| Control | Intervention | p |
---|---|---|---|
n = 159 | n = 163 | ||
Age, years mean (SD) | 44.1 (17.6) | 43.2 (17.7) | 0.6 |
Sex, male n (%) | 129 (81.1) | 127 (77.9) | 0.2 |
Weight, kg mean (SD) | 79 (17.7) | 73.6 (15.3) | 0.02 |
Time from trauma to inclusion, Hours mean (SD) | 12.7 (6.2) | 13 (6.4) | 0.67 |
Severe TBI, n (%) | 139 (87.4) | 142 (87.1) | 1 |
ICP before inclusion, mmHg mean (SD) | 12.9 (9.3) | 10.8 (7.1) | 0.051 |
MAP before inclusion, mmHg mean (SD) | 86.3 (15.3) | 85.2 (14.9) | 0.51 |
Hypotension, n (%) | 26 (16.4) | 26 (16) | 1 |
Hypoxemia, n (%) | 25 (15.7) | 26 (16) | 1 |
Hemoglobin level < 9 g/dl, n (%) | 14 (8.8) | 12 (7.4) | 0.79 |
Chronic kidney disease, n (%) | 4 (2.5) | 4 (2.5) | 1 |
eGFR, mL/min/1.73Â m2 | 109.6 (39) | 111.5 (34.8) | 0.65 |
Hyperosmolar therapy, n (%) | 94 (59.1) | 91 (55.8) | 0.63 |
 Mannitol | 52 (55.3) | 57 (62.6) | 0.39 |
 Hypertonic saline solution | 63 (67.0) | 57 (62.6) | 0.64 |
Baseline metabolic parameters, mean (SD) | |||
Sodium, mmol/L | 140 (3.9) | 140.4 (4.6) | 0.42 |
Chloride, mmol/L | 106.5 (5.2) | 107.3 (5.4) | 0.18 |
Urea, mmol/L | 4.8 (1.9) | 4.9 (3.2) | 0.87 |
Creatinine, µmol/L | 73.6 (30.4) | 72.4 (31.9) | 0.74 |
Acid base status | |||
 Arterial pH | 7.34 (0.09) | 7.34 (0.09) | 0.97 |
 Base deficit, mmol/L | − 3.73 (3.69) | − 3.49 (3.70) | 0.56 |
 Bicarbonate, mmol/L | 21.67 (3.42) | 22.04 (2.78) | 0.28 |
 Arterial CO2, mmHg | 41.24 (8.07) | 42.96 (17.48) | 0.26 |
 Lactate level, mmol/L | 2.40 (2.31) | 2.25 (1.74) | 0.51 |
  Lactate > 2 mmol/L, n (%) | 73 (45.9) | 62 (38.0) | 0.19 |
Daily chloride load, g/day mean (SD) | |||
Before inclusion | 14.9 (11.2) | 22.7 (25.8) | 0.001 |
 Day 1 | 17.5 (14.8) | 34.3 (13.9) |  < 0.001 |
 Day 2 | 12 (7.3) | 19.7 (9.7) |  < 0.001 |
 Day 3 | 8.9 (6.7) | 11.2 (8.7) | 0.008 |
 Day 4 | 8 (7) | 9.4 (7.7) | 0.09 |
Cumulative chloride load at Day 4, g mean (SD) | 61.3 (31.6) | 97.3 (38.1) |  < 0.001 |
Antidiuretic hormone use during ICU stay, n (%) | 26 (16.4) | 10 (6.1) | 0.006 |
Outcomes | |||
ICU length of stay, Days mean (SD) | 20.4 (17.9) | 23.7 (22.1) | 0.14 |
ICU mortality, n (%) | 32 (20.1) | 26 (16) | 0.41 |