| Before propensity score (PS) matching | After propensity score (PS) matching | ||||||
---|---|---|---|---|---|---|---|---|
Overall (N = 306) | UFH (N = 142) | Enoxaparin (N = 164) | P-value | Overall (N = 130) | UFH (N = 65) | Enoxaparin (N = 65) | P-value | |
Age (Years), Mean (SD) | 62.9 (15.58) | 67.9 (13.66) | 58.7 (15.92) |  < .01* | 59.0 (17.24) | 63.7 (12.69) | 54.4 (19.85) | 0.90^ |
Gender – Male, n (%) | 193 ( 63.5) | 93 ( 66.4) | 100 ( 61.0) | 0.32^^ | 86 ( 66.7) | 47 ( 73.4) | 39 ( 60.0) | 0.10^^ |
APACHE II score, Median (Q1,Q3) | 15.0 (10.00, 25.00) | 20.0 (15.00, 31.00) | 12.0 (8.00, 17.00) |  < .01* | 15.0 (9.00, 25.00) | 17.0 (11.00, 25.00) | 12.0 (8.00, 21.00) | 0.62^ |
Early use of Dexamethasone within 24Â h, n (%) | 187 ( 61.1) | 87 ( 61.3) | 100 ( 61.0) | 0.95^^ | 76 ( 58.5) | 37 ( 56.9) | 39 ( 60.0) | 0.72^^ |
Early use of Tocilizumab within 24 h, n (%) | 77 ( 25.2) | 29 ( 20.4) | 48 ( 29.3) | 0.07^^ | 28 ( 21.5) | 14 ( 21.5) | 14 ( 21.5) |  > 0.99^^ |
Proning at admission, n (%) | 68 ( 23.1) | 24 ( 17.8) | 44 ( 27.7) | 0.04^^ | 29 ( 23.0) | 13 ( 21.3) | 16 ( 24.6) | 0.65^^ |
Serum creatinine (mmol/L) at admission, Median (Q1,Q3) | 93.0 (69.00, 161.00) | 162.0 (113.50, 276.00) | 72.0 (61.00, 88.00) |  < .01* | 98.0 (69.00, 135.00) | 128.5 (97.00, 167.50) | 74.0 (63.00, 100.00) | 0.02* |
Blood Urea Nitrogen (BUN) (mmol/l) at admission, Median (Q1,Q3) | 8.1 (5.20, 15.10) | 14.7 (9.00, 22.30) | 5.7 (4.20, 8.10) |  < .01* | 7.9 (5.10, 13.10) | 10.6 (6.70, 15.90) | 6.0 (4.30, 8.69) |  < .01* |
Acute Kidney Injury (AKI) within 24 h of ICU admission, n (%) | 99 ( 32.8) | 82 ( 57.7) | 17 ( 10.6) |  < .01^^ | 45 ( 34.6) | 30 ( 46.2) | 15 ( 23.1) | 0.08^^ |
Lowest PaO2/FiO2 ratio within 24Â h of ICUÂ admission, Median (Q1,Q3) | 85.0 (60.62, 151.40) | 85.0 (59.87, 146.20) | 85.5 (62.25, 157.70) | 0.56^ | 86.5 (64.77, 165.70) | 85.0 (56.00, 144.00) | 97.8 (68.90, 202.50) | 0.08^ |
Highest FIO2 requirement (%) at admission, Median (Q1,Q3) | 70.0 (45.00, 90.00) | 72.5 (50.00, 100.00) | 70.0 (40.00, 90.00) | 0.20^ | 70.0 (45.00, 95.00) | 70.0 (50.00, 100.00) | 65.0 (40.00, 90.00) | 0.19^ |
Vasoactive Inotropic Score, Mean (SD) | 8.4 (46.83) | 14.7 (58.97) | 3.2 (32.97) | 0.05* | 6.0 (37.58) | 4.5 (12.48) | 7.5 (51.64) | 0.08^ |
Lactic acid baseline (mmol/l), Median (Q1,Q3) | 1.7 (1.32, 2.48) | 1.9 (1.31, 2.61) | 1.6 (1.33, 2.11) | 0.03^ | 1.6 (1.30, 2.60) | 1.9 (1.35, 2.67) | 1.6 (1.30, 2.30) | 0.16^ |
Platelets count baseline (10^9/l), Median (Q1,Q3) | 252.0 (185.00, 323.00) | 260.0 (184.00, 320.00) | 242.0 (188.00, 326.00) | 0.64^ | 260.5 (190.50, 330.50) | 260.0 (184.00, 310.00) | 264.0 (199.00, 354.00) | 0.50^ |
International Normalized Ratio (INR), Median (Q1,Q3) | 1.1 (1.00, 1.20) | 1.1 (1.00, 1.23) | 1.1 (1.00, 1.19) | 0.34^ | 1.1 (1.00, 1.20) | 1.0 (1.00, 1.21) | 1.1 (1.02, 1.19) | 0.43^ |
Activated partial thromboplastin time (aPTT) baseline (Seconds), Median (Q1,Q3) | 29.7 (26.40, 33.60) | 29.9 (26.70, 34.50) | 29.0 (26.00, 32.20) | 0.05^ | 30.0 (26.70, 34.40) | 29.9 (26.40, 33.40) | 30.1 (26.70, 34.50) | 0.86^ |
Total bilirubin (umol/l), Median (Q1,Q3) | 9.4 (6.70, 13.00) | 9.3 (6.10, 13.10) | 9.4 (6.80, 12.60) | 0.58^ | 9.1 (6.20, 13.00) | 9.6 (6.10, 13.00) | 8.9 (6.70, 12.80) | 0.95^ |
Alanine transaminase (ALT) at admission (U/L), Median (Q1,Q3) | 36.0 (24.00, 55.00) | 35.5 (24.00, 61.00) | 36.0 (25.00, 50.00) | 0.85^ | 36.0 (25.00, 55.00) | 36.5 (26.00, 61.00) | 34.0 (23.00, 47.00) | 0.37^ |
Aspartate transaminase (AST) at admission (U/L), Median (Q1,Q3) | 50.0 (33.00, 72.50) | 52.0 (34.00, 75.00) | 50.0 (32.00, 70.00) | 0.31^ | 50.0 (31.00, 74.00) | 53.0 (37.00, 73.00) | 41.0 (28.00, 77.00) | 0.16^ |
 |  |  |  |  |  |  |  | ^ |
Albumin baseline (gm/l), Median (Q1,Q3) | 33.0 (29.00, 36.00) | 33.0 (28.00, 36.00) | 33.0 (29.00, 36.80) | 0.55^ | 33.0 (29.00, 36.50) | 33.0 (29.00, 36.40) | 33.0 (29.00, 37.00) | 0.95* |
C-reactive protein (CRP) baseline (mg/l), Median (Q1,Q3) | 130.0 (73.00, 197.00) | 138.5 (81.50, 202.00) | 119.0 (64.43, 182.00) | 0.11^ | 82.0 (37.00, 149.00) | 82.0 (62.00, 143.00) | 84.0 (22.90, 170.00) | 0.61^ |
Erythrocyte sedimentation rate (ESR) baseline (mm/hr), Median (Q1,Q3) | 68.0 (41.00, 98.50) | 70.0 (43.00, 107.00) | 66.0 (35.00, 92.00) | 0.32* | 66.0 (40.00, 107.00) | 79.5 (45.00, 108.00) | 54.0 (24.00, 88.50) | 0.14* |
Fibrinogen level baseline (gm/l), Median (Q1,Q3) | 5.2 (3.66, 7.37) | 5.3 (3.84, 7.22) | 5.2 (2.87, 7.56) | 0.59* | 5.3 (3.27, 7.45) | 6.0 (4.03, 7.37) | 4.6 (2.60, 7.53) | 0.15* |
D-dimer level baseline (mg/l), Median (Q1,Q3) | 1.2 (0.75, 3.40) | 2.0 (0.93, 5.12) | 1.0 (0.63, 2.08) | 0.01^ | 1.2 (0.68, 3.54) | 1.6 (0.82, 4.06) | 1.0 (0.57, 2.37) | 0.83^ |
Ferritin level baseline (ug/l), Median (Q1,Q3) | 797.9 (359.60, 1587.50) | 997.7 (456.50, 2047.00) | 709.8 (306.20, 1452.00) | 0.04^ | 734.9 (336.60, 1539.00) | 823.5 (419.35, 1593.50) | 693.7 (267.20, 1472.50) | 0.33^ |
Blood glucose level baseline  (mmol/l), Median (Q1,Q3) | 10.8 (7.80, 15.65) | 11.8 (8.00, 16.50) | 10.0 (7.40, 14.30) | 0.06^ | 11.0 (8.30, 16.10) | 12.8 (8.50, 16.80) | 10.7 (8.03, 14.30) | 0.31^ |
Highest heart rate (HR) at admission (BPM), Median (Q1,Q3) | 103.0 (90.00, 114.00) | 104.0 (91.00, 119.00) | 101.0 (89.00, 111.00) | 0.08^ | 104.0 (91.00, 115.00) | 103.0 (90.00, 118.00) | 104.0 (93.50, 114.50) | 0.93^ |
Maximum body temperature baseline (°C), Median (Q1,Q3) | 37.3 (37.00, 38.00) | 37.4 (37.00, 38.00) | 37.3 (37.00, 37.90) | 0.26^ | 37.3 (37.00, 38.00) | 37.4 (37.00, 38.30) | 37.3 (36.90, 37.85) | 0.09^ |
Aspirin use during ICU stay, n (%) | 84 ( 27.5) | 55 ( 38.7) | 29 ( 17.7) |  < .01^^ | 32 ( 24.6) | 22 ( 33.8) | 10 ( 15.4) | 0.01^^ |
History of Bleeding within 6Â months prior ICU admission, n (%) | 1 ( 0.3) | 0 ( 0.0) | 1 ( 0.6) | 0.35** | 0 (0) | 0 (0) | 0 (0) | NA |
Patient received nephrotoxic drugs/material during ICU stay, n (%)a | 236 ( 78.4) | 122 ( 87.8) | 114 ( 70.4) | <0.01^^ | 100 ( 78.1) | 54 ( 85.7) | 46 ( 70.8) | 0.04^^ |
Comorbidity, n (%) | ||||||||
Atrial fibrillation (A Fib) | 14 ( 4.6) | 10 ( 7.0) | 4 ( 2.4) | 0.05^^ | 6 ( 4.6) | 4 ( 6.2) | 2 ( 3.1) | 0.40** |
Hypertension | 185 ( 60.5) | 107 ( 75.4) | 78 ( 47.6) |  < .01^^ | 75 ( 57.7) | 45 ( 69.2) | 30 ( 46.2) | 0.007^^ |
Diabetes Mellitus | 201 ( 65.7) | 106 ( 74.6) | 95 ( 57.9) | 0.002^^ | 83 ( 63.8) | 43 ( 66.2) | 40 ( 61.5) | 0.58^^ |
Dyslipidemia | 73 ( 23.9) | 37 ( 26.1) | 36 ( 22.0) | 0.40^^ | 21 ( 16.2) | 11 ( 16.9) | 10 ( 15.4) | 0.81^^ |
Chronic kidney disease (CKD) | 53 ( 17.3) | 51 ( 35.9) | 2 ( 1.2) |  < .01^^ | 5 ( 3.8) | 3 ( 4.6) | 2 ( 3.1) | 0.64** |
Cancer | 12 ( 3.9) | 3 ( 2.1) | 9 ( 5.5) | 0.12^^ | 3 ( 2.3) | 2 ( 3.1) | 1 ( 1.5) | 0.55** |
Deep Vein Thrombosis (DVT) | 0 (0) | 0 (0) | 0 (0) | NA | 0 (0) | 0 (0) | 0 (0) | NA |
Pulmonary Embolism (PE) | 1 ( 0.3) | 1 ( 0.7) | 0 ( 0.0) | 0.28** | 1 ( 0.8) | 1 ( 1.5) | 0 ( 0.0) | 0.31** |
Liver disease (any type) | 6 ( 2.0) | 3 ( 2.1) | 3 ( 1.8) | 0.85** | 3 ( 2.3) | 2 ( 3.1) | 1 ( 1.5) | 0.55** |
Stroke | 26 ( 8.5) | 12 ( 8.5) | 14 ( 8.5) | 0.97^^ | 8 ( 6.2) | 3 ( 4.6) | 5 ( 7.7) | 0.46** |