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Table 1 Study patients stratified by dopamine and noradrenaline use status

From: Dopamine use and its consequences in the intensive care unit: a cohort study utilizing the Japanese Intensive care PAtient Database

 

Dopamine (N = 2750)

Dopamine + noradrenaline (N = 1903)

Noradrenaline (N = 9941)

p-value

Year = 2019 (%)

1546 (56.2)

1092 (57.4)

6100 (61.4)

 < 0.001

Age (mean years, SD)

69.6 (12.4)

69.6 (12.6)

69.3 (13.6)

0.488

Gender (Male, %)

1788 (65.0)

1261 (66.3)

6507 (65.5)

0.677

Weight (mean kg, SD)

59.2 (12.7)

60.2 (13.9)

58.6 (13.9)

 < 0.001

Height (mean cm, SD)

160.5 (10.3)

160.9 (10.2)

160.7 (10.1)

0.309

Comorbidities (%)

    

 Acquired immune deficiency syndrome

1 (0.0)

3 (0.2)

9 (0.1)

0.393

 Congestive heart failure

115 (4.2)

73 (3.8)

249 (2.5)

 < 0.001

 Respiratory failure

29 (1.1)

17 (0.9)

236 (2.4)

 < 0.001

 Cirrhosis

19 (0.7)

18 (0.9)

209 (2.1)

 < 0.001

 Use of immunosuppressants

210 (7.6)

93 (4.9)

861 (8.7)

 < 0.001

 Hemodialysis

177 (6.4)

159 (8.4)

781 (7.9)

0.022

 Acute leukemia or lymphoma

16 (0.6)

25 (1.3)

213 (2.1)

 < 0.001

 Cancer with metastases

72 (2.6)

39 (2.0)

338 (3.4)

0.002

Days before ICU after hospital admission (mean days, SD)

7.5 (17.5)

9.2 (17.7)

9.4 (27.2)

0.001

Code blue or activation of Rapid Response Team/Medical Emergency Team (%)

35 (1.3)

62 (3.3)

648 (6.5)

 < 0.001

Cardiopulmonary resuscitation prior to ICU admission (%)

87 (3.2)

140 (7.4)

731 (7.4)

 < 0.001

Reason for ICU admission (%)

   

 < 0.001

 Transfer from ward

153 (5.6)

257 (13.5)

2061 (20.7)

 

 Transfer from emergency room

310 (11.3)

296 (15.6)

2636 (26.5)

 

 Elective surgery

1821 (66.2)

984 (51.7)

3033 (30.5)

 

 Urgent surgery

376 (13.7)

287 (15.1)

1596 (16.1)

 

 Other

90 (3.3)

79 (4.2)

615 (6.2)

 

Diagnosis code (%)

    

 Cardiovascular

1817 (66.1)

1421 (74.7)

4128 (41.5)

 < 0.001

 Valvular surgery

565

365

902

 

 Coronary artery bypass graft surgery

294

277

780

 

 Cardiac arrest

63

106

585

 

 Infection

93 (3.4)

207 (10.9)

2709 (27.3)

 < 0.001

 Post-surgery, Gastrointestinal tract perforation/rupture

34

54

508

 

 Bacterial pneumonia

10

24

446

 

 Septic shock

3

36

426

 

 Other

840 (30.5)

275 (14.5)

3104 (31.2)

 < 0.001

 Post-surgery, gastrointestinal tumor

373

43

420

 

 Other respiratory disease

9

10

283

 

 Post-surgery, oral/pharyngeal/nasal/trachea

86

9

115

 

APACHE III (mean, SD)

64.9 (22.8)

79.1 (31.1)

83.0 (31.2)

 < 0.001

SAPS II (mean, SD)

35.9 (14.4)

45.0 (18.7)

47.3 (18.5)

 < 0.001

Mechanical ventilation during the first 24 h (%)

2198 (80)

1695 (89)

7538 (76)

 < 0.001

AKI during the first 24 h (%)

63 (2.3)

128 (6.7)

786 (7.9)

 < 0.001

Adrenaline during the first 24 h (%)

42 (1.5)

79 (4.2)

440 (4.4)

 < 0.001

Dobutamine during the first 24 h (%)

810 (29.5)

835 (43.9)

2965 (29.8)

 < 0.001

  1. SD Standard Deviation, APACHE III Acute Physiological Assessment and Chronic Health Evaluation, SAPS II Simplified Acute Physiology Score. ICU Intensive care unit, AKI Acute kidney injury