From: Permissive fluid volume in adult patients undergoing extracorporeal membrane oxygenation treatment
Variables | CFB quartiles | Total | P for trend | |||
---|---|---|---|---|---|---|
Quartile 1 | Quartile 2 | Quartile 3 | Quartile 4 | |||
Number of patients | 101 | 102 | 102 | 101 | 406 | Â |
Age (yr) | 55.0 ± 17.0 | 56.5 ± 18.0 | 58.9 ± 19.3 | 63.1 ± 15.5 | 58.4 ± 17.7 | 0.001 |
Sex (male, %) | 74 (73.3) | 73 (71.6) | 71 (69.6) | 59 (58.4) | 277 (68.2) | 0.025 |
DM (n, %) | 38 (37.6) | 36 (35.3) | 30 (29.4) | 30 (29.7) | 134 (33.0) | 0.156 |
Hypertension (n, %) | 48 (47.5) | 41 (40.2) | 35 (34.3) | 45 (44.6) | 169 (41.6) | 0.499 |
Malignancy (n, %) | 6 (5.9) | 13 (12.7) | 9 (8.8) | 7 (6.9) | 35 (8.6) | 0.937 |
Charlson comorbidity index | 2.1 ± 2.1 | 2.2 ± 2.0 | 1.8 ± 1.7 | 1.1 ± 1.5 | 1.8 ± 1.9 | < 0.001 |
Weight (kg) | 67.6 ± 11.2 | 66.0 ± 12.9 | 63.9 ± 12.1 | 61.4 ± 10.9 | 64.7 ± 12.0 | < 0.001 |
Body mass index (kg/m2) | 24.2 ± 3.3 | 23.7 ± 3.8 | 23.4 ± 3.6 | 23.4 ± 3.3 | 23.7 ± 3.5 | 0.085 |
Body surface area (m2) | 1.7 ± 0.2 | 1.7 ± 0.2 | 1.7 ± 0.2 | 1.6 ± 0.1 | 1.7 ± 0.2 | < 0.001 |
CFB (ml/kg)* | − 4.8 (− 25.2–9.6) | 38.2 (27.6–51.4) | 109.7 (77.4–137.3) | 222.9 (194.6–272.7) | 64.7 (20.1–161.7) | < 0.001 |
Daily fluid balance (ml/kg/d)*,†| 2.3 (− 5.0 to 8.9) | 13.1 (6.6–27.7) | 37.8 (23.8–67.0) | 108.4 (63.4–180.6) | 26.2 (6.7–68.6) | < 0.001 |
Cumulative input (ml/kg)*,¶ | 165.2 (124.7–216.7) | 191.6 (168.3–241.8) | 248.6 (213.4–280.2) | 371.3 (293.3–482.3) | 214.5 (157.6–267.2) | < 0.001 |
Cumulative total output (ml/kg)*,¶ | 182.0 (138.2–229.7) | 149.7 (112.7–201.4) | 138.6 (113.6–182.0) | 136.8 (91.1–226.3) | 153.1 (115.6–201.4) | < 0.001 |
Cumulative urine output (ml/kg)*,¶ | 136.0 (68.5–182.5) | 100.5 (37.1–143.9) | 59.8 (21.7–119.8) | 27.1 (10.0–66.6) | 95.8 (31.1–150.6) | < 0.001 |
ICU LOS before ECMO (days)* | 1 (0–1) | 1 (0–1) | 0 (0–1) | 0 (0–1) | 1 (0–1) | < 0.001 |
Daily fluid balance before ECMO (ml/kg/d)*,‡ | 1.4 (− 22.4–19.9) | 11.6 (− 15.7–24.4) | 11.9 (− 0.6–37.9) | − 0.7 (− 6.2–7.4) | 3.1 (− 8.3–21.6) | 0.834 |
ECMO cause (n, %) | ||||||
 Heart transplant | 5 (5.0) | 9 (8.8) | 2 (2.0) | 0 (0.0) | 16 (3.9) | 0.357 |
 Other cardiotomy | 22 (21.8) | 23 (22.5) | 20 (19.6) | 21 (20.8) | 86 (21.2) | |
 Nonoperative CVD | 74 (73.3) | 70 (68.6) | 80 (78.4) | 80 (79.2) | 304 (74.9) | |
ECMO VA mode (n, %) | 100 (99.0) | 98 (96.1) | 99 (97.1) | 101 (100.0) | 398 (98.0) | 0.530 |
ECMO settings | ||||||
 Blood flow rate (L/min) | 2.8 ± 0.8 | 3.0 ± 0.8 | 3.0 ± 1.0 | 3.1 ± 1.0 | 2.9 ± 0.9 | 0.006 |
 Blood flow rate (L/min/m2) | 1.6 ± 0.5 | 1.8 ± 0.4 | 1.8 ± 0.6 | 1.9 ± 0.6 | 1.8 ± 0.5 | < 0.001 |
 FsO2 (%) | 89.4 ± 13.8 | 87.9 ± 15.1 | 85.3 ± 15.8 | 81.3 ± 17.1 | 85.9 ± 15.7 | < 0.001 |
 ECMO DO2I (ml/min/m2) | 272.4 ± 86.7 | 304.4 ± 101.6 | 311.9 ± 134.6 | 344.8 ± 134.9 | 309.3 ± 119.2 | < 0.001 |
ECMO duration (days)* | 4 (2–6) | 3 (2–7) | 4 (2–7) | 3 (2–6) | 3 (2–6) | 0.231 |
Mechanical ventilation (n, %) | 90 (89.2) | 100 (98.5) | 97 (95.3) | 100 (98.9) | 387 (95.3) | 0.015 |
Days of ventilator before ECMO (days)* | 1 (0–1) | 1 (0–1) | 1 (0–1) | 0 (0–1) | 1 (0–1) | 0.155 |
WBC (× 103/μl) | 12.8 ± 6.0 | 13.8 ± 6.9 | 14.6 ± 8.5 | 13.6 ± 6.8 | 13.7 ± 7.1 | 0.293 |
Hemoglobin (g/dl) | 11.1 ± 2.4 | 11.4 ± 2.4 | 11.0 ± 2.3 | 10.3 ± 2.4 | 11.0 ± 2.4 | 0.008 |
SaO2 (%)* | 98.2 (93.3–99.3) | 97.7 (95.4–98.9) | 99.3 (97.3–99.8) | 99.6 (96.8–99.9) | 98.8 (96.2–99.8) | 0.001 |
BUN (mg/dl) | 27.3 ± 16.0 | 27.1 ± 15.2 | 26.5 ± 11.0 | 23.6 ± 12.9 | 26.1 ± 14.0 | 0.054 |
Creatinine (mg/dl) | 1.5 ± 0.9 | 1.5 ± 0.8 | 1.5 ± 0.5 | 1.4 ± 0.5 | 1.5 ± 0.7 | 0.105 |
eGFR (ml/min/1.73 m2) | 60.7 ± 29.5 | 58.2 ± 26.8 | 54.6 ± 22.9 | 58.2 ± 25.8 | 57.9 ± 26.4 | 0.348 |
Albumin (g/dl) | 3.0 ± 0.5 | 2.9 ± 0.6 | 2.7 ± 0.7 | 2.6 ± 0.8 | 2.8 ± 0.7 | < 0.001 |
Bilirubin (mg/dl) | 1.8 ± 1.7 | 2.4 ± 2.6 | 1.8 ± 1.9 | 1.2 ± 1.2 | 1.8 ± 1.9 | 0.007 |
CRP (mg/dl)* | 32.7 (12.8–82.6) | 25.6 (6.4–62.6) | 17.9 (4.1–61.9) | 9.7 (3.0–47.0) | 22.7 (3.6–62.3) | 0.001 |
APACHE II score | 23.1 ± 9.7 | 23.9 ± 8.3 | 23.7 ± 10.4 | 24.7 ± 9.7 | 23.8 ± 9.6 | 0.274 |