TABLE 4

Risk factors for mortality within the first year after discharge in PAH patients admitted to the ICU

Unadjusted
HR (95% CI)
p-valueAdjusted for PAH diagnosis and age
HR (95% CI)
p-value
Age per year1.02 (1.01–1.04)0.01NANA
Female versus male0.89 (0.49–1.62)0.700.98 (0.53–1.81)0.93
CTD-PAH versus IPAH2.31 (1.28–4.16)0.0051.89 (1.01–3.59)#0.05
WHO FC pre-admission (III and IV)3.24 (0.95–11.02)0.062.99 (0.84–10.63)0.09
Charlson index ≥24.41 (0.53–36.67)0.171.25 (0.35–4.52)0.72
Data on admission
Systolic BP <100 mmHg1.08 (0.70–1.68)0.721.06 (0.69–1.64)0.78
Anaemia0.91 (0.55–1.49)0.700.86 (0.53–1.40)0.55
eGFR <60 mL·min−1 per 1.73 m21.91 (0.76–4.78)0.161.52 (0.59–3.92)0.38
Na <136 mEq·mL−11.87 (1.21–2.89)0.0051.71 (1.08–2.69)0.021
ProBNP pg·mL−1 (log transformed)1.48 (1.10–1.98)0.0091.35 (1.01–1.83)0.04
Bilirubin, total, mg·dL−11.12 (1.00–1.26)0.061.19 (1.05–1.34)0.006
In-hospital support
Need for vasopressors/inotropes2.73 (1.73–4.30)<0.0012.57 (1.62–4.08)<0.001
Need for mechanical ventilation2.05 (1.24–3.38)0.0052.06 (1.25–3.40)0.005
Need for renal replacement therapy1.80 (0.68–4.76)0.231.91 (0.68–5.38)0.21

PAH: pulmonary arterial hypertension; ICU: intensive care unit; CTD-PAH: connective tissue diseases PAH; IPAH: idiopathic PAH; WHO FC: World Health Organization functional class; BP: blood pressure; eGFR: estimated glomerular filtration rate; Na: sodium; proBNP: pro-B-type natriuretic peptide. #: adjusted only for age.