Ā | Normal kidney function on admission | P | RIFLE 'risk' on admission | P | ||
---|---|---|---|---|---|---|
Ā | HES - n = 45 | HES + n = 28 | Ā | HES - n = 54 | HES + n = 37 | Ā |
Age (years) (mean Ā± SD) | 59.5 Ā± 15.9 | 55.8 Ā± 17.2 | 0.4 | 66.2 Ā± 13.3 | 64.1 Ā± 15.8 | 0.78 |
Male sex n(%) | 32 (71.1) | 20 (71.4) | 0.98 | 41 (75.9) | 26 (70.2) | 0.55 |
Comorbidities | Ā | Ā | Ā | Ā | Ā | Ā |
Chronic cardiac failure | 7 (15.5) | 3 (10.7) | 0.73 | 12 (22.2) | 5 (13.5) | 0.29 |
More than one cardiovascular event | 6 (13.3) | 4 (14.3) | 1 | 13 (24) | 5 (13.5) | 0.21 |
Diabete mellitus | 14 (31.1) | 5 (17.9) | 0.2 | 10 (18.5) | 10 (27) | 0.34 |
COPD | 13 (28.9) | 8 (28.6) | 0.98 | 16 (29.6) | 12 (32.4) | 0.77 |
Chronic liver failure | 7 (15.5) | 1 (3.6) | 0.14 | 2 (3.7) | 0 (0) | 0.51 |
Chronic alcoholism | 8 (17.8) | 6 (21.4) | 0.7 | 10 (18.5) | 10 (27) | 0.34 |
Chronic renal failure | 2 (4.4) | 2 (7.1) | 0.63 | 3 (5.5) | 3 (8.1) | 0.63 |
Non hematologic malignancy | 2 (4.4) | 6 (21.4) | 0.05 | 3 (5.5) | 2 (5.4) | 1 |
Hematologic malignancy | 2 (4.4) | 1 (3.6) | 1 | 1 (1.8) | 0 (0) | 1 |
Immunosuppression | 7 (15.5) | 3 (10.7) | 0.73 | 6 (11.1) | 2 (5.4) | 0.47 |
Usual treatments | Ā | Ā | Ā | Ā | Ā | Ā |
ACE inhibitors/ARB | 14 (31.1) | 6 (21.4) | 0.37 | 21 (38.9) | 15 (40.5) | 0.93 |
Diuretics | 15 (33.3) | 3 (10.7) | 0.05 | 17 (31.5) | 10 (27) | 0.6 |
NSAIDs | 2 (4.4) | 0 (0) | 0.52 | 3 (5.5) | 1 (2.7) | 0.64 |
Hospitalisation before ICU | 19 (42.2) | 12 (43) | 0.96 | 24 (44.4) | 10 (27) | 0.09 |
Reason for ICU admission | Ā | Ā | 0.07 | Ā | Ā | 0.56 |
Medicine | 41 (91.1) | 19 (68) | Ā | 47 (87) | 31 (83.8) | Ā |
Planned surgery | 1 (2.2) | 3 (14.3) | Ā | 0 (0) | 0 (0) | Ā |
Urgent surgery | 2 (4.4) | 4 (10.7) | Ā | 6 (11.1) | 6 (16.2) | Ā |
Polytrauma | 1 (2.2) | 2 (7.1) | Ā | 1 (1.8) | 0 (0) | Ā |
Clinical presentation | Ā | Ā | Ā | Ā | Ā | Ā |
SAPS II | 40.3 Ā± 15.9 | 46 Ā± 19.5 | 0.32 | 40.6 Ā± 14.6 | 50.3 Ā± 13.1 | 0.001 |
SOFA | 6.1 Ā± 3.6 | 8.2 Ā± 3.9 | 0.03 | 6.5 Ā± 3.3 | 8.4 Ā± 2.3 | 0.001 |
SIRS - sepsis | 14 (31.1) | 9 (32.1) | 0.92 | 22 (40.7) | 11 (29.7) | 0.28 |
Septic shock | 8 (17.8) | 9 (32.1) | 0.16 | 17 (31.5) | 17 (45.9) | 0.16 |
Shock from other etiology | 6 (13.3) | 5 (17.9) | 0.73 | 5 (9.2) | 8 (21.6) | 0.1 |
Bacteremia | 4 (8.8) | 3 (14.3) | 1 | 6 (11.1) | 5 (13.5) | 0.75 |
Platelet count (1000/mm3) | 245 Ā± 155 | 201 Ā± 159 | 0.11 | 291 Ā± 177 | 253 Ā± 164 | 0.27 |
pH | 7.36 Ā± 0.1 | 7.29 Ā± 0.12 | 0.02 | 7.34 Ā± 0.11 | 7.3 Ā± 0.12 | 0.15 |
Lactate (meq/l) | 1.7 Ā± 1.1 | 2.2 Ā± 1.8 | 0.43 | 2.6 Ā± 1.6 | 3.4 Ā± 3.9 | 0.77 |
Serum urea (g/l) | 0.43 Ā± 0.3 | 0.41 Ā± 0.31 | 0.68 | 0.58 Ā± 0.42 | 0.63 Ā± 0.4 | 0.4 |
Creatinine (mg/l) | 9.9 Ā± 3.7 | 10.1 Ā± 5.9 | 0.49 | 12.5 Ā± 5 | 13.6 Ā± 4.8 | 0.42 |
PaO2/FiO2 | 258 Ā± 111 | 202 Ā± 131 | 0.04 | 201 Ā± 87 | 193 Ā± 99 | 0.6 |