Research Article

Association of Plasma Anion Gap with 28-Day Inhospital Mortality and 1-Year Mortality of Patients with Alcohol Use Disorder at ICU Admission: A Retrospective Cohort Study

Table 1

Baseline characteristics between AG groups.

VariableAG (mmol/L)
value
()()()()()

Age (years)58.00 (48.00-66.00)56.00 (47.00-65.00)55.00 (45.00-64.00)54.00 (44.00-64.00)54.00 (45.00-62.00)<0.001
Sex (male), (%)209 (73.85%)388 (76.98%)788 (73.03%)683 (71.00%)852 (73.13%)0.191
Time in ICU (days)2.29 (1.49-4.72)2.53 (1.57-5.16)2,63 (1.58-5.34)2.73 (1.71-6.01)2.79 (1.70-6.04)0.002
Time in hospital (days)7.96 (5.08-12.83)7.73 (4.59-14.26)8.29 (4.71-14.96)8.23 (4.58-15.54)8.42 (4.17-15.58)0.803
28-day inhospital mortality, (%)13 (4.59%)31 (6.15%)82 (7.60%)105 (10.91%)218 (18.71%)<0.001
1-year mortality, (%)19 (6.71%)45 (8.93%)108 (10.01%)137 (14.24%)243 (20.86%)<0.001
Vital signs
 Anion gap10.00 (10.00-11.00)13.00 (12.00-13.00)15.00 (14.00-16.00)18.00 (17.00-19.00)23.00 (21.00-27.00)<0.001
Scoring systems
 SOFA5.00 (3.00-7.00)4.00 (2.00-7.00)4.00 (2.00-7.00)5.00 (3.00-8.00)7.00 (3.00-11.00)<0.001
 LODS4.00 (2.00-6.00)3.00 (2.00-6.00)4.00 (2.00-6.00)4.00 (2.00-7.00)5.00 (3.00-9.00)<0.001
 SAPSII29.00 (22.00-36.00)28.00 (21.00-37.00)29.00 (21.00-37.00)31.00 (22.00-41.00)35.00 (25.00-48.00)<0.001
QSOFA, (%)0.001
 06 (2.12%)13 (2.58%)27 (2.50%)27 (2.81%)23 (1.97%)
 167 (23.67%)121 (24.01%)251 (23.26%)196 (20.37%)268 (23.00%)
 2144 (50.88%)241 (47.82%)489 (45.32%)468 (48.65%)468 (40.17%)
 366 (23.32%)129 (25.60%)312 (28.92%)271 (28.17%)406 (34.85%)
SIRS, (%)<0.001
 07 (2.47%)11 (2.18%)14 (1.30%)6 (0.62%)6 (0.52%)
 142 (14.84%)53 (10.52%)100 (9.27%)79 (8.21%)63 (5.41%)
 290 (31.80%)179 (35.52%)351 (32.53%)335 (34.82%)332 (28.50%)
 3103 (36.40%)192 (38.10%)431 (39.94%)359 (37.32%)332 (28.50%)
 441 (14.49%)69 (13.69%)183 (16.96%)183 (19.02%)262 (22.49%)
Ethnicity, (%)<0.001
 White195 (68.90%)318 (63.10%)669 (62.00%)612 (63.62%)700 (60.09%)
 Black12 (4.24%)25 (4.96%)94 (8.71%)87 (9.04%)141 (12.10%)
 Hispanic7 (2.47%)26 (5.16%)45 (4.17%)39 (4.05%)50 (4.29%)
 Others69 (24.38%)135 (26.79%)271 (25.12%)224 (23.28%)274 (23.52%)
First care unit, (%)<0.001
 MICU87 (30.74%)146 (28.97%)322 (29.84%)318 (33.06%)481 (41.29%)
 CCU62 (21.91%)87 (17.26%)218 (20.20%)181 (18.81%)172 (14.76%)
 SICU33 (11.66%)82 (16.27%)173 (16.03%)150 (15.59%)166 (14.25%)
 MICU/SICU14 (4.95%)36 (7.14%)68 (6.30%)72 (7.48%)87 (7.47%)
 CVICU31 (10.95%)70 (13.89%)171 (15.85%)158 (16.42%)188 (16.14%)
 TSICU54 (19.08%)57 (11.31%)78 (7.23%)28 (2.91%)25 (2.15%)
 Others2 (0.71%)26 (5.16%)49 (4.54%)55 (5.72%)46 (3.95%)
 Ventilation, (%)237 (83.75%)421 (83.53%)863 (79.98%)732 (76.09%)912 (78.28%)0.003
 Vasopression, (%)8 (2.83%)19 (3.77)57 (5.28%)76 (7.90%)167 (14.33%)<0.001
Major comorbidities, (%)
 Sepsis156 (55.12%)292 (57.94%)575 (53.29%)523 (54.37%)731 (62.75%)<0.001
 Myocardial infarct30 (10.60%)43 (8.53%)95 (8.80%)84 (8.73%)107 (9.18%)0.877
 Congestive heart failure33 (11.66%)73 (14.48%)184 (17.05%)148 (15.38%)173 (14.85%)0.207
 Peripheral vascular disease28 (9.89%)33 (6.55%)77 (7.14%)66 (6.86%)56 (4.81%)0.019
 Cerebrovascular disease19 (6.71%)55 (10.91%)135 (12.51%)128 (13.31%)93 (7.98%)<0.001
 Peptic ulcer disease16 (5.65%)24 (4.76%)48 (4.45%)34 (3.53%)57 (4.89%)0.481
 Mild liver disease122 (43.11%)202 (40.08%)362 (33.55%)353 (36.69%)581 (49.87%)<0.001
 Severe liver disease76 (26.86%)114 (22.62%)194 (17.98%)181 (18.81%)315 (27.04%)<0.001
 Chronic pulmonary disease64 (22.61%)128 (25.40%)246 (22.80%)200 (20.79%)205 (17.60%)0.002
 Renal disease11 (3.89%)27 (5.36%)65 (6.02%)100 (10.40%)150 (12.88%)<0.001
 Metastatic solid tumor9 (3.18%)12 (2.38%)36 (3.34%)21 (2.18%)26 (2.23%)0.398
 Malignant cancer29 (10.25%)41 (8.13%)91 (8.43%)60 (6.24%)74 (6.35%)0.056
 Aids2 (0.71%)3 (0.60%)10 (0.93%)9 (0.94%)9 (0.77%)0.952

Abbreviations: AG: anion gap; CCU: cardiac care unit; CVICU: cardiovascular intensive care unit; ICU: intensive care unit; LODS: logistic organ dysfunction system; MICU: medical intensive care unit; QSOFA: quick sepsis-related organ failure assessment; SAPSII: simplified acute physiology score II; SICU: surgical intensive care unit; SIRS: systemic inflammatory response syndrome; SOFA: sequential organ failure assessment; TSICU: trauma and surgical intensive care unit.