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Table 5 Risk factors for not reaching a fluid balance nadir during CRRT

From: Fluid removal associates with better outcomes in critically ill patients receiving continuous renal replacement therapy: a cohort study

 

Univariable analysis

Multivariable analysis

FB nadir reached during CRRT (n = 598)

FB nadir not reached during CRRT (n = 222)

p value

OR 95% CI

p value

Cumulative FB at CRRT initiation

1.7 [0.3–4.6]

2.0 [0.7–4.5]

0.055

 

0.491

SOFA score at CRRT initiation

9.8 (3.6)

11.9 (4.1)

< 0.001

1.17 (1.12–1.23)

< 0.001

Days on CRRT

8 [5–16]

5 [3–7]

< 0.001

0.93 (0.90–0.95)

< 0.001

Proportion of days on which a FB target was set

0.92 [0.80–1.00]

0.80 [0.60–1.00]

< 0.001

0.77 (0.70–0.84)

< 0.001

Administration of one or more fluid boluses during RRT

428 (72%)

195 (88%)

< 0.001

 

0.754

Administration of blood transfusion during RRT

451 (75%)

171 (77%)

0.632

 

0.123

Administration of one or more doses of diuretics during RRT

331 (55%)

105 (47%)

0.040

 

0.750

Daily noradrenaline dose [μg], mean*

0

145 (24%)

66 (30%)

< 0.001

1

< 0.001

1–4999

166 (28%)

27 (12%)

 

0.47 (0.27–0.81)

 

5000–9999

76 (13%)

11 (5%)

 

0.46 (0.22–0.97)

 

10,000–49,999

189 (32%)

78 (35%)

 

1.07 (0.68–1.68)

 

 50,000

22 (4%)

40 (18%)

 

2.59 (1.31–5.14)

 
  1. Abbreviations: CI confidence interval, CRRT continuous renal replacement therapy, FB fluid balance, ICU intensive care unit, OR odds ratio, SOFA sequential organ failure assessment
  2. Values expressed as n (%), mean (standard deviation) or median [interquartile range]. C-statistic 0.76, Hosmer Lemeshow goodness of fit: p = 0.21
  3. *Mean daily dose across all days on RRT