Research Article

Week-One Anaemia was Associated with Increased One-Year Mortality in Critically Ill Surgical Patients

Table 1

Characteristics between the patients categorised by week-1 level of haemoglobin in the primary cohort and propensity score-matched cohort.

Before PSM1 : 1 PSM
Hb < 10Hb ≥ 10SMDHb < 10Hb ≥ 10SMD
n = 2.280n = 5.343n = 1.501n = 1.501

Basic characteristics
 Age, years64.4 ± 16.359.6 ± 15.70.30463.3 ± 16.563.2 ± 15.60.007
 Sex (male)1422 (62.4%)3423 (64.1%)0.035946 (63.0%)946 (63.0%)<0.001
 Body mass index23.8 ± 4.624.4 ± 4.50.14023.9 ± 4.623.8 ± 4.60.022
 Charlson comorbidity index2.0 ± 1.61.4 ± 1.30.4101.8 ± 1.51.8 ± 1.50.025

Severity and managements
 APACHE II score22.7 ± 6.619.6 ± 5.90.50521.6 ± 6.421.2 ± 6.00.057
 Presence of shock1147 (50.3%)1353 (25.3%)0.533663 (44.2%)663 (44.2%)<0.001
 Emergent surgery183 (8.0%)106 (2.0%)0.28069 (4.6%)71 (4.7%)0.006

Surgical divisions
 Cardiovascular surgery456 (20.0%)811 (15.2%)0.127386 (25.7%)386 (25.7%)<0.001
 Neurosurgery263 (11.5%)2293 (42.9%)0.753246 (16.4%)246 (16.4%)<0.001
 Major abdomen surgery328 (14.4%)172 (3.2%)0.402132 (8.8%)132 (8.8%)<0.001
 Others495 (21.7%)558 (10.4%)0.310300 (20.0%)281 (18.7%)0.032
 Blood loss at operating room, ml404.8 ± 612.6326.2 ± 527.90.137463.1 ± 633.1464.5 ± 649.30.002
 Receiving RBC transfusion1890 (82.9%)1785 (33.4%)1.1601132 (75.4%)1110 (74.0%)0.034
 Receiving mechanical ventilation1771 (77.7%)3500 (65.5%)0.2721133 (75.5%)1174 (78.2%)0.065
 Receiving RRT362 (15.9%)108 (2.0%)0.500122 (8.1%)99 (6.6%)0.059
 End-stage renal disease92 (4.0%)25 (0.5%)0.24231 (2.1%)23 (1.5%)0.040
 Fluid balance day 1–31649.9 ± 3010.0659.7 ± 2062.90.3841435.1 ± 2805.61159.2 ± 2474.70.104
 Positive microbiological culture1161 (50.9%)1404 (26.3%)0.523675 (45.0%)640 (42.6%)0.047

Laboratory data
 White blood cell count (10 [3]/μl)11049.6 ± 5620.910792.5 ± 3888.10.05310903.7 ± 5198.411147.5 ± 4159.10.052
 Platelet (10 [3]/μL)167.6 ± 99.8206.6 ± 80.70.430173.7 ± 100.2178.5 ± 87.40.052
 Albumin (mg/dL)3.0 ± 0.73.7 ± 0.70.9363.2 ± 0.73.2 ± 0.70.040
 Creatinine (mg/dL)2.0 ± 2.11.0 ± 0.90.6071.6 ± 1.81.3 ± 1.40.236

Outcome
 ICU length of stay, days12.1 ± 13.57.6 ± 10.20.37710.5 ± 12.510.4 ± 13.80.011
 Hospital length of stay, days29.95 ± 27.819.3 ± 23.50.40926.1 ± 23.526.6 ± 33.30.017
 One-year mortality958 (42.0%)924 (17.3%)0.562535 (35.6%)442 (29.4%)0.133

Data are shown as mean ± standard deviation and number (percentages). PSM, propensity score-matching; SMD, standard mean difference; Hb, haemoglobin (g/dL); APACHE, Acute Physiology and Chronic Health Evaluation; RBC, red blood cell; RRT, renal replacement therapy; ICU, intensive care unit.