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Table 4 Fluid and antibiotic dosage among different groups of BMI

From: Clinical characteristics, sepsis interventions and outcomes in the obese patients with septic shock: an international multicenter cohort study

Interventiona

mean (SD)

 

< 18.50

Number = 196

18.50 to 4.99

Number = 1,020

25.0 to 29.99

Number = 816

30.0 to 39.99

Number = 680

≥ 40

Number = 170

P value

Adjusted P valueb

Adjusted

P valuec

Crystalloid

Number = 1,506 (52.3%)

Number = 96 (49.0)

Number = 537 (52.6)

Number = 439 (53.8)

Number = 346 (50.9)

Number = 88 (51.8)

   
 

Total (ml)

2,580.3 (1,874.9)

2,690.0 (2,050.2)

2,861.7 (2,445.1)

2,537.4 (2,032.0)

2,602.3 (1,919.1)

0.30

0.76

0.59

 

Dose per kg of actual body weight (ml/kg)

55.0 (40.1)

43.2 (33.4)

37.1 (30.8)

27.7 (22.0)

21.4 (16.8)

< 0.001

< 0.001

< 0.001

Colloid

Number = 1,506 (52.3%)

Number = 96 (49.0)

Number = 537 (52.6)

Number = 439 (53.8)

Number = 346 (50.9)

Number = 88 (51.8)

   
 

Total (ml)

656.8 (864.8)

509.8 (781.0)

593.5 (788.7)

705.5 (2,824.5)

538.9 (939.8)

0.44

0.79

0.31

 

Dose per kg of actual body weight (ml/kg)

14.3 (19.3)

8.2 (12.7)

7.7 (10.2)

8.5 (44.2)

4.3 (7.2)

0.06

0.02

< 0.001

Packed red blood cell

Number = 94 (3.3%)

Number = 5 (2.6)

Number = 29 (2.8)

Number = 31(3.8)

Number = 24 (3.5)

Number = 5 (2.9)

   
 

Total (ml)

462.0 (180.7)

601.0 (630.3)

522.5 (243.2)

502.0 (250.0)

961.2 (781.5)

0.26

0.68

0.79

 

Dose per kg of actual body weight (ml/kg)

9.6 (4.1)

9.7 (10.8)

6.8 (3.1)

5.4 (3.0)

7.3 (5.5)

0.18

0.02

0.53

Fresh frozen plasma

Number 70 (2.4%)

Number = 4 (2.0)

Number = 22 (2.2)

Number = 21(2.6)

Number = 18 (2.6)

Number = 5 (2.9)

   
 

Total (ml)

737.5 (715.7)

498.7 (224.4)

600.0 (336.9)

526.8 (333.1)

1,260.0 (1,34.9)

0.01

0.005

0.02

 

Dose per kg of actual body weight (ml/kg)

18.9 (20.8)

8.2 (4.4)

7.8 (4.7)

5.8 (3.7)

10.4 (8.4)

0.01

0.77

0.62

Piperacillin/tazo-bactam

Number = 564 (19.6%)

Number = 46 (23.5)

Number = 214 (21.0)

Number = 145 (17.8)

Number = 129 (19.0)

Number = 30 (17.6)

   
 

Total dose (mg)

10,214.7 (3,216.3)

10,714.8 (3,155.2)

11,005.3 (3,074.6)

10,754.8 (3,264.7)

10,766.7 (2,699.9)

0.68

0.06

 
 

Dose per kg of dosing body weight

183.5 (66.7)

174.8 (59.9)

168.3 (56.1)

161.0 (59.9)

133.2 (40.2)

0.001

< 0.001

 

Cefotaxime

Number = 772 (26.8%)

Number = 51 (26.0)

Number = 297 (29.1)

Number = 212 (26.0)

Number = 173 (25.4)

Number = 39 (22.9)

   
 

Total dose (mg)

3,549.0 (1,932.0)

3,477.8 (1,821.8)

3,787.7 (1,857.4)

3,359.8 (1,531.0)

4,256.4 (2,220.9)

0.02

0.006

 
 

Dose per kg of dosing body weight

62.1 (38.5)

56.5 (31.6)

57.2 (28.7)

49.7 (24.4)

53.5 (30.2)

0.04

0.32

 

Imipenem

Number = 242 (8.4%)

Number = 15 (7.7)

Number = 79 (7.7)

Number = 75 (9.2)

Number = 56 (8.2)

Number = 17 (10.0)

   
 

Total dose (mg)

1,566.7 (457.7)

1,665.2 (597.5)

1,693.3 (700.6)

1,705.4 (796.5)

1,426.5 (584.7)

0.60

0.36

 
 

Dose per kg of dosing body weight

25.9 (9.0)

27.0 (9.9)

24.9 (10.3)

24.2 (13.1)

7.3 (54.6)

0.002

< 0.001

 

Gentamycin

Number = 511 (17.7%)

Number = 33 (16.8)

Number = 184 (18.0)

Number = 149 (18.3)

Number = 122 (17.9)

Number = 23 (13.5)

   
 

Total dose (mg)

173.3 (82.4)

219.9 (241.4)

256.7 (229.4)

239.4 (118.3)

262.0 (121.9)

0.18

0.01

 
 

Dose per kg of dosing body weight

3.2 (1.5)

3.6 (4.0)

3.8 (3.2)

3.3 (1.7)

3.2 (1.6)

0.63

0.96

 

Meropenem

Number = 277 (9.6%)

Number = 19 (9.7)

Number = 83 (8.1)

Number = 85 (10.4)

Number = 70 (10.3)

Number = 20 (11.8)

   
 

Total dose (mg)

2,342.1 (1,179.1)

1,807.2 (791.8)

1,865.9 (990.6)

1,678.6 (920.9)

2,050.0 (916.2)

0.07

0.75

 
 

Dose per kg of dosing body weight

40.7 (19.4)

29.8 (15.0)

28.8 (15.7)

25.0 (15.5)

26.1 (11.3)

0.003

0.01

 

Levofloxacin

Number = 301 (10.4%)

Number = 28 (14.3)

Number = 110 (10.8)

Number = 81 (9.9)

Number = 62 (9.1)

Number = 20 (11.8)

   
 

Total dose (mg)

426.8 (118.2)

489.8 (164.3)

488.0 (205.8)

441.5 (251.8)

462.5 (91.6)

0.32

0.82

 
 

Dose per kg of dosing body weight

8.0 (2.5)

8.0 (3.1)

7.1 (2.8)

6.2 (4.4)

5.3 (1.3)

< 0.001

< 0.001

 

Vancomycin

Number = 771 (26.8%)

Number = 53 (27.0)

Number = 261(25.6)

Number = 209 (25.6)

Number = 194 (28.5)

Number = 54 (32.1)

   
 

Total dose (mg)

1,292.5 (521.6)

1,421.2 (630.3)

1,380.4 (578.4)

1,353.1 (623.0)

1,441.4 (680.6)

0.54

0.20

 
 

Dose per kg of dosing body weight

28.5 (13.7)

22.9 (11.2)

17.9 (7.6)

14.8 (7.2)

11.3 (5.8)

< 0.001

< 0.001

 

Ciprofloxacin

Number = 634 (22.0%)

Number = 39 (19.9)

Number = 218 (21.4)

Number = 186 (22.8)

Number = 165 (24.3)

Number = 26 (15.3)

   
 

Total dose (mg)

682.9 (280.3)

674.4 (237.0)

671.4 (255.8)

670.3 (363.1)

682.7 (210.2)

1.0

0.13

 
 

Dose per kg of dosing body weight

13.0 (5.2)

10.9 (4.4)

10.1 (4.1)

9.1 (5.0)

7.6 (2.6)

< 0.001

< 0.001

 

Ampicillin

Number = 340 (11.8%)

Number = 19 (9.7)

Number = 122 (12.0)

Number = 115 (14.1)

Number = 70 (10.3)

Number = 14 (8.2)

   
 

Total dose (mg)

4,106.6 (1,788.6)

4,002.3 (1,940.8)

4,326.1 (2,019.7)

4,072.1 (1,64.0)

5,071.4 (2,302.7)

0.31

0.01

 
 

Dose per kg of dosing body weight

71.8 (38.4)

64.8 (32.2)

66.5 (33.0)

61.3 (31.0)

67.0 (36.3)

0.74

0.85

 

Amphotericin B

Number = 102 (3.5%)

Number = 5 (2.6)

Number = 34 (3.3)

Number = 36 (0.4)

Number = 25 (3.7)

Number = 2 (1.2)

   
 

Total dose (mg)

3,897.2 (4,330.8)

5,531.1 (3,998.5)

6,866.2 (5,977.6)

5,079.2 (4,933.2)

10,520.0 (10,521.7)

0.35

0.53

 
 

Dose per kg of dosing body weight

85.4 (91.9)

84.9 (59.7)

90.9 (80.2)

54.3 (52.4)

83.5 (86.7)

0.33

0.15

 

Ceftazidime

Number = 292 (10.1%)

Number = 25 (1.3)

Number = 106 (10.4)

Number = 89 (10.9)

Number = 58 (8.5)

Number = 14 (8.2)

   
 

Total dose (mg)

2,710.0 (1,154.0)

3,547.2 (1,867.7)

2,995.3 (1,691.5)

3,025.9 (1,590.6)

3,285.7 (1,683.8)

0.08

0.10

 
 

Dose per kg of dosing body weight

47.2 (18.3)

57.5 (30.7)

46.9 (28.0)

43.9 (23.6)

42.7 (17.7)

0.01

0.48

 

Ceftriaxone

Number = 232 (8.0%)

Number = 12 (6.1)

Number = 77 (7.5)

Number = 67 (7.6)

Number = 58 (8.5)

Number = 18 (10.6)

   
 

Total dose (mg)

1,666.7 (492.4)

1,655.8 (1,052.1)

1,776.1 (884.6)

1,672.4 (943.8)

1,611.1 (607.7)

0.93

0.77

 
 

Dose per kg of dosing body weight

31.9 (10.2)

26.1 (14.4)

27.5 (12.7)

24.6 (13.7)

21.5 (8.7)

0.20

0.02

 

Cefuroxime

Number = 772 (26.8%)

Number = 19 (9.7)

Number = 74 (7.3)

Number = 68 (8.3)

Number = 55 (8.1)

Number = 11(6.5)

   
 

Total dose (mg)

2,578.9 (920.6)

2,171.8 (1,063.2)

2,216.9 (808.0)

2,386.4 (842.7)

2,181.8 (975.3)

0.39

0.68

 
 

Dose per kg of dosing body weight

45.3 (18.9)

35.1 (17.0)

32.7 (12.9)

34.6 (15.0)

26.7 (12.1)

0.01

0.02

 
  1. aCrystalloid, colloid, crystalloid equivalent volume, red blood cell and fresh frozen plasma for first six hours. All others for day 1. bAdjusted for creatinine clearance. cAdjusted for creatinine clearance and pulmonary capillary wedge pressure. BMI, body mass index.