Research Article

Association between Neutrophil Percentage-to-Albumin Ratio and All-Cause Mortality in Critically Ill Patients with Coronary Artery Disease

Table 1

Characteristics of study patients by NPAR tertiles.

CharacteristicsTotal ()Tertiles of NPAR value
Tertile 1 () <22.1Tertile 2 () ≥22.1, <27.9Tertile 3 () ≥27.9

Age (years)72.5 (63.6-81.0)69.0 (60.3-78.0)73.6 (63.9-81.9)75.0 (66.6-82.6)<0.001
Gender, (%)<0.001
 Male1975 (63.6)723 (70.7)644 (60.9)608 (59.3)
 Female1131 (36.4)300 (29.3)414 (39.1)417 (40.7)
Ethnicity, (%)0.450
 White2241 (72.2)727 (71.1)783 (74.0)731 (71.3)
 Black160 (5.2)50 (4.9)55 (5.2)55 (5.4)
 Other705 (22.6)246 (24)220 (20.8)239 (23.3)
BMI (kg/m2)27.4 (23.8-31.1)28.2 (24.9-31.8)27.3 (23.6-31.2)26.6 (23.0-30.1)<0.001
HR (beats/minute)84 (74-93)83 (75-91)83 (73-92)86 (75-96)<0.001
SBP (mmHg)113 (104-123)114 (106-124)113 (105-124)112 (102-122)<0.001
DBP (mmHg)56 (51-63)58 (53-64)57 (51-64)55 (50-62)<0.001
MBP (mmHg)74 (69-81)75 (71-81)74 (69-81)73 (67-80)<0.001
AMI, (%)93 (3.0)19 (1.9)32 (3.0)42 (4.1)0.012
Comorbidities and medical history, (%)
 Hypertension1476 (47.5)596 (58.3)478 (45.2)402 (39.2)<0.001
 Diabetes1220 (39.3)406 (39.7)450 (42.5)364 (35.5)0.004
 Hypercholesterolemia1258 (40.5)521 (50.9)407 (38.5)330 (32.2)<0.001
 CHF1576 (50.7)420 (41.1)615 (58.1)541 (52.8)<0.001
 AF1273 (41.0)386 (37.7)445 (42.1)442 (43.1)0.031
 COPD93 (3.0)19 (1.9)32 (3.0)42 (4.1)0.012
 Prior MI493 (15.9)136 (13.3)180 (17.0)177 (17.3)0.022
 Prior stroke95 (3.1)22 (2.2)37 (3.5)36 (3.5)0.120
Laboratory parameters
 Neutrophil (%)80.7 (72.0-87.0)70.3 (63.0-77.2)82.1 (76.0-87.0)86.5 (81.1-95.0)<0.001
 Albumin (g/dL)3.2 (2.7-3.7)3.8 (3.5-4.0)3.3 (3.0-3.5)2.5 (2.3-2.8)<0.001
 WBC (109/L)10.0 (7.5-13.0)9.3 (7.0-12.1)10.0 (7.6-13.0)10.9 (7.9-13.9)<0.001
 Hemoglobin (g/dL)10.3 (9.3-11.5)10.6 (9.5-11.9)10.4 (9.4-11.5)10.0 (9.1-10.9)<0.001
 Hematocrit (%)30.7 (27.8-34.0)31.0 (27.9-34.9)31.0 (28.2-34.2)31.0 (27.4-32.7)<0.001
 Platelet (109/L)208.0 (149.0-289.0)195.0 (146.0-262.0)207.0 (151.0-288.0)228.0 (151.0-316.0)<0.001
 Glucose (mg/dL)123.0 (100.0-155.0)122.0 (101.0-151.0)125.0 (102.0-159.0)121.0 (98.0-155.0)0.077
 LDL-C (mg/dL)78.0 (57.0-107.0)86.0 (64.0-117.0)77.0 (57.0-103.0)68.0 (50.0-97.5)<0.001
 HDL-C (mg/dL)42.0 (33.0-51.0)43.0 (36-51)42.0 (33.0-52.0)39.0 (30.0, 51.0)0.001
 TC (mg/dL)148.0 (118.0-181.0)160.0 (130.0-192.0)145.0 (118.0-177.0)134.0 (107.0-169.0)<0.001
 Troponin T (ng/mL)0.09 (0.02-0.45)0.07 (0.01-0.39)0.1 (0.02-0.53)0.09 (0.02-0.42)0.001
 Creatinine (mEq/L)1.1 (0.8-1.7)1.0 (0.8-1.4)1.1 (0.8-1.9)1.2 (0.8-2.1)<0.001
 BUN (mg/dL)25.0 (17.0-40.0)21.0 (15.0-30.0)26.0 (18.0-42.0)29 (19.0-48.0)<0.001
 Sodium (mmol/L)138.0 (135.0-141.0)138.0 (136.0-140.0)138.0 (135.0-141.0)139.0 (135.0-142.0)<0.001
 Potassium (mmol/L)4.1 (3.8-4.5)4.2 (3.9-4.4)4.2 (3.8-4.4)4.2 (3.8-4.4)0.469
 PT (seconds)13.6 (12.7-15.2)13.3 (12.5-14.3)13.8 (12.8-15.6)13.9 (12.9-15.6)<0.001
 APTT (seconds)29.8 (26.2-38.9)29.0 (25.8-37.7)30.4 (26.4-39.4)30.0 (26.4-39.4)0.007
 INR1.2 (1.1-1.4)1.1 (1.1-1.3)1.2 (1.1-1.5)1.2 (1.1-1.5)<0.001
 ALT (U/L)26 (17-40)25 (17-40)27 (17-42)29 (16-40)0.140
 CRP13.0 (7.3-23.0)9.4 (5.2-18.4)11.0 (7.0-17.0)19.5 (12.4-29.7)<0.001
Medication use
 Aspirin2911 (93.7)957 (93.5)991 (93.7)963 (94.0)0.928
 Thienopyridines1187 (38.2)399 (39.0)445 (42.1)343 (33.5)<0.001
 Oral anticoagulants842 (27.1)283 (27.7)322 (30.4)237 (23.1)0.001
 Beta-blockers2434 (78.4)886 (84.7)827 (78.2)741 (72.3)<0.001
 ACEIs1439 (46.3)545 (53.3)492 (46.5)402 (39.2)<0.001
 ARBs238 (7.7)89 (8.7)95 (9.0)54 (5.3)0.002
 Statins2013 (67.7)803 (78.5)725 (68.5)575 (56.1)<0.001
Scoring systems
 SOFA5 (3-7)4 (2-6)4 (3-7)5 (3-8)<0.001
 SAPS II39.0 (31.0-49.0)36.0 (29.0-44.5)40.0 (32.0-47.0)43.0 (34.0-52.0)<0.001
NPAR24.7 (20.8-30.0)19.1 (16.8-20.7)24.7 (23.2-26.2)32.9 (30.0-37.4)<0.001

Data are described as count (percentage) for categorical variables and median (interquartile range) for continuous variables. BMI: body mass index; HR: heart beat; SBP: systolic blood pressure; DBP: diastolic blood pressure; MBP: mean blood pressure; AMI: acute myocardial infarction; CHF: chronic heart failure; AF: atrial fibrillation; COPD: chronic obstructive pulmonary disease; prior MI: prior myocardial infarction; WBC: white blood cell; LDL-C: low-density lipoprotein cholesterol; HDL-C: high-density lipoprotein cholesterol; TC: total cholesterol; BUN: blood urea nitrogen; PT: prothrombin time; APTT: activated partial thromboplastin time; INR: international normalization ratio; ALT: alanine aminotransferase; CRP: C-reactive protein; ACEIs: angiotensin-converting enzyme inhibitors; ARBs: angiotensin receptor blockers; SOFA: sequential organ failure assessment score [13]; SAPS II: simplified acute physiology score II [14].