Research Article

Plasma S100A8 and S100A9 Are Strong Prognostic Factors for Hepatitis B Virus-Related Acute-on-Chronic Liver Failure

Table 2

Predictors of 28-day and 90-day mortality in HBV-ACLF patients.

Predictors (28-day mortality)Univariate analysisMultivariate analysis
HR (95% CI) valueHR (95% CI) value

Age1.038 (1.016–1.060)0.0011.006 (1.002–1.011)0.009
Male sex0.749 (0.436–1.286)0.295
WBC (10^9/L)1.074 (1.014–1.138)0.0151.041 (0.996–1.123)0.294
HB (g/L)1.000 (0.990–1.010)0.966
PLT (10^9/L)0.989 (0.983–0.996)0.0010.996 (0.988–1.003)0.230
ALB (g/L)0.984 (0.915–1.059)0.669
TB (umol/L)1.003 (1.002–1.004)<0.0011.002 (1.000–1.004)0.089
Creatinine (umol/L)1.006 (1.003–1.008)<0.0011.005 (1.001–1.010)0.019
INR2.222 (1.799–2.745)<0.0011.620 (1.227–2.138)0.001
AFP (ug/L)0.997 (0.993–1.001)0.192
Ascites grade2.009 (1.362–2.964)<0.0010.912 (0.670–1.241)0.558
HE grade1.933 (1.598–2.338)<0.0011.330 (1.023–1.731)0.034
Bacterial infection1.225 (0.738–2.032)0.0080.641 (0.341–1.206)0.168
S100A8 (ng/mL)1.018 (1.011–1.025)<0.0011.027 (1.007–1.048)0.026
S100A9 (ng/mL)1.014 (1.009–1.019)<0.0011.009 (1.001–1.017)0.007

Predictors (90-day mortality)
Age1.037 (1.017–1.058)<0.0011.034 (1.007–1.061)0.013
Male sex0.754 (0.410–1.390)0.366
WBC (∗10^9/L)1.067 (1.011–1.127)0.0181.021 (0.933–1.118)0.651
HB (g/L)1.001 (0.991–1.010)0.901
PLT (∗10^9/L)0.990 (0.984–0.996)0.0011.001 (0.994–1.007)0.809
ALB (g/L)0.999 (0.961–1.038)0.947
TB (umol/L)1.003 (1.002–1.004)<0.0011.002 (1.001–1.003)0.002
Creatinine (umol/L)1.007 (1.004–1.010)<0.0010.998 (0.995–1.002)0.304
INR2.804 (2.208–3.561)<0.0012.362 (1.740–3.207)<0.001
AFP (ug/L)0.999 (0.997–1.001)0.225
Ascites grade1.591 (1.262–2.006)<0.0011.183 (0.905–1.547)0.220
HE grade1.914 (1.606–2.281)<0.0011.499 (1.173–1.916)0.001
Bacterial infection2.132 (1.277–3.557)0.0041.122 (0.605–2.083)0.715
S100A8 (ng/mL)1.023 (1.017–1.029)<0.0011.023 (1.011–1.035)0.004
S100A9 (ng/mL)1.012 (1.009–1.015)<0.0011.008 (1.004–1.012)<0.001

CI: confidence interval; HR: hazard ratio; WBC: white blood cell; HB: Hemoglobin; PLT: blood platelet; ALB: albumin; TB: total bilirubin; INR: international normalized ratio; AFP: alpha-fetoprotein; and HE: Hepatic encephalopathy.