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Table 2 Demographic, clinical, angiographic and biochemical characteristics for patients with and without improvement of ischemia (lactate reduction > 2 mmol/l 24 h after intervention)

From: Predictors of response to intra-arterial vasodilatory therapy of non-occlusive mesenteric ischemia in patients with severe shock: results from a prospective observational study

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

  1. ALT Alanine aminotransferase, ATIII Antithrombin III, AUC Area under the curve, AST Aspartate aminotransferase, BMI Body mass index, CAD Coronary artery disease, CK creatine kinase, CKD Chronic kidney disease, COPD Chronic obstructive pulmonary disease, CRP C-reactive protein, GCS Glasgow Coma scale, i-FABP intestinal Fatty-acid binding protein, INR international normalized ratio, LDH Lactate dehydrogenase, L-FABP Liver fatty-acid binding protein, NE Norepinephrine, PD Peak density, PCT Procalcitonine, PTCA Percutaneous transluminal coronary angioplasty, PTT Partial thromboplastin time, PV Portal vein, SM22 Smooth muscle protein 22, SOFA Sequential Organ Failure Assessment, TTP Time to peak