Patient characteristics | All | Low cDPP3 | High cDPP3 | p value* | n |
---|---|---|---|---|---|
Epidemiological data | n = 581 | n = 436 | n = 145 | ||
cDPP3 at admission (ng/mL) | 26.5 [16.2–40.4] | 19.8 [14.5–28.9] | 67.7 [48.7–120.7] | – | |
Age (year) | 66 [55–75] | 66 [56–76] | 65 [53–75] | 0.2498 | |
Male (no. %) | 363 (62.5) | 277 (63.5) | 86 (59.3) | 0.4176 | |
Body mass index (kg/m2) | 25.7 [22.9–30.2] | 25.5 [22.7–30.1] | 26.1 [23.4–31.1] | 0.1363 | |
Septic shock at admission (yes) | 292 (50.3) | 201 (46.1) | 91 (62.8) | 0.0007 | |
Origin of sepsis | 0.0727 | ||||
Lung | 218 (37.5) | 151 (34.6) | 67 (46.2) | ||
Blood stream | 90 (15.5) | 76 (17.4) | 14 (9.7) | ||
Urinary tract | 62 (10.7) | 43 (9.9) | 19 (13.1) | ||
Catheter | 29 (5.0) | 22 (5) | 7 (4.8) | ||
Peritonitis | 30 (5.2) | 23 (5.3) | 7 (4.8) | ||
Endocarditis | 31 (5.3) | 23 (5.3) | 8 (5.5) | ||
Other | 121 (20.8) | 98 (22.5) | 23 (15.9) | ||
Medical history** | |||||
Any cardiac comorbidity (yes) | 398 (68.5) | 300 (68.8) | 98 (67.6) | 0.8642 | |
Chronic heart failure (yes) | 59 (10.2) | 38 (8.7) | 21 (14.5) | 0.0652 | |
Hypertension (yes) | 292 (50.3) | 220 (50.5) | 72 (49.7) | 1.0000 | |
Diabetes mellitus (yes) | 159 (27.4) | 122 (28) | 37 (25.5) | 0.6286 | |
Any non-cardiac comorbidity (yes) | 413 (71.1) | 308 (70.6) | 105 (72.4) | 0.7627 | |
Chronic renal disease (yes) | 76 (13.1) | 57 (13.1) | 19 (13.1) | 1.0000 | |
Active/recent malignant tumors (yes) | 124 (21.3) | 96 (22) | 28 (19.3) | 0.6090 | |
Smoking (active, yes) | 116 (20) | 88 (20.2) | 28 (19.3) | 0.9238 | |
COPD (yes) | 89 (15.3) | 70 (16.1) | 19 (13.1) | 0.5267 | |
Any chronic medication (yes) | 370 (63.7) | 281 (64.4) | 89 (61.4) | 0.5712 | |
Immunosuppressive therapy (yes) | 46 (7.9) | 32 (7.3) | 14 (9.7) | 0.4733 | |
Physiological values at admission | |||||
Mean blood pressure (mmHg) | 75 [64–90] | 75 [65–90] | 76 [62–90] | 0.7372 | |
Heart rate (bpm) | 104 [89–119] | 101 [88–117] | 108 [96–128] | 0.0005 | |
Fluid balance (mL) | 1930 [600–3556] | 1800 [570–3270] | 2398 [805–4731] | 0.0059 | |
Urine output for 24 h (mL) | 1000 [450–1900] | 1130 [571–2000] | 600 [202–1495] | < 0.0001 | |
PaO2/FiO2 | 228 [137–342] | 237 [146–364] | 191 [111–300] | 0.0012 | |
Laboratory values at admission | |||||
Lactate (mmol/L) | 1.4 [1.0–2.2] | 1.3 [0.9–2] | 2.1 [1.2–3.48] | < 0.0001 | n = 560 |
Arterial pH | 7.38 [7.30–7.44] | 7.4 [7.32–7.45] | 7.33 [7.24–7.41] | < 0.0001 | |
Bilirubin (µmol/L) | 11 [6–19] | 10 [6–18] | 12 [7–22] | 0.1141 | |
Platelets (109/L) | 190 [121–274] | 190 [123–273.75] | 190 [112–269] | 0.7341 | |
Creatinine (mg/dL) | 1.35 [0.86–2.24] | 1.26 [0.81–2.05] | 1.71 [1.04–2.9] | 0.0001 | |
BUN or urea (mg/dL) | 61.3 [37.0–106.3] | 58.3 [34.2–97] | 72 [44–120.1] | 0.0012 | |
Hematocrit (%) | 34 [29–38] | 34 [29–38] | 35 [30–39] | 0.0395 | |
White blood count (per mm3) | 12,480 [7200–18560] | 13,000 [7560–18600] | 11,350 [6810–17040] | 0.0958 | |
Troponin T (ng/mL) | 42 [18–152] | 38 [17–129] | 54 [25–234] | 0.0786 | n = 152 |
PCT (ng/mL) | 11.4 [1.9–49.8] | 9.1 [1.6–37.4] | 16.3 [3.6–70.0] | 0.0194 | n = 330 |
NT-proBNP (pg/mL) | 4382 [1525–11565] | 3339 [1294–7643] | 9589 [4863–20107] | 0.0003 | n = 117 |
Organ support at admission | |||||
Mechanical ventilation: | < 0.0001 | ||||
Invasive | 217 (37.3) | 134 (30.7) | 83 (57.2) | ||
Non-invasive | 131 (22.5) | 98 (22.5) | 33 (22.8) | ||
None | 233 (40.1) | 204 (46.8) | 29 (20) | ||
Renal replacement therapy | 49 (8.4) | 19 (4.4) | 30 (20.7) | < 0.0001 | |
Vasopressors/inotropes at admission | 347 (59.7) | 246 (56.4) | 101 (69.7) | 0.0066 | |
Organ dysfunction scores | |||||
SOFA (points) | 7 [5–10] | 7 [4–9] | 9 [5–12] | < 0.0001 | n = 508 |
APACHE II (points) | 15 [11–20] | 15 [11–19] | 18 [13–23] | < 0.0001 | |
Length of stay (days) | |||||
ICU | 5 [2–10] | 5 [2–8] | 6 [2–15] | 0.0487 | |
Outcome | |||||
AKI within 7 days | 359 (61.8) | 189 (56.6) | 113 (77.9) | < 0.0001 | |
28-day, deaths (%) | 126 (21.7) | 66 (15.1) | 60 (41.4) | < 0.0001 | |
90-day, deaths (%) | 165 (28.4) | 94 (21.6) | 71 (49) | < 0.0001 |