Before propensity score (PS) | After propensity score (PS) | |||||||
---|---|---|---|---|---|---|---|---|
Overall (N = 526) | Dexamethasone (N = 455) | Methylprednisolone (N = 71) | P-value | Overall (N = 264) | Dexamethasone (N = 198) | Methylprednisolone (N = 66) | P-value | |
Age (Years), Mean (SD) | 62.0 (15.25) | 62.3 (14.92) | 60.2 (17.14) | 0.3336^ | 59.7 (15.77) | 59.6 (15.52) | 60.1 (16.60) | 0.9088^ |
Gender – Male, n (%) | 336 (65.8) | 298 (67.6) | 38 ( 54.3) | 0.0295^^ | 168 (64.6) | 131 (67.5) | 37 (56.1) | 0.0924^^ |
Weight (kg), Mean (SD) | 81.2 (18.82) | 80.8 (18.70) | 83.2 (19.51) | 0.2456^ | 82.6 (21.03) | 82.4 (21.58) | 83.4 (19.48) | 0.5130^ |
APACHE II score, Median (Q1,Q3) | 14.0 (9.00, 22.00) | 14.0 (9.00, 22.00) | 15.0 (9.00, 22.00) | 0.6307^ | 15.0 (10.00, 22.00) | 15.0 (10.00, 24.00) | 15.0 (9.00, 21.00) | 0.7147^ |
SOFA score, Median (Q1,Q3) | 4.0 (2.00, 6.00) | 4.0 (2.00, 6.00) | 5.0 (2.00, 9.00) | 0.0808^ | 5.0 (3.00, 8.00) | 5.0 (3.00, 8.00) | 5.0 (2.00, 7.00) | 0.3863^ |
Multiple Organ Dysfunction Score at admission, Median (Q1,Q3) | 5.0 (4.00, 7.00) | 5.0 (4.00, 7.00) | 6.0 (4.00, 9.00) | 0.0821^ | 6.0 (4.00, 8.00) | 5.0 (4.00, 8.00) | 6.0 (4.00, 9.00) | 0.6028^ |
Early use of Tocilizumab within 24 h, n (%) | 104 (20.1) | 92 (20.6) | 12 (16.9) | 0.4669^^ | 53 (20.2) | 41 (20.9) | 12 (18.2) | 0.6322^^ |
Proning at admission, n (%) | 129 (25.5) | 115 (26.4) | 14 (20.0) | 0.2559^^ | 57 (22.4) | 45 (23.7) | 12 (18.5) | 0.3830^^ |
Serum creatinine (mmol/L) at admission, Median (Q1,Q3) | 89.4 (69.00, 135.00) | 88.0 (69.00, 130.40) | 98.5 (66.00, 148.00) | 0.5853^ | 90.0 (68.00, 138.00) | 88.0 (68.00, 138.00) | 96.3 (69.00, 141.00) | 0.6705^ |
Blood Urea nitrogen (BUN) at admission, Median (Q1,Q3) | 7.1 (4.80, 12.00) | 7.1 (4.80, 11.60) | 6.9 (4.70, 12.30) | 0.9834^ | 7.2 (4.80, 12.80) | 7.2 (4.80, 12.80) | 6.9 (4.83, 13.30) | 0.9097^ |
Acute Kidney Injury (AKI) within 24 h of ICU admission, n (%) | 157 (30.5) | 132 (29.7) | 25 (36.2) | 0.2703^^ | 84 (32.3) | 61 (31.1) | 23 (35.9) | 0.4745^^ |
Mechanical Ventilation within 24 h of ICU admission, n (%) | 378 (73.4) | 329 (74.1) | 49 (69.0) | 0.3679^^ | 196 (75.4) | 151 (77.8) | 45 (68.2) | 0.1158^^ |
Oxygenation Index (OI), Median (Q1,Q3) | 16.3 (8.40, 28.19) | 17.7 (8.12, 28.50) | 13.8 (9.10, 24.28) | 0.5501^ | 15.0 (7.89, 27.73) | 19.6 (7.09, 28.50) | 13.2 (9.10, 23.78) | 0.5762^ |
Inotropes/vasopressors use within 24 h of admission), n(%) | 129 (25.1) | 102 (23.1) | 27 (38.0) | 0.0070^^ | 84 (32.3) | 59 (30.4) | 25 (37.9) | 0.2625^^ |
Vasoactive Inotropic Score, Mean (SD) | 9.1 (48.92) | 7.8 (42.12) | 18.3 (81.79) | 0.1088^ | 12.8 (59.78) | 11.1 (50.05) | 18.2 (84.20) | 0.7957^ |
Lactic acid Baseline, Median (Q1,Q3) | 1.7 (1.29, 2.40) | 1.7 (1.29, 2.37) | 1.8 (1.26, 2.43) | 0.8597^ | 1.6 (1.21, 2.37) | 1.6 (1.20, 2.26) | 1.8 (1.26, 2.47) | 0.6409^ |
Platelets count Baseline, Median (Q1,Q3) | 244.0 (190.00, 319.00) | 244.0 (189.00, 319.00) | 243.0 (196.00, 319.00) | 0.7916^ | 241.0 (189.00, 314.00) | 241.0 (178.00, 318.00) | 239.0 (199.00, 314.00) | 0.5410^ |
Total WBC Baseline, Median (Q1,Q3) | 9.7 (6.64, 12.70) | 9.6 (6.64, 12.71) | 9.8 (6.35, 12.40) | 0.8832^ | 9.8 (6.81, 13.35) | 9.4 (6.81, 13.90) | 10.0 (6.81, 12.70) | 0.9539^ |
International normalized ratio (PT-INR), Median (Q1,Q3) | 1.1 (1.01, 1.20) | 1.1 (1.01, 1.19) | 1.1 (1.02, 1.23) | 0.2059^ | 1.1 (1.01, 1.17) | 1.1 (1.01, 1.14) | 1.1 (1.03, 1.23) | 0.0362^ |
activated partial thromboplastin time (aPTT) Baseline, Median (Q1,Q3) | 30.5 (27.10, 34.00) | 30.6 (27.50, 34.00) | 29.2 (25.80, 34.00) | 0.0797^ | 30.5 (26.90, 34.00) | 30.7 (27.50, 34.00) | 29.0 (25.60, 34.00) | 0.0910^ |
Alanine transaminase (ALT) at admission, Median (Q1,Q3) | 38.0 (24.00, 59.50) | 39.0 (24.00, 58.00) | 35.0 (25.00, 64.00) | 0.9669^ | 36.5 (23.50, 60.00) | 37.0 (23.00, 58.00) | 35.5 (26.00, 64.00) | 0.7618^ |
Aspartate transaminase (AST) at admission, Median (Q1,Q3) | 49.0 (34.00, 77.00) | 50.0 (34.00, 78.00) | 43.0 (32.00, 74.00) | 0.4236^ | 48.0 (33.00, 76.00) | 49.0 (35.00, 77.00) | 43.5 (32.00, 74.00) | 0.4346^ |
Albumin Baseline, Median (Q1,Q3) | 33.0 (29.00, 36.00) | 33.0 (29.00, 36.00) | 31.0 (28.00, 35.00) | 0.1400^ | 33.0 (29.00, 36.00) | 33.0 (29.00, 36.00) | 31.0 (28.00, 35.00) | 0.0754* |
Hematocrit at admission, Median (Q1,Q3) | 0.4 (0.34, 0.43) | 0.4 (0.34, 0.43) | 0.4 (0.33, 0.44) | 0.4434^ | 0.4 (0.33, 0.44) | 0.4 (0.34, 0.44) | 0.4 (0.32, 0.44) | 0.2633^ |
Creatine phosphokinase (CPK) baseline (U/l), Median (Q1,Q3) | 169.5 (74.00, 428.00) | 164.0 (74.00, 403.00) | 272.0 (88.00, 598.00) | 0.0729^ | 183.0 (83.00, 528.00) | 180.5 (82.00, 472.00) | 282.0 (84.00, 638.00) | 0.2966^ |
C-reactive protein (CRP) baseline (mg/l), Median (Q1,Q3) | 138.0 (81.30, 204.12) | 137.0 (81.00, 200.00) | 163.5 (82.50, 246.00) | 0.2152^ | 138.0 (83.00, 209.00) | 135.0 (84.00, 201.50) | 168.0 (82.50, 248.00) | 0.1595^ |
Fibrinogen Level baseline (gm/l), Median (Q1,Q3) | 5.5 (3.97, 7.25) | 5.5 (3.96, 7.27) | 5.7 (4.03, 7.22) | 0.6693^ | 6.1 (4.06, 7.56) | 6.1 (4.05, 7.68) | 6.0 (4.64, 7.22) | 0.8279^ |
D-dimer Level baseline, Median (Q1,Q3) | 1.5 (0.77, 3.70) | 1.5 (0.76, 3.38) | 2.0 (0.95, 4.31) | 0.0705^ | 1.6 (0.77, 4.06) | 1.5 (0.71, 3.43) | 2.4 (0.95, 4.31) | 0.0581^ |
Ferritin Level baseline, Median (Q1,Q3) | 699.0 (365.00, 1509.44) | 710.7 (364.08, 1509.44) | 672.5 (387.00, 1741.10) | 0.8613^ | 824.2 (415.70, 2026.40) | 877.1 (427.60, 2115.50) | 709.1 (389.20, 1741.10) | 0.4454^ |
Blood glucose level Baseline Within 24 h of ICU admission, Median (Q1,Q3) | 11.3 (8.00, 16.00) | 11.2 (8.30, 16.10) | 12.0 (7.30, 16.00) | 0.7540^ | 11.2 (7.90, 16.15) | 11.0 (8.00, 16.30) | 12.5 (7.40, 16.00) | 0.8602^ |
Best GCS at admission, Median (Q1,Q3) | 15.0 (13.00, 15.00) | 15.0 (14.00, 15.00) | 15.0 (11.00, 15.00) | 0.0020^ | 15.0 (11.00, 15.00) | 15.0 (10.00, 15.00) | 15.0 (11.00, 15.00) | 0.1759^ |
PaO2/FiO2 ratio within 24 h of admission, Median (Q1,Q3) | 81.5 (59.70, 132.83) | 79.4 (58.33, 124.67) | 108.6 (66.88, 183.50) | 0.0035^ | 86.9 (61.68, 148.00) | 80.6 (60.12, 132.83) | 113.1 (67.04, 183.97) | 0.0119^ |
FIO2 requirement (%) at admission, Median (Q1,Q3) | 75.0 (50.00, 100.00) | 75.0 (50.00, 100.00) | 65.0 (45.00, 100.00) | 0.1286^ | 75.0 (50.00, 100.00) | 80.0 (50.00, 100.00) | 65.0 (42.50, 97.50) | 0.1175^ |
Respiratory rate (Breath Per Minute) at admission, Median (Q1,Q3) | 28.0 (23.00, 33.00) | 28.0 (23.00, 33.00) | 27.5 (23.00, 32.00) | 0.9705^ | 28.0 (23.00, 32.50) | 28.0 (23.00, 33.00) | 27.5 (23.00, 32.00) | 0.9992^ |
Highest heart rate (HR) at admission, Median (Q1,Q3) | 102.0 (90.00, 114.00) | 101.0 (90.00, 114.00) | 104.0 (94.00, 115.00) | 0.1478^ | 103.0 (89.00, 114.00) | 101.0 (86.50, 114.00) | 104.0 (94.00, 114.00) | 0.2449^ |
Lowest MAP at admission, Median (Q1,Q3) | 73.8 (63.00, 84.00) | 73.7 (64.00, 84.00) | 74.0 (63.00, 83.00) | 0.5126^ | 71.0 (61.00, 80.00) | 70.0 (60.50, 79.50) | 73.0 (63.00, 83.00) | 0.3186* |
Maximum body temperature Baseline, Median (Q1,Q3) | 37.2 (37.00, 38.00) | 37.2 (37.00, 38.00) | 37.3 (37.00, 38.10) | 0.4238^ | 37.2 (37.00, 38.00) | 37.2 (37.00, 38.00) | 37.2 (37.00, 38.10) | 0.6709^ |
Pharmacological DVT prophylaxis use during ICU stay,n (%) | 468 (90.7) | 404 (90.6) | 64 (91.4) | 0.8209^^ | 242 (92.7) | 182 (92.9) | 60 (92.3) | 0.8825** |
High dose of Pharmacological DVT prophylaxis, n(%)b | 195 (41.8) | 172 (42.6) | 23 (36.5) | 0.5082^^ | 97 (40.2) | 75 (41.2) | 22 (37.3) | 0.7488^^ |
Standard dose of Pharmacological DVT prophylaxis, n(%)b | 243 (52.0) | 206 (51.0) | 37 (58.7) | 0.5082^^ | 129 (53.5) | 95 (52.2) | 34 (57.6) | 0.7488^^ |
Low dose of Pharmacological DVT prophylaxis, n(%)b | 29 (6.2) | 26 (6.4) | 3 (4.8) | 0.5082^^ | 15 (6.2) | 12 (6.6) | 3 (5.1) | 0.7488^^ |
Patient received nephrotoxic drugs/material during ICU stay, n (%)a | 432 (84.0) | 374 (84.4) | 58 (81.7) | 0.5591^^ | 223 (85.4) | 169 (86.7) | 54 (81.8) | 0.3344^^ |
Comorbidity, n (%) | ||||||||
Atrial fibrillation (A Fib) | 16 (3.1) | 13 (2.9) | 3 (4.2) | 0.5537** | 6 (2.3) | 3 (1.5) | 3 (4.5) | 0.1567** |
Heart Failure | 38 (7.4) | 33 (7.4) | 5 (7.0) | 0.9148^^ | 22 (8.4) | 17 (8.7) | 5 (7.6) | 0.7809^^ |
Hypertension | 291 (56.3) | 255 (57.2) | 36 (50.7) | 0.3073^^ | 142 (54.2) | 108 (55.1) | 34 (51.5) | 0.6130^^ |
Diabetes Mellitus | 310 (60.0) | 276 (61.9) | 34 (47.9) | 0.0254^^ | 150 (57.3) | 117 (59.7) | 33 (50.0) | 0.1686^^ |
Dyslipidemia | 113 (21.9) | 97 (21.7) | 16 (22.5) | 0.8816^^ | 60 (22.9) | 44 (22.4) | 16 (24.2) | 0.7642^^ |
Ischemic heart disease (IHD) | 35 (6.8) | 33 (7.4) | 2 (2.8) | 0.1535** | 8 (3.1) | 6 (3.1) | 2 (3.0) | 0.9899** |
Chronic kidney disease (CKD) | 58 (11.2) | 49 (11.0) | 9 (12.7) | 0.6752^^ | 32 (12.2) | 23 (11.7) | 9 (13.6) | 0.6832^^ |
Deep Vein Thrombosis (DVT) | 2 (0.4) | 2 (0.4) | 0 (0.0) | 0.5718** | 1 (0.4) | 1 (0.5) | 0 (0.0) | 0.5610** |
Pulmonary Embolism (PE) | 4 (0.8) | 3 (0.7) | 1 (1.4) | 0.5110** | 2 (0.8) | 1 (0.5) | 1 (1.5) | 0.4172** |
Liver disease (any type) | 8 (1.5) | 8 (1.8) | 0 (0.0) | 0.2554** | 4 (1.5) | 4 (2.0) | 0 (0.0) | 0.2422** |
Stroke | 22 (4.3) | 19 (4.3) | 3 (4.2) | 0.9893** | 13 (5.0) | 10 (5.1) | 3 (4.5) | 0.8571** |