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Table 3 Outcomes according to ferritin category and MAS status

From: Hyperferritinemic sepsis, macrophage activation syndrome, and mortality in a pediatric research network: a causal inference analysis

Outcome

Ferritin level

No MAS

MAS

 < 500

500–999

1000–2999

3000–9999

 ≥ 10,000

No. of patients, N (%)

280 (71)

52 (13)

30 (8)

20 (5)

15 (4)

363 (91)

34 (9)

Lymphopenia, N (%)***

140 (50)c

25 (48)

5 (17)

5 (25)

4 (27)

162 (45)

17 (50)

MechVent, N (%)**

252 (90)c

42 (81)

20 (67)

18 (90)

10 (67)

311 (86)

31 (91)

ECMO, N (%)***

8 (3)

4 (8)

1 (3)

0 (0)

2 (13)

9 (3)

6 (18)***

CRRT, N (%)***

5 (2)

5 (10)a

4 (13)

1 (5)a

1 (7)a

10 (3)

6 (18)***

PLEX, N (%)***

1 (0.3)

1 (2)

1 (3)

0 (0)

2 (13)a

2 (0.6)

3 (9)**

Mortality, N (%)***

16 (6)

8 (15)

6 (20)a

5 (25)a

8 (53)a,b

30 (8)

13 (38)***

IPMOF, N (%)***

41 (15)

16 (31)

8 (27)

10 (50)a

9 (60)a

64 (18)

20 (59)***

TAMOF, N (%)***

12 (4)

9 (17)a

5 (17)

4 (20)a

7 (47)a

16 (4)

21 (62)***

MAS, N (%)***

10 (4)

9 (17)a

5 (17)

2 (10)

8 (53)a

–

–

  1. Lymphopenia = Absolute Lymphocyte Count < 1,000/mm3
  2. Comparisons were performed between the group with ferritin < 500 and ferritin ≥ 500, and the group with MAS and without MAS. Kruskal–Wallis test was used for continuous variables, and the χ2 test or the Fisher’s exact test (group sample size < 10) was used for discrete variables. ***: P-value < 0.001 **: P-value < 0.01 *: P-value < 0.05
  3. IQR interquartile range, MechVent Mechanical Ventilation, ECMO Extracorporeal Membrane Oxygenation, CRRT Continuous Renal Replacement Therapies, PLEX Plasma Exchange, IPMOF immunoparalysis-associated multiple organ failure, TAMOF thrombocytopenia-associated multiple organ failure, MAS macrophage activation syndrome
  4. aThe outcome characteristic is significantly higher than ferritin < 500 group (P-value < 0.05)
  5. bThe outcome characteristic is significantly higher than ferritin 500–999 group (P-value < 0.05)
  6. cThe outcome characteristic is significantly higher than ferritin 1000–2999 group (P-value < 0.05)