Category | No improvement of ischemia (n = 20) | Improvement of ischemia (n = 22) | p |
---|---|---|---|
Age, year | 66 (53–73) | 55 (45–68) | 0.432 |
Sex, no (%) | 0.118 | ||
Male | 13 (65.0) | 9 (40.9) | |
Female | 7 (35.0) | 13 (59.1) | |
BMI, kg/m2 | 26.3 (21.5–29.6) | 27.7 (24,4–30,3) | 0.331 |
Comorbidities, no (%) | |||
Obesity | 7 (35.0) | 8 (36.4) | 0.927 |
Hypertension | 13 (65.0) | 11 (50.0) | 0.327 |
Diabetes | 6 (30.0) | 2 (9.1) | 0.085 |
COPD | 3 (15.0) | 1 (4.5) | 0.249 |
Heart insufficiency | 5 (45.5) | 6 (54.5) | 0.867 |
CAD | 9 (45.0) | 7 (31.8) | 0.380 |
CABG | 3 (15.0) | 1 (4.5) | 0.249 |
PTCA | 5 (25.0) | 5 (22.7) | 0.863 |
CKD | 10 (50.0) | 5 (22.7) | 0.065 |
Chronic renal replacement therapy | 7 (35.0) | 3 (13.6) | 0.104 |
Immunosuppression | 3 (15.0) | 0 (0) | 0.059 |
Sepsis, no (%) | 20 (100) | 22 (100) | – |
Side of infection, no (%) | |||
Pulmo | 11 (55.0) | 12 (54.5) | 0.976 |
Abdomen | 15 (75.0) | 18 (81.8) | 0.591 |
Urogenital | 5 (25.0) | 3 (13.6) | 0.349 |
Soft tissue | 5 (25.0) | 6 (27.3) | 0.867 |
Endocarditis | 0 (0) | 3 (13.6) | 0.087 |
More than one | 13 (65.0) | 14 (63.6) | 0.927 |
Identified pathogen, no (%) | |||
Gram+ | 3 (15.0) | 12 (54.5) | 0.008 |
Gram− | 9 (45.0) | 11 (50.0) | 0.746 |
Viral | 1 (5.0) | 2 (9.1) | 0.607 |
Fungi | 6 (30.0) | 5 (22.7) | 0.592 |
More than one | 5 (25.0) | 8 (36.4) | 0.426 |
Non identified | 6 (30.0) | 5 (22.7) | 0.592 |
At inclusion | |||
SOFA score, points | 17 (16–19) | 18 (13.5–19) | 0.319 |
Norepinephrine, no (%) | 19 (95.0) | 21 (95.5) | 0.945 |
Norepinephrine dose, µg/kg/min | 0.52 (0.26–0.79) | 0.34 (0.18–0.47) | 0.021 |
Argipressin, no (%) | 4 (20.0) | 5 (22.7) | 0.830 |
Dobutamine, no (%) | 2 (10.0) | 2 (9.1) | 0.920 |
Invasive ventilation, no (%) | 17 (85.0) | 18 (81.8) | 0.782 |
Oxygenation index (PaO2/FiO2) | 197 (142–334) | 200 (111–271) | 0.429 |
Renal replacement therapy, no (%) | 16 (80.0) | 16 (50.0) | 0.580 |
Organ failure, no (%) | |||
respiratory (PaO2/FiO2 < 300 mmHg) | 19 (95.0) | 20 (90.9) | 0.607 |
Coagulation (thrombocytes < 103/µl) | 17 (85.0) | 15 (68.2) | 0.201 |
Liver (Bilirubin > 33 μmol/l) | 15 (75.0) | 17 (77.3) | 0.863 |
Cardiovascular (vasopressor or inotrope) | 19 (95.0) | 21 (95.5) | 0.945 |
Neurological (GCS < 13) | 18 (90.0) | 17 (77.3) | 0.269 |
Renal (Creatinine > 170 μmol/l) | 18 (90.0) | 19 (86.4) | 0.716 |
Multi-organ failure, no (%) | |||
2 | 0 (0) | 0 (0) | 1 |
3 | 1 (5.0) | 3 (13.6) | 0.341 |
4 | 1 (5.0) | 1 (4.5) | 0.945 |
5 | 9 (45.0) | 7 (31.8) | 0.380 |
6 | 9 (45.0) | 10 (45.5) | 0.976 |
pH | 7.27 (7.18–7.37) | 7.27 (7.17–7.34) | 0.606 |
Bicarbonate, mmol/l | 21.5 (19.0–22.0) | 18.0 (15.8–21.8) | 0.190 |
Lactate, mmol/l | 5.9 (3.4–11.7) | 11.4 (8.1–13.5) | 0.01 |
CK, U/l | 1250 (375–2596) | 2226 (332–6464) | 0.742 |
LDH, U/l | 823 (499–3722) | 1305 (505–4658) | 0.410 |
AST, U/l | 240 (143–940) | 427 (138–3570) | 0.172 |
ALT, U/l | 121 (49–294) | 136 (58–436) | 0.350 |
Bilirubin, µmol/l | 66 (24–134) | 85 (49–172) | 0.376 |
Leucocytes, 1000/µl | 8.9 (4.8–20.8) | 14.5 (10.1–21.7)) | 0.449 |
CRP, mg/l | 114 (58–247) | 108 (38–159) | 0.399 |
PCT, µg/l | 5.9 (2.1–42.7) | 5.4 (1.7–20.7) | 0.421 |
Thrombocytes, 1003/µl | 51.0 (22.3–108.8) | 71.0 (46.4–158.0) | 0.268 |
INR | 1.53 (1.18–1.94) | 1.62 (1.36–2.06) | 0.172 |
PTT, sec | 50.0 (42.3–70.8) | 55 (46–63) | 0.856 |
ATIII, mg/dl | 51 (35–56) | 45 (37–61) | 0.967 |
After 24 h | |||
SOFA score, points | 17 (16–20) | 17 (14–19) | 0.219 |
Norepinephrine, no (%) | 19 (95.0) | 19 (86.4) | 0.341 |
Norepinephrine dose, µg/kg/min | 0.45 (0.26–0.93) | 0.19 (0.05–0.49) | 0.009 |
Argipressin, no (%) | 4 (20.0) | 4 (18.2) | 0.881 |
Dobutamine, no (%) | 2 (10.0) | 3 (13.6) | 0.716 |
Invasive ventilation, no (%) | 17 (85.0) | 18 (81.8) | 0.782 |
Oxygenation index (PaO2/FiO2) | 236.0 (109.8–294.5) | 251.0 (156.0–348.0) | 0.314 |
Organ failure, no (%) | |||
Respiratory (PaO2/FiO2 < 300 mmHg) | 18 (90.0) | 18 (81.8) | 0.449 |
Coagulation (Thrombocytes < 103/µl) | 18 (90.0) | 19 (90.5) | 0.959 |
Liver (Bilirubin > 33 μmol/l) | 16 (80.0) | 17 (81.0) | 0.939 |
Cardiovascular (vasopressor or inotrope) | 19 (95.0) | 20 (90.9) | 0.607 |
Neurological (GCS < 13) | 17 (85.0) | 17 (77.3) | 0.524 |
Renal (Creatinine > 170 μmol/l) | 18 (90.0) | 19 (86.4) | 0.716 |
Multi-organ failure, no (%) | |||
2 | 0 (0) | 2 (9.1) | 0.167 |
3 | 1 (5.0) | 0 (0) | 0.288 |
4 | 2 (10.0) | 2 (9.1) | 0.920 |
5 | 7 (35.0) | 4 (18.2) | 0.216 |
6 | 10 (50.0) | 13 (59.1) | 0.554 |
CK, U/l | 1649.0 (672.5–10,904.0) | 1412.0 (409.5–8087.5) | 0.729 |
LDH, U/l | 875.0 (329.3–7445.3) | 1345.0 (518.5–3389.5) | 0.746 |
AST U/l | 809.0 (261.8–4167.8) | 1116.0 (167.5–2850.0) | 0.590 |
ALT U/l | 328.0 (96.0–2169.5) | 214.0 (126.0–496.5) | 0.510 |
Bilirubin, µmol/l | 77.0 (40.0–125.0) | 60.5 (36.8–157.5) | 0.709 |
Leucocytes, 1000/µl | 12.1 (6.2–19.3) | 13.4 (9.5–20.6) | 0.818 |
CRP, mg/l | 105.5 (65.8–241.0) | 108.5 (31.8–194.8) | 0.624 |
PCT, µg/l | 6.4 (1.0–22.7) | 4.9 (2.9–22.3) | 0.726 |
Thrombocytes, 1000/µl | 60.0 (29.0–105.0) | 70 (32–110) | 0.777 |
2D-perfusion angiography (directly pre-vasodilator) | |||
Simplified NOMI score | 5 (4–6) | 5 (4–7) | 0.767 |
PD-PV | 0.78 (0.27–1.39) | 0.62 (0.525–1–59) | 0.997 |
TTP-PV, sec | 11.68 (9.86–12.85) | 11.3 (9.9–14.0) | 0.749 |
AUC-PV | 0.57 (0.28–1.30) | 0.55 (0.37–1.23) | 0.767 |
PD-Aorta | 0.9 (0.37–2.54) | 0.57 (0.27–1.93) | 0.916 |
TTP-Aorta, sec | 6.43 (5.37–9.34) | 8.1 (6.1–9.7) | 0.474 |
AUC-Aorta | 0.74 (0.56–2.56) | 0.56 (0.27–2.15) | 0.703 |
2D-perfusion angiography (directly post-vasodilator) | |||
Simplified NOMI score | 3 (1–3) | 2 (1–3) | 0.767 |
PD-PV | 1.32 (0.39–1.97) | 0.8 (0.4–1.4) | 0.189 |
TTP-PV, sec | 10.7 (9.0–12.2) | 10.3 (7.9–11.5) | 0.570 |
AUC-PV | 0.85 (0.43–1.08) | 0.64 (0.27–0.81) | 0.195 |
PD-Aorta | 0.55 (0.35–2.19) | 0.39 (0.22–1.06) | 0.178 |
TTP-Aorta, sec | 6.43 (5.81–8.12) | 8.66 (7.79–11.0) | 0.043 |
AUC-Aorta | 0.61 (0.33–2.44) | 0.34 (0.23–0.76) | 0.054 |
Duration PGE1, hours | 30.0 (21.0–69.5) | 79.0 (50.4–141.0) | 0.001 |