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Table 4 Association between administration of sodium bicarbonate and clinical outcomes

From: Incidence and management of metabolic acidosis with sodium bicarbonate in the ICU: An international observational study

 

Overall population (N = 360)

  

Vasopressor dependent at the diagnosis of metabolic acidosis (N = 187)

  

Severe metabolic acidosis at the time of diagnosis (N = 46)

  
 

aOR, β

95% CI

p Value

aOR, β

95% CI

p Value

aOR, β

95% CI

p Value

ICU mortality

0.85

0.44 to 1.62

0.63

0.52

0.22 to 1.19

0.13

0.86

0.08 to 9.03

0.90

Hospital mortality

0.96

0.51 to 1.76

0.89

0.84

0.38 to 1.85

0.68

1.07

0.09 to 12.3

0.96

Vasopressor dose at 6 h

–0.02

–0.08 to 0.03

0.36

0.01

–0.07 to 0.09

0.81

–0.23

–0.50 to 0.03

0.11

Vasopressor dose at 24 h

0.04

–0.01 to 0.08

0.10

0.04

–0.03 to 0.11

0.24

–0.004

–0.16 to 0.16

0.97

Mean arterial pressure at 6 h

2.85

–0.50 to 6.15

0.09

5.99

1.84 to 10.2

0.01

6.60

–3.65 to 17.2

0.23

Mean arterial pressure at 24 h

–1.07

–4.28 to 2.13

0.52

–1.03

–5.21 to 3.15

0.63

8.90

–1.44 to 19.2

0.13

Delta mean arterial pressure per vasopressor dose at 6 h

3.66

–0.78 to 8.09

0.11

8.87

3.34 to 14.48

0.002

8.53

–8.60 to 25.4

0.35

Delta mean arterial pressure per vasopressor dose at 24 h

1.26

–3.68 to 6.22

0.28

3.65

–2.56 to 9.88

0.26

13.7

0.79 to 26.6

0.06

  1. Delta mean arterial pressure per vasopressor dose = mean arterial pressure at 24 h/(vasopressor dose at 24 h + 1) – mean arterial pressure at 6 h/(vasopressor dose at 6 h + 1)