Research Article

Elevated Serum Total Bilirubin Level Is Associated with Poor Outcomes in Pediatric Patients with Sepsis-Associated Liver Injury

Table 1

Demographic and clinical characteristics of the patients enrolled in this study.

CharacteristicsSurvivor ()Nonsurvivor ()P

Age, month, median (IQR)12 (7, 33)18 (10, 84)0.213
Male, n (%)30 (65.2)13 (50)0.206
Source of sepsis
 Lungs, n (%)25 (54.3)11 (42.3)0.326
 Abdominal, n (%)13 (28.3)11 (42.3)0.225
 CNS, n (%)4 (8.7)1 (3.8)0.437
 Haematogenous, n (%)2 (4.3)2 (7.7)0.552
 Skin/soft tissues, n (%)2 (4.3)1 (3.8)0.919
Pediatric risk of mortality III (PRISM III), median (IQR)10 (5, 13)12.5 (9, 19)0.058
Complications
 Hemophagocytic syndrome, n (%)7 (15.2)5 (19.2)0.661
 Hematologic malignancy, n (%)4 (8.7)4 (15.4)0.386
Adjuvant treatment
 CRRT, n (%)13 (28.3)6 (23.1)0.632
 Mechanical ventilation, n (%)17 (40.0)18 (69.2)0.008
Transferred from the other ward, n (%)14 (30.4)6 (23.1)0.503
MAP (mmHg)67 (61–73)66 (57–76)0.518
PaO2/FiO2 (mmHg)331 (241–410)300 (203–365)0.078
sCr (μmol/L)26.5 (20.0–43.0)31.5 (22.0–48.0)0.443
BUN (mmol/L)4.2 (2.9–7.1)5.5 (3.2–11.0)0.212
Lac (mg/dL)2.3 (1.3–3.6)2.7 (1.4–5.2)0.303
PLT(109/L)183 (119–333)157 (57–208)0.199
Major pathogen
 Gram-negative bacterium22130.859
  Acinetobacter baumannii75
  Pseudomonas aeruginosa52
  Klebsiella pneumoniae33
  Haemophilus influenzae40
  Enterobacter cloacae02
  Others31
 Virus1440.157
  EBV113
  CMV31
 Gram-positive bacterium840.826
  Streptococcus pneumoniae12
  Staphylococcus aureus21
  Enterococcus gallinarum20
  Enterococcus faecium11
  Staphylococcus capitis10
  Others10
 Mycoplasma210.919

CNS: central nervous system; CRRT: continuous renal replacement therapy; MAP: mean arterial pressure; PaO2/FiO2: the ratio of the partial pressure of oxygen in arterial blood (PaO2) to the inspired oxygen fraction (FiO2); sCr: serum creatinine; BUN: blood urea nitrogen; Lac: lactate; PLT: platelet. Indicated that data were treated with Ln processing.