|
Admission and outcome parameters of study patients |
|||||||
| IAH |
FI |
||||||
| Admission parameters |
Total |
Absent |
Present |
P |
Absent |
Present |
P |
|
|
|||||||
| Number of patients [%] |
264 [100.0] |
192 [72.3] |
72 [27.3] |
110 [41.7] |
154 [58.3] |
||
| Male sex (n [%]) |
166 [62.9] |
117 [60.9] |
49 [68.1] |
0.178 |
60 [54.5] |
106 [68.8] |
0.013 |
| Age (years) |
53.8 ± 20.0 |
52.3 ± 21.0 |
57.8 ± 16.8 |
0.047 |
48.6 ± 21.0 |
57.5 ± 18.5 |
< 0.001 |
| Diabetes (n [%]) |
35 [13.3] |
26 [13.5] |
9 [12.5] |
0.502 |
11 [10.0] |
24 [15.6] |
0.128 |
| Readmission (n [%]) |
8 [3.0] |
6 [3.1] |
2 [2.8] |
0.622 |
2 [1.8] |
6 [3.9] |
0.287 |
| Sedation (n [%]) |
243 [92.0] |
174 [90.6] |
69 [95.8] |
0.125 |
98 [89.1] |
145 [94.2] |
0.103 |
| Vasoactive/inotrope (n [%]) |
200 [75.8] |
136 [70.8] |
64 [88.9] |
0.001 |
67 [60.9] |
133 [86.4] |
< 0.001 |
| Surgical profile (n [%]) |
175 [66.3] |
122 [63.5] |
53 [73.7] |
0.080 |
67 [60.9] |
108 [70.1] |
0.077 |
| Laparatomy (n [%]) |
60 [23.3] |
21 [15.6] |
31 [43.7] |
< 0.001 |
9 [8.4] |
51 [34.0] |
< 0.001 |
| Enteral feeding (n [%]) |
49 [18.6] |
42 [21.9] |
7 [9.7] |
0.015 |
25 [22.7] |
24 [15.6] |
0.095 |
| APACHE II score (points) |
14.2 ± 7.7 |
13.5 ± 7.6 |
16.0 ± 7.7 |
0.016 |
11.8 ± 7.3 |
15.8 ± 7.6 |
< 0.001 |
| BMI (kg/m2) |
27.6 ± 13.1 |
25.4 ± 4.6 |
33.1 ± 22.2 |
< 0.001 |
25.8 ± 5.6 |
28.9 ± 16.4 |
0.080 |
| SOFA score (points) |
7.0 ± 4.2 |
6.3 ± 4.2 |
8.9 ± 3.6 |
< 0.001 |
5.3 ± 4.2 |
8.2 ± 3.8 |
< 0.001 |
| Fluid gain in first 24 hours (l) |
2.4 ± 3.6 |
2.0 ± 2.4 |
3.6 ± 5.5 |
0.001 |
1.7 ± 2.4 |
2.9 ± 4.2 |
0.007 |
| MAP (mmHg) |
81.5 ± 15.9 |
82.1 ± 16.4 |
80.5 ± 15.0 |
0.512 |
82.1 ± 15.8 |
81.3 ± 16.1 |
0.758 |
| IAP (mmHg) |
8.5 ± 4.7 |
6.5 ± 3.8 |
12.1 ± 4.0 |
< 0.001 |
6.3 ± 4.0 |
9.5 ± 4.6 |
< 0.001 |
| CVP (mmHg) |
11.6 ± 5.7 |
10.3 ± 4.9 |
14.3 ± 6.3 |
< 0.001 |
10.4 ± 5.1 |
12.2 ± 5.9 |
0.031 |
| PIP (cmH2O) |
23.9 ± 6.2 |
22.6 ± 6.0 |
27.2 ± 5.2 |
< 0.001 |
22.5 ± 6.5 |
24.8 ± 5.7 |
0.006 |
| PEEP (cmH2O) |
9.2 ± 4.2 |
8.5 ± 4.1 |
11.2 ± 3.7 |
< 0.001 |
7.8 ± 4.1 |
10.2 ± 3.9 |
< 0.001 |
| Lactate (mmol/l) |
4.6 ± 5.4 |
4.4 ± 4.6 |
4.9 ± 6.9 |
0.519 |
4.4 ± 4.9 |
4.7 ± 5.7 |
0.741 |
| FI (n [%]) |
124 [47.0] |
69 [35.9] |
55 [76.4] |
< 0.001 |
- |
- |
|
| IAH (n [%]) |
42 [15.9] |
- |
- |
3 [2.7] |
39 [25.3] |
< 0.001 |
|
| Gastrointestinal failure (FI+IAH; n [%]) |
36 [13.6] |
- |
36 [50.0] |
- |
36 [23.4] |
||
| Outcome parameters |
|||||||
| MV (days) |
7.4 ± 11.9 |
4.3 ± 6.1 |
15.5 ± 18.0 |
< 0.001 |
3.6 ± 5.9 |
10.0 ± 14.1 |
< 0.001 |
| ICU stay (days) |
8.8 ± 12.8 |
5.6 ± 7.3 |
17.5 ± 19.0 |
< 0.001 |
4.8 ± 6.9 |
11.7 ± 15.1 |
< 0.001 |
| ICU mortality (n [%]) |
39 [14.8] |
21 [10.9] |
18 [25.0] |
0.005 |
7 [6.4] |
32 [20.8] |
0.001 |
| 28-day mortality (n [%]) |
54 [20.5] |
36 [18.8] |
18 [25.0] |
0.171 |
13 [11.8] |
41 [26.6] |
< 0.001 |
| 90-day mortality (n [%]) |
75 [28.4] |
48 [25.0] |
27 [37.5] |
0.033 |
17 [15.5] |
58 [37.7] |
0.002 |
|
The values are presented as mean ± standard deviation, if not stated otherwise. APACHE, Acute Physiology and Chronic Health Evaluation; BMI, body mass index; CVP, central venous pressure; FI, food intolerance; IAH, intra-abdominal hypertension; IAP, intra-abdominal pressure; ICU, intensive care unit; MAP, mean arterial pressure; MV, mechanical ventilation; PEEP, positive end-expiratory pressure; PIP, peak inspiratory pressure; SOFA, Sequential Organ Failure Assessment. | |||||||
Reintam et al. Critical Care 2008 12:435 doi:10.1186/cc7135 |
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