| Before PSM | After PSM | |||||
---|---|---|---|---|---|---|---|
Non-glucocorticoid (n = 1278) | Glucocorticoid (n = 250) | Missing values | P value | Non-glucocorticoid (n = 420) | Glucocorticoid (n = 228) | P value | |
Age (years), median (IQR) | 72.6 (62.1, 81.2) | 69.3 (60.1, 79.0) | 0 (0) | 0.015 | 72.4 (61.6, 79.7) | 69.7 (61.0, 79.6) | 0.168 |
Male, n (%) | 790 (61.8) | 130 (52.0) | Â | 0.005 | 226 (53.8) | 121 (53.1) | 0.922 |
BMI (Kg/m2), median (IQR) | 27.7 (24.3, 32.1) | 27.2 (23.8, 31.7) | 176 (11.5) | 0.399 | 27.4 (23.9, 31.6) | 27.1 (23.8, 31.4) | 0.783 |
ICU scoring systems | |||||||
 Charlson comorbidity index, mean ± SD | 6.9 ± 2.6 | 7.3 ± 2.8 | 0 (0) | 0.015 | 7.3 ± 2.8 | 7.3 ± 2.7 | 0.985 |
 SOFA, median (IQR) | 3 (1, 5) | 3 (1, 5) | 0 (0) | 0.513 | 3 (1, 5) | 3 (1, 4) | 0.716 |
 OASIS, mean ± SD | 36.8 ± 10.0 | 39.4 ± 10.0 | 0 (0) | < 0.001 | 39.1 ± 9.8 | 38.9 ± 10.0 | 0.831 |
 APS III, mean ± SD | 62.3 ± 27.2 | 72.1 ± 27.4 | 0 (0) | < 0.001 | 69.9 ± 30.5 | 70.2 ± 26.9 | 0.798 |
 LODS, median (IQR) | 7 (4, 10) | 8 (6, 11) | 0 (0) | < 0.001 | 8 (5, 11) | 8 (6, 11) | 0.899 |
Vital signs | |||||||
 SBP (mmHg), mean ± SD | 119.2 ± 22.0 | 111.5 ± 21.4 | 4 (0.3) | 0.773 | 112.1 ± 22.5 | 110.8 ± 20.4 | 0.475 |
 DBP (mmHg), mean ± SD | 65.9 ± 18.7 | 66.2 ± 18.6 | 4 (0.3) | 0.830 | 65.0 ± 18.6 | 66.3 ± 18.9 | 0.374 |
 Heart rate (bpm), mean ± SD | 90.6 ± 20.8 | 96.2 ± 23.1 | 0 (0) | < 0.001 | 93.8 ± 22.2 | 95.5 ± 22.8 | 0.344 |
Comorbidities | |||||||
 Hypertension, n (%) | 372 (29.1) | 69 (27.6) |  | 0.686 | 109 (26.0) | 67 (29.4) | 0.398 |
 Diabetes, n (%) | 477 (37.3) | 85 (34.0) |  | 0.355 | 141 (33.6) | 75 (32.9) | 0.930 |
 Dyslipidemia, n (%) | 660 (51.6) | 108 (43.2) |  | 0.018 | 192 (45.7) | 101 (44.3) | 0.792 |
 CKD, n (%) | 442 (34.6) | 91 (36.4) |  | 0.633 | 149 (35.5) | 79 (34.6) | 0.901 |
 Rheumatic disease, n (%) | 28 (2.2) | 19 (7.2) |  | < 0.001 | 19 (4.5) | 11 (4.8) |  > 0.999 |
 Chronic pulmonary disease, n (%) | 353 (27.6) | 99 (39.6) |  | < 0.001 | 152 (36.2) | 87 (38.2) | 0.681 |
 Cardiac arrest, n (%) | 150 (11.7) | 43 (17.2) |  | 0.023 | 69 (16.4) | 40 (71.5) | 0.801 |
 Septic shock, n (%) | 193 (15.1) | 78 (31.2) |  | < 0.001 | 107 (25.5) | 63 (27.6) | 0.616 |
 MI, n (%) | 642 (50.2) | 121 (48.4) |  | 0.644 | 214 (51.0) | 113 (49.6) | 0.798 |
 ADHF, n (%) | 774 (60.6) | 129 (51.6) |  | 0.010 | 221 (52.6) | 121 (53.1) | 0.978 |
Laboratory tests | |||||||
 Lactate (mmol/L), median (IQR) | 1.9 (1.3, 3.1) | 2.4 (1.5, 4.1) | 58 (3.8) | < 0.001 | 2.2 (1.5, 3.9) | 2.4 (1.5, 4.0) | 0.519 |
 WBC (× 109/L), median (IQR) | 11.6 (8.1, 16.0) | 11.5 (7.5, 16.2) | 2 (0.1) | 0.373 | 11.7 (8.1, 16.7) | 11.7 (7.8, 16.5) | 0.602 |
 RBC (× 1012/L), mean ± SD | 3.9 ± 0.8 | 3.8 ± 0.8 | 2 (0.1) | 0.127 | 3.8 ± 0.8 | 3.8 ± 0.8 | 0.570 |
 Hemoglobin (g/L), mean ± SD | 11.6 ± 2.4 | 11.4 ± 2.3 | 2 (0.1) | 0.168 | 11.3 ± 2.3 | 11.4 ± 2.3 | 0.576 |
 Platelet (× 109/L), median (IQR) | 202 (154, 262) | 189 (146, 257) | 2 (0.1) | 0.044 | 201 (154, 269) | 192 (147, 261) | 0.113 |
 ALT (IU/L), mean ± SD | 39 (20, 118) | 47 (22, 127) | 97 (6.3) | 0.148 | 43 (21, 124) | 47 (23, 126) | 0.652 |
 AST (IU/L), mean ± SD | 62 (29, 221) | 74 (31, 181) | 102 (6.3) | 0.851 | 76 (32, 238) | 80 (33, 182) | 0.513 |
 Albumin (g/dL), mean ± SD | 3.2 ± 0.6 | 3.0 ± 0.6 | 325 (20.8) | < 0.001 | 3.1 ± 0.6 | 3.0 ± 0.6 | 0.611 |
 Creatinine (mg/dL), median (IQR) | 1.4 (1.0, 2.0) | 1.3 (1.0, 2.0) | 1 (0.1) | 0.945 | 1.4 (0.9, 2.0) | 1.3 (1.0, 2.0) | 0.975 |
 BUN (mg/dL), median (IQR) | 28 (19, 46) | 28 (19, 42) | 1 (0.1) | 0.535 | 27 (18, 46) | 28 (19, 41) | 0.968 |
 Bicarbonate (mmol/L), mean ± SD | 22.0 ± 4.7 | 21.8 ± 5.4 | 1 (0.1) | 0.527 | 21.6 ± 4.8 | 21.9 ± 5.4 | 0.487 |
 pH, mean ± SD | 7.34 ± 0.1 | 7.31 ± 0.1 | 84 (5.5) | 0.021 | 7.31 ± 0.2 | 7.31 ± 0.1 | 0.937 |
 BE (mmol/L), median (IQR) | -2 (-6, 0) | -4 (-8, 0) | 84 (5.5) | < 0.001 | -3 (-7, 0) | -4 (-8, 0) | 0.360 |
 Glucose (mg/dL), median (IQR) | 143 (112, 196) | 156 (116, 216) | 1 (0.1) | 0.044 | 149 (115, 213) | 157 (118, 218) | 0.732 |
 Calcium (mg/dL), mean ± SD | 8.5 ± 0.9 | 8.3 ± 1.0 | 2 (0.1) | 0.003 | 8.3 ± 1.0 | 8.3 ± 1.0 | 0.930 |
 Magnesium (mg/dL), mean ± SD | 2.1 ± 0.4 | 2.1 ± 0.6 | 1 (0.1) | 0.204 | 2.1 ± 0.5 | 2.1 ± 0.6 | 0.499 |
 Chloride (mmol/L), mean ± SD | 101.9 ± 6.7 | 102.1 ± 7.2 | 1 (0.1) | 0.535 | 102.4 ± 6.5 | 102.2 ± 7.4 | 0.634 |
 Sodium (mmol/L), mean ± SD | 137.6 ± 5.1 | 137.9 ± 5.6 | 1 (0.1) | 0.320 | 137.9 ± 5.0 | 137.8 ± 5.7 | 0.866 |
 Potassium (mmol/L), mean ± SD | 4.5 ± 0.9 | 4.5 ± 0.9 | 1 (0.1) | 0.355 | 4.5 ± 0.9 | 4.5 ± 0.9 | 0.851 |
 INR, median (IQR) | 1.3 (1.2, 1.8) | 1.3 (1.2, 1.6) | 9 (5.9) | 0.744 | 1.3 (1.2, 1.7) | 1.3 (1.2, 1.6) | 0.571 |
 PTT (s), median (IQR) | 35.4 (29.1, 55.0) | 34.7 (28.3, 50.4) | 8 (5.2) | 0.163 | 34.5 (28.7, 52.3) | 35.2 (28.6, 53.3) | 0.989 |
Medications | |||||||
 Antiplatelet, n (%) | 1044 (81.7) | 186 (74.4) |  | 0.010 | 335 (79.8) | 173 (75.9) | 0.295 |
 Statins, n (%) | 919 (71.9) | 160 (64.0) |  | 0.015 | 279 (66.4) | 148 (64.9) | 0.763 |
 Vasopressors, n (%) | 949 (74.3) | 211 (84.4) |  | 0.001 | 346 (82.4) | 190 (83.3) | 0.844 |
 Inotropes, n (%) | 487 (38.1) | 77 (30.8) |  | 0.034 | 139 (33.1) | 75 (32.9) | > 0.999 |
Procedure events | |||||||
 MCS, n (%) | 93 (7.3) | 27 (10.8) |  | 0.078 | 55 (13.1) | 25 (11.0) | 0.508 |
 CRRT, n (%) | 151 (11.8) | 67 (26.8) |  | < 0.001 | 83 (19.8) | 52 (22.8) | 0.418 |
 Mechanical ventilation, n (%) | 763 (59.7) | 186 (74.4) |  | < 0.001 | 319 (76.0) | 166 (72.8) | 0.432 |
 Revascularization, n (%) | 413 (32.3) | 56 (22.4) |  | 0.002 | 106 (25.2) | 55 (24.1) | 0.827 |
 90-day all-cause mortality, n (%) | 455 (35.6) | 145 (58.0) |  | < 0.001 | 191 (45.5) | 130 (57.0) | 0.005 |
 Infection, n (%) | 244 (19.1) | 76 (30.4) |  | < 0.001 | 106 (25.2) | 68 (29.8) | 0.208 |
 Hyperglycemia, n (%) | 628 (49.1) | 173 (69.2) |  | < 0.001 | 226 (53.8) | 156 (68.4) | < 0.001 |