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Table 1 Characteristics and outcomes of mechanically ventilated patients with sepsis

From: Changes in carbon dioxide production and oxygen uptake evaluated using indirect calorimetry in mechanically ventilated patients with sepsis

 

Total

Survivors

Non-survivors

p value

N = 34

N = 26

N = 8

Age, y

73

(51.8–81.0)

65.5

(46.0–78.5)

81

(72.8–84.0)

0.023

Male sex

24

(70.6)

19

(73.1)

5

(62.5)

0.666

BMI, kg/m2

20.9

(17.1–25.2)

21.5

(17.1–25.8)

19.7

(15.7–23.7)

0.372

Clinical severity

       

APACHE II score

17

(12.0–22.0)

15

(11.0–21.0)

21.5

(17.0–24.5)

0.046

SOFA score

9

(5.8–12.0)

7.5

(5.0–11.3)

11

(8.3–13.0)

0.154

Catecholamine use

       

Noradrenalin

23

(67.6)

17

(65.4)

6

(75)

1

Dopamine

1

(2.9)

1

(3.8)

0

(0)

1

Dobutamine

3

(8.8)

3

(11.5)

0

(0)

1

Vasopressin

9

(26.5)

6

(23.1)

3

(37.5)

0.649

Catecholamine index

19

(0.0–30.0)

15

(0.0–40.0)

27.5

(5.0–30.0)

0.605

Induction medication

       

Fentanyl

33

(97.1)

26

(100)

7

(87.5)

0.235

Propofol

22

(64.7)

19

(73.1)

3

(37.5)

0.098

Midazolam

12

(35.3)

8

(30.8)

4

(50)

0.41

Sedation

       

Fentanyl

32

(94.1)

26

(100)

6

(75)

0.05

Propofol

26

(76.5)

20

(76.9)

6

(75)

1

Midazolam

1

(2.9)

1

(3.8)

0

(0)

1

Dexmedetomidine

9

(26.5)

8

(30.8)

1

(12.5)

0.403

RASS (during IC measurement)

− 4

(− 4 to − 3)

− 4

(− 4 to − 3)

− 4

(− 4 to − 3)

0.946

CRRT

2

(5.8)

1

(3.8)

1

(12.5)

0.421

Past history

       

Hypertension

14

(41.2)

11

(42.3)

3

(37.5)

1

Diabetes mellitus

13

(38.2)

11

(42.3)

2

(25)

0.444

Ischemic heart disease

3

(8.8)

2

(7.7)

1

(12.5)

1

Stroke

4

(11.8)

4

(15.4)

0

(0)

0.552

COPD

6

(17.6)

4

(15.4)

2

(25)

0.609

Chronic liver disease

4

(11.8)

4

(15.4)

0

(0)

0.552

CKD

5

(14.7)

3

(11.5)

2

(25)

0.57

Cancer

10

(29.4)

8

(30.8)

2

(25)

1

Source of infection

       

Respiratory

22

(64.7)

16

(61.5)

6

(75)

0.681

Urinary

3

(8.8)

2

(7.7)

1

(12.5)

1

Biliary

4

(11.8)

3

(11.5)

1

(12.5)

1

Other

5

(14.7)

5

(19.2)

0

(0)

0.309

Positive culture

10

(29.4)

8

(30.8)

2

(25)

1

Ventilator

       

Assist/control mode

21

(61.8)

17

(65.4)

4

(50)

0.68

FIO2, %

40

(35.0–60.0)

40

(35.0–52.5)

40

(30.0–67.5)

0.95

PEEP, cmH2O

8

(5.0–8.0)

8

(5.0–8.0)

6.5

(5.0–9.5)

0.641

Driving pressure, cmH2O

14

(11.5–15.3)

14

(10.0–15.3)

13.5

(12.0–17.3)

0.486

Thiamine administration

26

(76.5)

20

(76.9)

6

(75)

1

Blood gas analysis (at the time of intubation)

       

pH

7.35

(7.275–7.424)

7.348

(7.244–7.401)

7.359

(7.299–7.440)

0.73

PaO2, mmHg

91.2

(75.3–151.0)

91.2

(78.7–159.3)

96.3

(56.9–107.5)

0.598

PaCO2, mmHg

43.5

(33.8–57.7)

42.7

(33.8–57.7)

49.8

(29.8–66.3)

0.612

HCO3, mmol/L

22.4

(19.2–25.6)

22.2

(19.5–25.1)

27.2

(19.0–34.2)

0.31

Lactate, mmol/L

1.8

(1.0–4.0)

2.3

(1.2–4.0)

1.5

(1.0–9.4)

0.871

Hemoglobin, g/dL

10.9

(9.0–12.5)

11.1

(10.0–12.7)

8.9

(8.5–11.8)

0.167

Blood gas analysis (after IC measurement)

       

pH

7.372

(7.312–7.402)

7.375

(7.306–7.404)

7.356

(7.335–7.397)

0.67

PaO2, mmHg

94.3

(74.0–116.3)

104

(78.3–120.3

73.5

(67.4–89.9)

0.009

PaCO2, mmHg

40.1

(34.5–47.0)

39.5

(34.5–43.3)

47.2

(30.6–52.4)

0.383

HCO3, mmol/L

23.4

(20.5–24.8)

23.4

(20.5–24.3)

25

(16.0–31.2)

0.626

Lactate, mmol/L

1.7

(1.1–2.6)

1.5

(1.1–2.5)

2

(1.3–2.6)

0.29

Hemoglobin, g/dL

9.7

(8.8–11.2)

10.4

(9.1–11.3)

9.1

(8.3–10.3)

0.161

Lactate %change, %/h

− 0.98

(− 2.61 to 2.29)

− 1.6

(− 2.82 to 1.74)

2.64

(− 0.94 to 9.40)

0.04

Vital sign (initial during IC measurement)

       

Heart rate, beat/minute

90.1

(71.2–103.1)

91.3

(69.6–103.4)

89.7

(73.5–95.7)

0.839

Mean arterial pressure, mmHg

76.7

(64.9–88.9)

75.7

(60.5–88.9)

83.6

(66.6–91.5)

0.361

Body temperature, °C

37.2

(36.8–38.0)

37.6

(36.7–38.2)

37.2

(36.8–37.2)

0.3

Vital sign (last during IC measurement)

       

Heart rate, beat/minute

91.7

(73.6–101.8)

87.4

(67.0–102.7)

91.8

(75.3–96.7)

0.935

Mean arterial pressure, mmHg

80.7

(68.7–91.7)

80.7

(69.2–94.3)

80.7

(62.4–89.2)

0.503

Body temperature, °C

37.3

(36.6–37.7)

37.5

(36.7–38.0)

36.8

(36.3–37.3)

0.074

  1. Summary statistics are reported as No. (%) or medians (interquartile range)
  2. APACHE II, Acute Physiology and Chronic Health Evaluation II; BMI, body mass index; CKD, chronic kidney disease; COPD, chronic obstructive pulmonary disease; CRRT, continuous renal replacement therapy; FIO2, fraction of inspired oxygen; IC, indirect calorimetry; IQR, interquartile range; RASS, Richmond Agitation-Sedation Scale; SOFA, Sequential Organ Failure Assessment