From: Determinants of long-term outcome in ICU survivors: results from the FROG-ICU study
NT-proBNP (pg/ml) | hs-TnI (pg/ml) | bio-ADM (pg/ml) | sST2 (ng/ml) | |
---|---|---|---|---|
Normal value | < 300 | < 14 | < 43 | < 23.6 for men/< 16.0 for women |
Missing data (%) | ||||
Median (IQR) at discharge | ||||
All patients (n = 1570) | 541 (149; 2073) | 11.2 (4.2; 39.2) | 33.3 (20.2; 60.5) | 122.2 (73.1; 208.8) |
1-year survivor (n = 1237) | 464 (127; 1681) | 9.7 (3.7; 33.8) | 30.5 (18.7; 52.3) | 112.5 (67.9; 188.6) |
1-year nonsurvivor (n = 333) | 1471 (371; 5719) | 18.5 (7.6; 74.7) | 50.4 (28.5; 107.9) | 189.1 (102.4; 301.2) |
Association with prognosis (OR (95% CI) of biomarker > median) | ||||
Univariate analysis | 2.50 (1.85–3.38) | 2.03 (1.51–2.73) | 2.52 (1.86–3.42) | 2.44 (1.81–3.30) |
Multivariable analysis | 2.05 (1.33–3.18) | 1.41 (0.94–2.13) | 1.61 (1.06–2.45) | 1.53 (1.01–2.33) |
AUC of ROC curve (95% CI) | ||||
Biomarker alone | 0.659 (0.619–0.699)* | 0.625 (0.588–0.663)* | 0.672 (0.635–0.711)* | 0.657 (0.618–0.697)* |
Biomarker + clinical score | 0.794 (0.766–0.823)** | 0.789 (0.759–0.817) | 0.794 (0.766–0.822) | 0.800 (0.773–0.827)** |
NRI of biomarkers added to the full clinical model | ||||
% Events to higher risk | 44.3 | 37.4 | 43.4 | 42.5 |
% Nonevents to higher risk | 14.8 | 16.1 | 15.7 | 17.2 |
% Events to lower risk | 55.7 | 62.6 | 56.6 | 57.5 |
% Nonevents to lower risk | 85.2 | 83.9 | 84.3 | 82.8 |
Total NRI for events (95% CI) | −0.115 (−0.263 to 0.033) | −0.253 (−0.397 to −0.109) | −0.133 (−0.281 to 0.015) | −0.149 (−0.296 to −0.003) |
Total NRI for nonevents (95% CI) | 0.705 (0.650–0.759) | 0.678 (0.622–0.734) | 0.686 (0.631–0.742) | 0.656 (0.598–0.714) |
Total cNRI (95% CI) | 0.590 (0.433–0.747) | 0.425 (0.271–0.580) | 0.554 (0.396–0.711) | 0.507 (0.349–0.664) |
IDI of biomarkers added to the full clinical model | ||||
Events to higher risk | 0.014 | –0.009 | 0.018 | 0.005 |
Nonevents to lower risk | 0.023 | 0.016 | 0.024 | 0.02 |
Total (95% CI) | 0.036 (0.019–0.054) | 0.007 (0–0.014) | 0.041 (0.023–0.06) | 0.024 (0.009–0.04) |