Development and evaluation of a predictive nomogram for survival in heat stroke patients: a retrospective cohort study
Fei Shao, Xian Shi, Shu-hua Huo, Qing-yu Liu, Ji-xue Shi, Jian Kang, Ping Gong, Sheng-tao Yan, Guo-xing Wang, Li-jie Qin, Fei Wang, Ke Feng, Feng-ying Chen, Yong-jie Yin, Tao Ma, Yan Li, Yang Wu, Hao Cui, Chang-xiao Yu, Song Yang, Wei Gan, Sai Wang, Liu-ye-zi Du, Ming-chen Zhao, Zi-ren Tang, Shen Zhao
Table 1. Demographic and clinical characteristics of the study population (n=175)
Characteristics Overall (n=175) Survivor (n=143) Non-survivor (n=32) P-value
Demographic data
Sex, n (%)
Female 61 (34.86) 49 (34.27) 12 (37.50) 0.887
Male 114 (65.14) 94 (65.73) 20 (62.50)
Age, years, median (interquartile range) 64 (51-75) 64 (50-75) 63 (53-71) 0.960
Condition of hospitalization
Initial mean arterial pressure, n (%)
70-105 mmHg 117 (66.86) 103 (72.03) 14 (43.75) <0.001
<70 mmHg 29 (16.57) 14 (9.79) 15 (46.88)
>105 mmHg 29 (16.57) 26 (18.18) 3 (9.38)
Invasive ventilation, n (%)
No 111 (63.43) 107 (74.83) 4 (12.50) <0.001
Yes 64 (36.57) 36 (25.17) 28 (87.50)
Core temperature, °C, median (interquartile range) 40.0 (38.1-41.0) 39.7 (37.5-41.0) 40.8 (40.0-42.0) 0.002
Maximum heart rate, n (%)
60-100 beats/min 52 (29.71) 49 (34.27) 3 (9.38) 0.010
>100 beats/min 123 (70.29) 94 (65.73) 29 (90.62)
Glasgow admission prediction score, median (interquartile range) 8 (5-12) 8 (6-14) 5 (3-7) <0.001
Hemofiltration, n (%)
No 147 (84.00) 129 (90.21) 18 (56.25) <0.001
Yes 28 (16.00) 14 (9.79) 14 (43.75)
Intravascular hypothermia, n (%)
No 164 (93.71) 133 (93.01) 31 (96.88) 0.692
Yes 11 (6.29) 10 (6.99) 1 (3.12)
Mild hypothermia in vitro, n (%)
No 106 (60.57) 90 (62.94) 16 (50.00) 0.249
Yes 69 (39.43) 53 (37.06) 16 (50.00)
Laboratory tests on day 1
White blood cell count (WBC), n (%)
(3.5-9.5)×109/L 60 (34.29) 53 (37.06) 7 (21.88) 0.153
>9.5×109/L 115 (65.71) 90 (62.94) 25 (78.12)
Red blood cell count (RBC), n (%)
(3.8-5.1)×109/L 129 (73.71) 103 (72.03) 26 (81.25) 0.704
<3.8×109/L 38 (21.71) 33 (23.08) 5 (15.62)
>5.1×109/L 8 (4.57) 7 (4.90) 1 (3.12)
Hemoglobin count (HBG), n (%)
115-150 g/L 122 (69.71) 100 (69.93) 22 (68.75) 0.211
<115 g/L 34 (19.43) 30 (20.98) 4 (12.50)
>150 g/L 19 (10.86) 13 (9.09) 6 (18.75)
Platelet count (PLT), n (%)
(125-350)×109/L 92 (52.57) 80 (55.94) 12 (37.50) 0.086
<125×109/L 81 (46.29) 61 (42.66) 20 (62.50)
>350×109/L 2 (1.14) 2 (1.40) 0
Alanine aminotransferase (ALT), n (%)
7-40 U/L 72 (41.14) 67 (46.85) 5 (15.62) 0.002
>40 U/L 103 (58.86) 76 (53.15) 27 (84.38)
Creatine (CRE), n (%)
41.0-81.0 U/L 59 (33.71) 56 (39.16) 3 (9.38) 0.003
>81.0 U/L 116 (66.29) 87 (60.84) 29 (90.62)
Potassium, n (%)
3.5-5.3 m/L 92 (52.57) 71 (49.65) 21 (65.62) 0.053
<3.5 m/L 78 (44.57) 69 (48.25) 9 (28.12)
>5.3 m/L 5 (2.86) 3 (2.10) 2 (6.25)
Calcium, n (%)
2.11-2.52 m/L 57 (32.57) 46 (32.17) 11 (34.38) 0.440
<2.11 m/L 116 (66.29) 96 (67.13) 20 (62.50)
>2.52 m/L 2 (1.14) 1 (0.70) 1 (3.12)
Myoglobin (MYO), n (%)
0-107 μg/L 16 (9.14) 15 (10.49) 1 (3.12) 0.311
>107 μg/L 159 (90.86) 128 (89.51) 31 (96.88)
Brain natriuretic peptide (BNP), n (%)
0-100 pg/mL 39 (22.29) 33 (23.08) 6 (18.75) 0.767
>100 pg/mL 136 (77.71) 110 (76.92) 26 (81.25)
Laboratory tests on day 3
WBC, n (%)
(3.5-9.5)×109/L 50 (28.57) 47 (32.87) 3 (9.38) 0.007
<3.5×109/L 2 (1.14) 1 (0.70) 1 (3.12)
>9.5×109/L 123 (70.29) 95 (66.43) 28 (87.50)
HBG, n (%)
(115-150)×109/L 136 (77.71) 112 (78.32) 24 (75.00) 0.567
<115×109/L 36 (20.57) 29 (20.28) 7 (21.88)
>150×109/L 3 (1.71) 2 (1.40) 1 (3.12)
PLT, n (%)
(125-350)×109/L 33 (18.86) 31 (21.68) 2 (6.25) 0.077
<125×109/L 142 (81.14) 112 (78.32) 30 (93.75)
ALT, n (%)
7-40 U/L 21 (12.00) 21 (14.69) 0 0.015
>40 U/L 154 (88.00) 122 (85.31) 32 (100.00)
AST, n (%)
13-35 U/L 20 (11.43) 19 (13.29) 1 (3.12) 0.295
<13 U/L 1 (0.57) 1 (0.70) 0
>35 U/L 154 (88.00) 123 (86.01) 31 (96.88)
International normalized ratio (INR), n (%)
0.8-1.2 115 (65.71) 93 (65.03) 22 (68.75) 0.846
>1.2 60 (34.29) 50 (34.97) 10 (31.25)
CRE, n (%)
41.0-81.0 U/L 117 (66.86) 95 (66.43) 22 (68.75) 1
<41.0 U/L 4 (2.29) 4 (2.80) 0
>81.0 U/L 54 (30.86) 44 (30.77) 10 (31.25)
Potassium, n (%)
3.5-5.3 m/L 146 (83.43) 119 (83.22) 27 (84.38) 0.392
<3.5 m/L 27 (15.43) 23 (16.08) 4 (12.50)
>5.3 m/L 2 (1.14) 1 (0.70) 1 (3.12)
MYO, n (%)
0-107 μg/L 19 (10.86) 19 (13.29) 0
>107 μg/L 156 (89.14) 124 (86.71) 32 (100.00) 0.026
BNP, n (%)
0-100 pg/mL 4 (2.29) 4 (2.80) 0 1
>100 pg/mL 171 (97.71) 139 (97.20) 32 (100.00)