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Table 3 Prognostic value of admission serum cortisol levels on mortality rates and other secondary clinical and nutritional outcomes

From: Association of admission cortisol levels with outcomes and treatment response in patients at nutritional risk

  

Adjusted model 1 *

 

Adjusted model 2 **

 

Primary outcome

p-value

HR (95% CI)

p-value

HR (95% CI)

p-value

30-day mortalitiy

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

< 0.001

2.31 (1.47 to 3.62)

< 0.001

1.89 (1.18 to 3.02)

0.008

Secondary long-term outcomes

     

180-day mortality

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

< 0.001

1.83 (1.38 to 2.43)

< 0.001

1.68 (1.26 to 2.25)

< 0.001

5-year mortality

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

0.001

1.51 (1.23 to 1.87)

< 0.001

1.45 (1.17 to 1.8)

0.001

Secondary short-term outcomes (30 days)

p-value

OR (95% CI)

p-value

OR (95% CI)

p-value

Adverse clinical outcomes

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

0.031

1.54 (1.06 to 2.23)

0.023

1.45 (0.99 to 2.13)

0.056

Loss of function1

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

0.104

1.46 (0.93 to 2.3)

0.104

1.29 (0.81 to 2.08)

0.286

 

p-value

Coefficient (95% CI)

p-value

Coefficient (95% CI)

p-value

Length of hospital stay

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

< 0.001

2 (1 to 3)

< 0.001

2 (1 to 3)

0.001

Mean protein intake per day, g/d2

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

0.005

-5 (-9 to -1)

0.011

-4 (-8 to 0)

0.044

Mean caloric intake per day, kcal/d2

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

0.005

-126 (-229 to -23)

0.017

-91 (-196 to 14)

0.09

Change in handgrip strength (HGS), kg

     

Low cortisol3

 

reference

 

reference

 

High cortisol4

0.032

1 (0 to 3)

0.081

1 (0 to 3)

0.107

  1. Multivariable logistic regression models reporting hazard or odds ratios according to cortisol concentrations. Continous variables were assessed through linear regression models, results are expressed as coefficients
  2. Abbreviations: n, number: SD, standard deviation; 95% CI, 95% confidence interval; HR, hazard ratio; OR, odds ratio; kg, kilograms; CRP, C-reactive protein; kcal/d, calories per day; g/d, grams per day
  3. * adjusted for age, sex, NRS, main diagnosis, comorbidities and trial intervention
  4. ** adjusted for age, sex, NRS, main diagnosis, comorbidities, trial intervention and CRP
  5. 1 Loss of function definded as 10% decrease in Barthel index
  6. 2 until day 10 of hospitalisation
  7. 3 Low cortisol: ≤ 723 nmol/l
  8. 4 High cortisol: > 723 nmol/l