Ā | DrotAA and steroid use | DrotAA and no steroid use | Placebo and steroid use | Placebo and no steroid use | P -valuea |
---|---|---|---|---|---|
Number | 436 | 414 | 403 | 442 | Ā |
Age, years | Ā | Ā | Ā | Ā | 0.1007 |
Median (25th, 75th percentile) | 64.4 (52.5, 74.2) | 66.2 (55.4, 76.0) | 66.2 (54.5, 76.6) | 63.6 (51.4, 75.2) | Ā |
Female, n/total (%) | 190/436 (43.6%) | 169/414 (40.8%) | 185/403 (45.9%) | 194/442 (43.9%) | 0.5350 |
Prior or preexisting conditions | Ā | Ā | Ā | Ā | Ā |
Alcohol dependence | 58/436 (13.3%) | 59/414 (14.3%) | 53/403 (13.2%) | 61/442 (13.8%) | 0.9604 |
Chronic liver disease | 18/436 (4.1%) | 11/414 (2.7%) | 12/403 (3.0%) | 17/442 (3.8%) | 0.6109 |
Chronic obstructive airways disease | 69/436 (15.8%) | 59/414 (14.3%) | 66/403 (16.4%) | 65/442 (14.7%) | 0.8084 |
Chronic renal disease | 49/436 (11.2%) | 35/414 (8.5%) | 30/403 (7.4%) | 37/442 (8.4%) | 0.2380 |
Congestive heart failure | 27/436 (6.2%) | 21/414 (5.1%) | 22/403 (5.5%) | 23/442 (5.2%) | 0.8837 |
Coronary artery disease | 57/436 (13.1%) | 55/414 (13.3%) | 37/403 (9.2%) | 49/442 (11.1%) | 0.2024 |
Diabetes mellitus | 100/436 (22.9%) | 89/414 (21.5%) | 90/403 (22.3%) | 126/442 (28.5%) | 0.0618 |
Hypertension | 190/436 (43.6%) | 191/414 (46.1%) | 201/403 (49.9%) | 201/442 (45.5%) | 0.3341 |
Immunodeficiency | 40/436 (9.2%) | 11/414 (2.7%) | 41/403 (10.2%) | 18/442 (4.1%) | <0.0001 |
Malignancy (cancer) | 81/436 (18.6%) | 64/414 (15.5%) | 83/403 (20.6%) | 64/442 (14.5%) | 0.0629 |
Pancreatitis | 18/436 (4.1%) | 12/414 (2.9%) | 13/403 (3.2%) | 12/442 (2.7%) | 0.6509 |
Stroke | 25/436 (5.7%) | 23/414 (5.6%) | 19/403 (4.7%) | 25/442 (5.7%) | 0.9048 |
Positive blood culture | 143/436 (32.8%) | 127/414 (30.7%) | 122/403 (30.3%) | 117/442 (26.5%) | 0.2262 |
Source control of infectionb | 138/151 (91.4%) | 137/152 (90.1%) | 133/149 (89.3%) | 131/146 (89.7%) | 0.9355 |
Number of baseline organ dysfunctions | Ā | Ā | Ā | Ā | <0.0001 |
1 | 8/436 (1.8%) | 10/414 (2.4%) | 6/403 (1.5%) | 17/442 (3.8%) | Ā |
2 | 41/436 (9.4%) | 74/414 (17.9%) | 35/403 (8.7%) | 77/442 (17.4%) | Ā |
3 | 133/436 (30.5%) | 144/414 (34.8%) | 132/403 (32.8%) | 162/442 (36.7%) | Ā |
4 | 185/436 (42.4%) | 142/414 (34.3%) | 162/403 (40.2%) | 154/442 (34.8%) | Ā |
5 | 69/436 (15.8%) | 44/414 (10.6%) | 68/403 (16.9%) | 32/442 (7.2%) | Ā |
Time from start of vasopressor to infusion start, hours | Ā | Ā | Ā | Ā | 0.1390 |
Median (25th, 75th percentile) | 19.1 (13.0, 22.7) | 17.0 (13.0, 21.5) | 18.2 (12.8, 22.0) | 18.0 (11.6, 22.2) | Ā |
Apache II score | Ā | Ā | Ā | Ā | <0.0001 |
Median (25th, 75th percentile) | 25.0 (20.0, 31.0) | 24.0 (19.0, 30.0) | 26.0 (21.0, 32.0) | 23.0 (18.0, 29.0) | Ā |
Recent surgery | 159/436 (36.5%) | 157/414 (37.9%) | 143/403 (35.5%) | 165/442 (37.3%) | 0.8968 |
Mechanical ventilation | 379/436 (86.9%) | 316/414 (76.3%) | 361/403 (89.6%) | 339/442 (76.7%) | <0.0001 |
Renal replacement therapy | 88/432 (20.4%) | 32/413 (7.7%) | 80/402 (19.9%) | 27/442 (6.1%) | <0.0001 |
Acute respiratory distress syndrome | 144/436 (33.0%) | 80/414 (19.3%) | 123/403 (30.5%) | 114/442 (25.8%) | <0.0001 |
Intravenous fluids from start of vasopressor to start of study drug, mL | Ā | Ā | Ā | Ā | 0.0093 |
Median (25th, 75th percentile) | 4858 (3210, 7840) | 4458 (2746, 6865) | 4635 (2904, 7508) | 4222 (2755, 6460) | Ā |
Intravenous fluids in 24 hours before start of vasopressors, mL | Ā | Ā | Ā | Ā | <0.0001 |
Median (25th, 75th percentile) | 2902 (1850, 4384) | 3250 (2197, 5100) | 2850 (1600, 4350) | 3250 (2105, 5000) | Ā |
Vasopressor score | Ā | Ā | Ā | Ā | <0.0001 |
Median (25th, 75th percentile) | 50.0 (23.0, 98.0) | 27.0 (12.2, 46.4) | 50.0 (22.9, 90.9) | 21.9 (12.6, 44.4) | Ā |
Total sequential organ failure assessment | Ā | Ā | Ā | Ā | <0.0001 |
Median (25th, 75th percentile) | 11.0 (9.0, 13.0) | 10.0 (8.0, 12.0) | 11.0 (9.0, 13.0) | 10.0 (8.0, 12.0) | Ā |
Lactate, mmol/L | Ā | Ā | Ā | Ā | <0.0001 |
Median (25th, 75th percentile) | 3.0 (1.9, 4.8) | 2.2 (1.4, 3.3) | 3.1 (2.0, 5.1) | 2.1 (1.4, 3.3) | Ā |