Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study

Purpose: The present study aimed to clarify the potential predictive significance of Systemic immune-inflammation index (SII) in assessing the poor prognosis of critically ill patients with congestive heart failure (CHF).Methods: Detailed clinical data were extracted from the Multiparameter Intellig...

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Autores principales:	Yiyang Tang, Xiaofang Zeng, Yilu Feng, Qin Chen, Zhenghui Liu, Hui Luo, Lihuang Zha, Zaixin Yu
Formato:	article
Lenguaje:	EN
Publicado:	Frontiers Media S.A. 2021
Materias:	congestive heart failure systemic immune-inflammation index mortality biomarker MIMIC-III database Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/c7256ef6ec4b4504b08f435b7fadf9e6
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spelling	oai:doaj.org-article:c7256ef6ec4b4504b08f435b7fadf9e62021-11-12T05:05:14ZAssociation of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study2297-055X10.3389/fcvm.2021.753133https://doaj.org/article/c7256ef6ec4b4504b08f435b7fadf9e62021-11-01T00:00:00Zhttps://www.frontiersin.org/articles/10.3389/fcvm.2021.753133/fullhttps://doaj.org/toc/2297-055XPurpose: The present study aimed to clarify the potential predictive significance of Systemic immune-inflammation index (SII) in assessing the poor prognosis of critically ill patients with congestive heart failure (CHF).Methods: Detailed clinical data were extracted from the Multiparameter Intelligent Monitoring in Intensive Care III database after gaining access and building the local platform. The 30- and 90-day and hospital all-cause mortalities of the patient was the primary outcome, and the readmission rate and the occurrence of major cardiovascular adverse events (MACEs) were the secondary outcomes. the Cox proportional hazard model and Logistic regression analysis were selected to reveal the relationship between SII level and the research outcome. Further, the propensity score matching (PSM) analysis was performed to improve the reliability of results by reducing the imbalance across groups.Results: There were a total of 4,606 subjects who passed the screening process and entered the subsequent analysis. Multivariate regression analysis showed that after adjusting for possible confounders, including age, heart rate, and albumin, etc., the high level of SII was independently associated with 30- and 90-day and hospital mortalities (tertile 3 vs. tertile 1: HR, 95% CIs: 1.23, 1.04-1.45; 1.21, 1.06-1.39; 1.26, 1.05-1.50) and the incidence of MACEs (tertile 3 vs. tertile 1: OR, 95% CI: 1.39, 1.12-1.73) in critically ill patients with CHF, but no significant correlation was found between SII and the readmission rate. Consistently, patients with high SII level still presented a significantly higher short-term mortality than patients with low SII in the PSM subset.Conclusion: In critically ill patients with CHF, high level of SII could effectively predict high 30- and 90-day and hospital mortalities, as well as the high risk of occurrence of MACEs.Yiyang TangXiaofang ZengYilu FengQin ChenZhenghui LiuHui LuoLihuang ZhaZaixin YuZaixin YuFrontiers Media S.A.articlecongestive heart failuresystemic immune-inflammation indexmortalitybiomarkerMIMIC-III databaseDiseases of the circulatory (Cardiovascular) systemRC666-701ENFrontiers in Cardiovascular Medicine, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	congestive heart failure systemic immune-inflammation index mortality biomarker MIMIC-III database Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	congestive heart failure systemic immune-inflammation index mortality biomarker MIMIC-III database Diseases of the circulatory (Cardiovascular) system RC666-701 Yiyang Tang Xiaofang Zeng Yilu Feng Qin Chen Zhenghui Liu Hui Luo Lihuang Zha Zaixin Yu Zaixin Yu Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study
description	Purpose: The present study aimed to clarify the potential predictive significance of Systemic immune-inflammation index (SII) in assessing the poor prognosis of critically ill patients with congestive heart failure (CHF).Methods: Detailed clinical data were extracted from the Multiparameter Intelligent Monitoring in Intensive Care III database after gaining access and building the local platform. The 30- and 90-day and hospital all-cause mortalities of the patient was the primary outcome, and the readmission rate and the occurrence of major cardiovascular adverse events (MACEs) were the secondary outcomes. the Cox proportional hazard model and Logistic regression analysis were selected to reveal the relationship between SII level and the research outcome. Further, the propensity score matching (PSM) analysis was performed to improve the reliability of results by reducing the imbalance across groups.Results: There were a total of 4,606 subjects who passed the screening process and entered the subsequent analysis. Multivariate regression analysis showed that after adjusting for possible confounders, including age, heart rate, and albumin, etc., the high level of SII was independently associated with 30- and 90-day and hospital mortalities (tertile 3 vs. tertile 1: HR, 95% CIs: 1.23, 1.04-1.45; 1.21, 1.06-1.39; 1.26, 1.05-1.50) and the incidence of MACEs (tertile 3 vs. tertile 1: OR, 95% CI: 1.39, 1.12-1.73) in critically ill patients with CHF, but no significant correlation was found between SII and the readmission rate. Consistently, patients with high SII level still presented a significantly higher short-term mortality than patients with low SII in the PSM subset.Conclusion: In critically ill patients with CHF, high level of SII could effectively predict high 30- and 90-day and hospital mortalities, as well as the high risk of occurrence of MACEs.
format	article
author	Yiyang Tang Xiaofang Zeng Yilu Feng Qin Chen Zhenghui Liu Hui Luo Lihuang Zha Zaixin Yu Zaixin Yu
author_facet	Yiyang Tang Xiaofang Zeng Yilu Feng Qin Chen Zhenghui Liu Hui Luo Lihuang Zha Zaixin Yu Zaixin Yu
author_sort	Yiyang Tang
title	Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study
title_short	Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study
title_full	Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study
title_fullStr	Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study
title_full_unstemmed	Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study
title_sort	association of systemic immune-inflammation index with short-term mortality of congestive heart failure: a retrospective cohort study
publisher	Frontiers Media S.A.
publishDate	2021
url	https://doaj.org/article/c7256ef6ec4b4504b08f435b7fadf9e6
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Association of Systemic Immune-Inflammation Index With Short-Term Mortality of Congestive Heart Failure: A Retrospective Cohort Study

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