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Table 4 Risk of mortality in children treated with sodium bicarbonate stratified by chloride level or anion gap

From: Clinical efficacy of sodium bicarbonate in treating pediatric metabolic acidosis with varying level of acid–base balance parameters: a real-world study

Subgroups (mmol/L)

Endpoint

Treatment

Death, n (%)

p

Crude

Adjusteda

p

No

Yes

OR (95% CI)

OR (95% CI)

Cl  < 107

Death in hospital

With SB

302 (70.2)

128 (29.8)

 < 0.001

2.417 (1.824, 3.202)

2.065 (1.435, 2.97)

 < 0.001

Without SB

707 (85.1)

124 (14.9)

 

1

1

 

28-day death

With SB

316 (73.5)

114 (26.5)

 < 0.001

2.34 (1.746, 3.136)

1.947 (1.332, 2.846)

0.001

Without SB

720 (86.6)

111 (13.4)

 

1

1

 

107 ≤ Cl  < 113

Death in hospital

With SB

929 (94.0)

59 (6.0)

0.354

0.857 (0.619, 1.188)

0.875 (0.595, 1.285)

0.496

Without SB

1498 (93.1)

111 (6.9)

 

1

1

 

28-day death

With SB

938 (94.9)

50 (5.1)

0.435

0.869 (0.61, 1.237)

0.958 (0.631, 1.454)

0.841

Without SB

1516 (94.2)

93 (5.8)

 

1

1

 

Cl  ≥ 113

Death in hospital

With SB

999 (95.7)

45 (4.3)

 < 0.001

0.393 (0.273, 0.566)

0.515 (0.337, 0.788)

0.002

Without SB

864 (89.7)

99 (10.3)

 

1

1

 

28-day death

With SB

1002 (96.0)

42 (4.0)

 < 0.001

0.456 (0.311, 0.67)

0.614 (0.391, 0.965)

0.034

Without SB

882 (91.6)

81 (8.4)

 

1

1

 

AG < 6

Death in hospital

With SB

968 (96.42)

36 (3.59)

 < 0.001

0.385 (0.261, 0.569)

0.475 (0.300, 0.750)

0.001

Without SB

1046 (91.19)

101 (8.81)

 

1

  

28-day death

With SB

971 (96.71)

33 (3.29)

 < 0.001

0.466 (0.307, 0.706)

0.616 (0.375, 1.012)

0.056

Without SB

1069 (93.20)

78 (6.80)

 

1

1

 

6 ≤ AG < 12

Death in hospital

With SB

867 (93.03)

65 (6.97)

0.309

1.191 (0.850, 1.670)

1.169 (0.783, 1.747)

0.445

Without SB

1287 (94.08)

81 (5.92)

 

1

1

 

28-day death

With SB

880 (94.42)

52 (5.58)

0.684

1.079 (0.747, 1.559)

1.087 (0.702, 1.683)

0.709

Without SB

1297 (94.81)

71 (5.19)

 

1

1

 

AG ≥ 12

Death in hospital

With SB

395 (5.107)

131 (24.90)

 < 0.001

1.606 (1.234, 2.091)

1.400 (1.009, 1.941)

0.044

Without SB

736 (82.88)

152 (17.12)

 

1

1

 

28-day death

With SB

405 (77.00)

121 (23.00)

 < 0.001

1.652 (1.257, 2.171)

1.480 (1.055, 2.075)

0.023

Without SB

752 (84.68)

136 (15.32)

 

1

1

 
  1. Notation: SB Sodium bicarbonate, AG Anion gap, OR The odds ratio of death for children treated with SB as compared to those without
  2. aa binary logistic multivariate regression model using death as the dependent variable, adjusted for factors including age, sepsis, pneumonia, meningoencephalitis, surgery, disease diagnosis, HCO3, Ca2+, K+, Na+, lactate, PaCO2, total bilirubin, triglyceride, total protein, hemoglobin, red blood cell, white blood cell. When calculating the corrected odds ratio (OR) values for each AG subgroup, it did not include HCO3, Na + , and CL but included pH