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28 June 2024 : Database Analysis  

Systemic Immune-Inflammation Index (SII) as a Predictor of Short-Term Mortality Risk in Sepsis-Associated Acute Kidney Injury: A Retrospective Cohort Study

Jie Sun1ABCDEF, Ying Qi1ABCDE, Wenxin Wang1EF, Pengpeng Meng2E, Changjin Han2E, Bing Chen1ABCDEFG*

DOI: 10.12659/MSM.943414

Med Sci Monit 2024; 30:e943414

Table 3 Multivariate Cox regression analysis for exploring the association of SII with 28-day mortality among patients with AKI.

VariableCrude modelModel 1Model 2Model 3Model 4
HR 95CIP valueHR 95CIP valueHR 95CIP valueHR 95CIP valueHR 95CIP value
SII/10001.03 (1.02~1.04)<0.0011.03 (1.02~1.04)<0.0011.03 (1.02~1.04)<0.0011.02 (1.02~1.03)<0.0011.02 (1.01~1.03)<0.001
SII quartiles
 Q11.24 (1.08~1.42)0.0021.25 (1.09~1.44)0.0011.19 (1.03~1.36)0.0151.13 (0.99~1.3)0.0761.15 (1~1.32)0.057
 Q21Ref1Ref1Ref1Ref1Ref
 Q31.42 (1.24~1.62)<0.0011.4 (1.22~1.6)<0.0011.43 (1.25~1.64)<0.0011.32 (1.15~1.51)<0.0011.33 (1.16~1.52)<0.001
 Q41.82 (1.6~2.07)<0.0011.77 (1.55~2.01)<0.0011.85 (1.62~2.1)<0.0011.57 (1.37~1.79)<0.0011.55 (1.36~1.77)<0.001
no other covariates were adjusted. Age, sex. Model 1 and myocardial infarction, congestive heart failure, COPD, diabetes, severe liver disease, hypertension, chronic kidney disease. Model 2 and heart rate, mean blood pressure, respiratory rate, temperature, SPO, hemoglobin, BUN, creatinine, serum glucose, serum lactate, bicarbonate, potassium. Model 3 and vasopressor, invasive ventilation, RRT, AKI stage, SOFA, SAPSII.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750