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Table 2 Time-adjusted mean arterial pressure (MAP) and vasoactive treatments divided by progression of acute kidney injury

From: Hemodynamic variables and progression of acute kidney injury in critically ill patients with severe sepsis: data from the prospective observational FINNAKI study

 

Progression of AKI

No progression of AKI

P-value

N = 153

N = 270

Time-adjusted MAP

74.4 (68.3 to 80.8)

78.6 (72.9 to 85.4)

<0.001

Time-adjusted MAP below 73 mmHg (%)

69 (45.1)

68 (25.2)

<0.001

Aggregate time below MAP thresholds, minutes

  55 mmHg

0.0 (0.0 to 10.0)

0.0 (0.0 to 10.0)

0.02

  60 mmHg

10.0 (0.0 to 70.0)

5.0 (0.0 to 30.0)

0.007

  65 mmHg

80.0 (10.0 to 280.0)

50.0 (0.0 to 160.0)

0.02

  70 mmHg

290.0 (80.0 to 620.0)

180.0 (40.0 to 480.0)

0.02

  75 mmHg

600.0 (235.0 to 985.0)

490.0 (160.0 to 870.0)

0.15

  80 mmHg

770.0 (445.0 to 1140.0)

750.0 (287.5 to 1102.5)

0.35

  85 mmHg

910.0 (660.0 to 1260.0)

1015.0 (567.5 to 1270.0)

0.86

Time adjusted aggregate time below MAP thresholds, %

  55 mmHg

0.0 (0.0 to 1.1)

0.0 (0.0 to 0.7)

0.01

  60 mmHg

1.1 (0.0 to 7.2)

0.4 (0.0 to 2.5)

0.002

  65 mmHg

7.7 (0.8 to 27.3)

3.6 (0.0 to 11.2)

0.002

  70 mmHg

25.4 (7.0 to 59.5)

14.8 (3.4 to 34.6)

<0.001

  75 mmHg

56.9 (23.0 to 81.9)

37.3 (12.2 to 65.3)

<0.001

  80 mmHg

76.3 (43.5 to 95.0)

56.5 (24.7 to 80.7)

<0.001

  85 mmHg

93.1 (65.5 to 97.9)

75.8 (45.8 to 92.8)

<0.001

Norepinephrine, n (%)

131 (85.6)

180 (66.7)

>0.001

  Max dose ≤24 h in ICU (μg/kg/minute)

0.19 (0.07 to 0.42)

0.08 (0.00 to 0.19)

<0.001

  Max dose 1 to 5 d in ICU (μg/kg/minute)

0.24 (0.11 to 0.50)

0.14 (0.08 to 0.30)

<0.001

Epinephrine, n (%)

5 (3.3)

2 (0.7)

0.1

  Max dose ≤24 h in ICU (μg/kg/minute)

0.02 (0.02 to 0.02)

0.14 (0.02 to 0.66)

0.31

  Max dose 1 to 5 d in ICU (μg/kg/minute)

0.15 (0.02 to 0.15)

0.14 (0.06 to 0.78)

0.8

Dopamine, n (%)

2 (1.3)

2 (0.7)

0.62

  Max dose ≤24 h in ICU (μg/kg/minute)

5.0 (2.7 to 5.0)

9.1 (5.56 to 9.1)

0.13

  Max dose 1 to 5 d in ICU (μg/kg/minute)

5.0 (2.7 to 5.0)

9.1 (5.56 to 9.1)

0.13

Vasopressor load max (μg/kg/minute)

  ≤24 h in ICU

0.32 (0.15 to 0.85)

0.14 (0.08 to 0.29)

<0.001

  1 to 5 d in ICU

0.40 (0.22 to 0.96)

0.15 (0.08 to 0.30)

<0.001

Vasopressin, n (%)

4 (2.6)

1 (0.4)

0.06

Dobutamine, n (%)

33 (21.6)

15 (5.6)

<0.001

Levosimendan, n (%)

11 (7.2)

4 (1.5)

<0.002

Milrinone, n (%)

4 (2.6)

1 (0.4)

0.06

  1. Values are expressed as count (percentage) or median (IQR). The median doses of drug doses are calculated for number of patients receiving aforementioned drug. AKI, acute kidney injury; AUC, area under the curve; Vasopressor load max (μg/kg/minute) = norepinephrine max (μg/kg/minute) + dopamine max (μg/kg/minute/2) + epinephrine max (μg/kg/minute).