2.6. Main candidate predictor and adjustment variables

IT Ibrahim Halil Tanboğa
UC Uğur Canpolat
Elif Hande Özcan Çetin
HK Harun Kundi
ST Sema Turan
OC Osman Celik
NA Naim Ata
Serkan Çay
ÖÖ Özcan Özeke
CK Cihangir Kaymaz
ST Serkan Topaloğlu
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Candidate predictors (main candidate predictor and adjustment variables) for the primary outcome should be clinically and biologically plausible, and their relationships with all-cause death should be demonstrated in previous studies [[15], [16], [17], [18], [19], [20]]. We considered all candidate predictors that we included in the model under these principles and finally draw a directed acyclic graph to inform regression models (Supplementary Fig. 1). The main candidate predictor, cTn measurements, was included in the model in three ways:

we divided the measured cTn value by the ULN of each cTn assay and produced the result as “x ULN” (model-1)

we categorized cTn measurements ordinally as <1/2 x of ULN, >1/2 x of ULN, >1–2 x ULN, >2–5 x ULN, >5–10 x ULN, >10–50 x ULN and >50 x ULN (model-2)

we dichotomized each measured cTn value according to ULN as “negative or positive” (model-3).

Since the cTn measurements calculated as x ULN were significantly right-skewed, they were included in modeling as log (x ULN). Adjustment variables were determined as age, sex, neutrophil-lymphocyte ratio (NLR), D-Dimer, lactate dehydrogenase (LDH), C-reactive protein (CRP), hemoglobin, platelet count, coronary artery disease, heart failure (HF), chronic obstructive pulmonary disease (COPD), cerebrovascular disease, hypertension, diabetes mellitus, and chronic kidney disease (CKD).

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