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Table 2 Cox regression analysis for predictors of 90-day mortality in 290 patients with HBV-ACLF in the derivation cohort

From: A neutrophil-to-lymphocyte ratio-based prognostic model to predict mortality in patients with HBV-related acute-on-chronic liver failure

 

Univariate

Multivariate

HR

95% CI

P

HR

OR (95% CI)

P

Parameter (model 1)

 Age (years)

1.030

1.016–1.045

 < 0.001

   

 Ascites (Y:N)

3.882

2.380–6.330

 < 0.001

   

 HE (Y:N)

9.931

6.445–15.302

 < 0.001

5.129

3.209–8.199

 < 0.001

 WBC (109 /L)

1.150

1.114–1.187

 < 0.001

   

 NLR

1.107

1.087–1.129

 < 0.001

1.067

1.038–1.096

 < 0.001

 Platelets (109 /L)

0.996

0.992–0.999

0.025

   

 INR

1.925

1.728–2.145

 < 0.001

1.487

1.310–1.687

 < 0.001

 TB (mg/dL)

1.050

1.034–1.067

 < 0.001

   

 Albumin (g/L)

0.970

0.935–1.005

0.096

   

 Creatinine (mg/dL)

1.642

1.405–1.919

 < 0.001

1.269

1.043–1.545

0.017

 Sodium (mmol/L)

0.911

0.884–0.939

0.001

   

 Lactate (mmol/L)

1.282

1.214–1.354

 < 0.001

1.192

1.107–1.283

 < 0.001

 Parameter (model 2)

  

 NLR grade

4.725

3.364–6.636

 < 0.001

3.506

2.481–4.955

 < 0.001

 INR grade

3.763

2.854–4.963

 < 0.001

2.400

1.803–3.193

 < 0.001

 TB grade

1.745

1.393–2.185

 < 0.001

   

 Creatinine grade

2.166

1.547–3.032

 < 0.001

1.727

1.278–2.335

 < 0.001

 Lactate grade

1.857

1.479–2.332

 < 0.001

   

 HE grade

4.349

3.442–5.496

 < 0.001

2.366

1.793–3.121

 < 0.001

  1. HE hepatic encephalopathy, WBC white blood cell count, NLR neutrophil/lymphocyte ratio, INR international normalized ratio, TB total bilirubin, ACLF acute-on-chronic liver failure, HBV-ACLF hepatitis b related ACLF, AARC Asian Pacific Society for the Study of the Liver ACLF research consortium
  2. Model 1 was adjusted for common variables. Model 2 was adjusted for three risk grades of NLR and five AARC-ACLF-related variables (include INR, TB, creatinine, lactate, and HE). Three risk grades of INR (< 1.8, 1.8–2.5, and > 2.5), TB (< 15 mg/dL, 15–25 mg/dL, and > 25 mg/dL), creatinine (< 0.7 mg/dL, 0.7–1.5 mg/dL, and > 1.5 mg/dL), lactate (< 1.5 mmol/L, 1.5–2.5 mmol/L, and > 2.5 mmol/L), and HE (< 3.10, 3.10–4.78, and > 4.78) were divided per the AARC ACLF scoring system. The corresponding three grades of NLR (< 3.10, 3.10–4.78, and > 4.78) was divided per the upper limit of normal and the optimal cut-off value evaluated in the sensitivity analyses in this cohort