, 0.87] | 0.58 [0.33, 1.07] | 0.52 [0.36, 0.76] | 0.081 |
Neutrophils, × 10^9/L | 10.13 [6.10, 15.34] | 14.01 [10.25, 18.49] | 6.68 [4.56, 9.84] | < 0.001 |
pco2, mmHg | 43.00 [36.00, 53.00] | 43.00 [36.00, 52.50] | 43.00 [36.00, 53.00] | 0.905 |
aado2_calc, mmHg | 266.75 [175.81, 501.38] | 276.50 [180.75, 514.25] | 260.75 [175.22, 492.50] | 0.455 |
PaO2/FiO2 | 190.71 [88.57, 314.75] | 185.00 [87.00, 288.00] | 196.00 [92.00, 326.50] | 0.282 |
Ph | 7.30 [7.20, 7.37] | 7.29 [7.19, 7.36] | 7.32 [7.20, 7.37] | 0.282 |
Lactate, mmol/L | 2.90 [1.80, 5.40] | 3.20 [1.70, 5.70] | 2.80 [1.80, 4.90] | 0.799 |
Hematocrit, % | 33.25 [27.83, 39.30] | 33.60 [28.10, 39.70] | 32.90 [27.35, 38.40] | 0.247 |
Hemoglobin, g/L | 10.70 [8.93, 12.80] | 10.80 [9.10, 13.15] | 10.50 [8.75, 12.40] | 0.144 |
Platelet, × 10^9/L | 203.00 [152.25, 268.75] | 204.00 [153.50, 268.50] | 200.00 [147.50, 269.50] | 0.967 |
Outcomes | ||||
Death (%) | 196 (51.3) | 115 (60.2) | 81 (42.4) | 0.001 |
Los, day (median [IQR]) | 3.75 [1.82, 7.60] | 3.56 [1.72, 7.11] | 3.97 [1.95, 7.76] | 0.521 |
In hospital time, day (median [IQR]) | 9.77 [4.47, 20.20] | 7.42 [3.12, 18.79] | 11.25 [5.42, 21.33] | 0.005 |
ICU_28, day (median [IQR]) | 28.00 [3.74, 28.00] | 13.96 [2.47, 28.00] | 28.00 [4.98, 28.00] | 0.001 |
IV_time_sum, hour (median [IQR]) | 35.00 [11.25, 79.50] | 35.00 [12.00, 97.50] | 35.00 [11.00, 69.50] | 0.397 |
NE_sum, ug | 0.91 [0.00, 18.98] | 1.89 [0.00, 26.19] | 0.04 [0.00, 14.09] | 0.053 |
Va_sum, IU | 0.00 [0.00, 0.00] | 0.00 [0.00, 3.30] | 0.00 [0.00, 0.00] | 0.068 |
DB_sum, ug | 0.00 [0.00, 0.00] | 0.00 [0.00, 0.00] | 0.00 [0.00, 0.00] | 0.974 |
Sofa score | 8.00 [5.00, 12.00] | 9.00 [6.00, 11.00] | 8.00 [5.00, 12.00] | 0.285 |
GCS score | 15.00 [14.00, 15.00] | 15.00 [14.00, 15.00] | 15.00 [14.00, 15.00] | 0.642 |