Research Article

Prognostic Utility of Platelet-to-Albumin Ratio among Critically Ill Patients with Colorectal Cancer: A Propensity Score Matching Study

Table 1

Comparison of baseline metrics between the low and high PAR groups.

Baseline metricsOriginal cohortMatched cohortValidation cohort
Low PARHigh PARPLow PARHigh PARPLow PARHigh PARp

Number51126520220215465
Age, years70.1 (13.4)68.1(13.6)0.05168.6 (14.1)69.5 (12.8)0.47269.7 (12.0)68.7 (15.2)0.620
Gender, male, n (%)320 (62.6)137 (51.7)0.004113 (55.9)107 (53.0)0.61798 (63.6)28 (43.1)0.008
BMI, kg/m227.7 (7.9)28.0 (8.3)0.59028.2 (8.4)28.1 (8.3)0.88529.2 (8.4)27.5 (8.3)0.186

Ethnicity, n (%)0.5680.4790.087
 White400 (78.3)199 (75.1)155 (76.7)154 (76.2)110 (71.4)40 (61.5)
 Black66 (12.9)41 (15.5)33 (16.3)28 (13.9)19 (12.3)6 (9.2)
 Other45 (8.8)25 (9.4)14 (6.9)20 (9.9)25 (16.2)19 (29.2)

Interventions, n (%)
 MV use136 (26.6)99 (37.4)0.00377 (38.1)66 (32.7)0.29849 (31.8)29 (44.6)0.098
 RRT use6 (1.2)3 (1.1)1.0001 (0.5)1 (0.5)1.0007 (4.5)0 (0.0)0.185
 Vasopressor use75 (14.7)48 (18.1)0.09333 (16.3)32 (15.8)1.00057 (37.0)23 (35.4)0.940

Score system, points
 SOFA3.5 (1.0)3.4 (1.1)0.9093.6 (1.2)3.4 (1.2)0.5924.8 (1.5)5.4 (1.4)0.282
 OASIS23.6 (10.2)26.7 (10.4)0.00126.1 (10.9)26.7 (10.1)0.71631.9 (8.7)35.2 (9.8)0.013
 APSIII43.5 (12.5)50.0 (24.1)0.00148.6 (14.6)47.7 (14.8)0.72547.8 (21.1)56.1 (25.0)0.021

Comorbidities, n (%)
 Hypertension75 (14.7)34 (12.8)0.55330 (14.9)26 (12.9)0.66664 (41.6)19 (29.2)0.117
 Diabetes131 (25.6)60 (22.6)0.40647 (23.3)50 (24.8)0.81646 (29.9)9 (13.8)0.020
 CKD57 (11.2)21 (7.9)0.19616 (7.9)15 (7.4)1.00021 (13.6)7 (10.8)0.720
 Myocardial infarct41 (8.0)16 (6.0)0.39016 (7.9)16 (7.9)1.00025 (16.2)6 (9.2)0.252
 CHF64 (12.5)20 (7.5)0.04624 (11.9)15 (7.4)0.17835 (22.7)11 (16.9)0.434
 COPD63 (12.3)32 (12.1)1.00022 (10.9)23 (11.4)1.00030 (19.5)18 (27.7)0.245
 Liver disease11 (2.2)2 (0.8)0.2531 (0.5)1 (0.5)1.00016 (10.4)4 (6.2)0.461
 CCI, points5.7 (2.3)5.4 (1.5)0.1915.5 (2.3)5.5 (2.5)0.9658.9 (2.6)9.0 (2.9)0.670

Complications, n (%)
 AKI119 (23.3)81 (30.6)0.16854 (26.7)49 (24.3)0.34743 (27.9)20 (30.8)0.793
 Sepsis76 (14.9)45 (17.0)0.50729 (14.4)28 (13.9)1.00073 (47.4)29 (44.6)0.818

Vital signs
 MAP, mmHg87.1 (16.1)87.9 (17.4)0.54888.9 (16.0)87.7 (17.0)0.46483.0 (19.6)81.6 (16.7)0.623
 Heart rate, bpm89.2 (21.0)93.9 (21.7)0.00492.4 (22.1)92.2 (22.4)0.93496.5 (24.3)100.6 (23.2)0.248
 RR, bpm19.1 (5.0)19.3 (5.4)0.50419.6 (5.7)19.6 (5.4)0.94319.9 (5.4)20.8 (6.3)0.252
 SpO2, %96.9 (3.2)96.6 (4.7)0.08096.6 (4.0)96.7 (3.4)0.68795.8 (5.7)97.0 (4.7)0.137

Laboratory results
 WBC, ×109/L10.5 (4.0)13.5 (5.8)0.00112.3 (4.8)12.1 (4.7)0.81711.2 (4.3)13.4 (4.8)0.123
 HGB, g/dL11.2 (2.3)10.1 (2.3)0.00110.4 (2.3)10.4 (2.2)0.89810.4 (1.9)9.8 (2.2)0.033
 PLT, ×109/L186.7 (70.9)388.2 (95.7)0.001195.1 (77.8)370.9 (97.6)<0.001189.0 (64.3)346.9 (94.9)<0.001
 HCT, %34.1 (6.7)31.5 (6.6)0.00132.3 (6.9)32.3 (6.2)0.97332.5 (5.6)31.0 (5.9)0.070
 Albumin, g/dL3.5 (0.7)2.9 (0.6)0.0013.5 (0.7)2.9 (0.7)<0.0013.5 (0.6)2.7 (0.7)<0.001
 PAR5.4 (1.9)14.0 (5.0)0.0015.6 (1.9)13.4 (5.5)<0.0015.5 (1.8)13.0 (4.0)<0.001
 ALP, U/L138.5(64.9)174.3 (72.7)0.018169.5 (65.4)154.8(61.5)0.501132.7(68.90132.1(67.2)0.965
 Bilirubin, mmol/L1.2 (0.5)1.3 (0.6)0.5041.3 (0.5)1.2 (0.5)0.6121.6 (0.6)1.1 (0.5)0.217
 Anion gap, mEq/L10.8 (4.0)12.0 (4.9)0.00111.5 (4.6)11.2 (4.3)0.44514.7 (4.2)15.5 (4.7)0.221
 Bicarbonate, mEq/L24.0 (4.5)24.2 (4.6)0.50424.2 (4.6)24.4 (4.2)0.56922.8 (4.6)22.6 (5.4)0.783
 BUN, mg/dL22.9 (8.2)24.9 (9.9)0.16624.1 (9.4)23.1 (8.4)0.59324.2 (10.8)25.6 (12.6)0.662
 Creatinine, mg/dL1.3 (0.5)1.4 (0.6)0.2541.4 (0.5)1.4 (0.5)0.6281.3 (0.6)1.2 (0.5)0.572
 Glucose, mg/dL141.0(63.2)131.4(50.2)0.032140.0(67.3)133.1 (52.2)0.249144.9 (59.3)133.5 (56.0)0.189
 Potassium, mmol/L4.1 (0.7)4.2 (0.9)0.2694.1 (0.9)4.2 (0.8)0.5214.2 (0.9)4.2 (0.7)0.796
 Sodium, mmol/L137.2 (5.3)136.2 (5.9)0.022136.2(6.2)136.4(5.6)0.783137.4 (5.2)137.8 (4.1)0.579
 Calcium, mg/dL8.5 (1.1)8.6 (0.9)0.1608.6 (1.0)8.6 (0.9)0.8128.4 (0.7)8.2 (0.6)0.216
 Chloride, mmol/L103.3 (6.3)101.4 (6.8)0.001101.8 (7.0)102.1 (6.3)0.725102.7 (7.1)102.3 (5.4)0.704
 PT, s16.6 (7.8)16.8 (7.3)0.85117.2 (7.3)16.5 (7.4)0.48015.7 (5.3)16.2 (5.7)0.484
 APTT, s34.9 (10.7)35.0 (8.0)0.93335.7 (11.6)34.8 (7.8)0.48036.4 (10.8)36.7 (11.7)0.903
 INR1.5 (0.5)1.5 (0.5)0.6861.5 (0.6)1.5 (0.5)0.5771.4 (0.5)1.5 (0.5)0.526

Clinical outcome
 LOS, days10.9 (4.6)12.2 (5.2)0.10912.2 (5.4)12.0 (5.4)0.83811.7 (5.6)10.9 (5.3)0.606
 Death, n (%)42 (8.2)65 (24.5)0.00120 (9.9)55 (22.3)0.00115 (9.7)23 (35.4)<0.001