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Table 1 Population characteristics. Results were expressed as mean and standard deviation for quantitative parameters (normal distribution), as median and interquartile range for quantitative parameters (non-gaussian distribution) and, as absolute value and percentage for qualitative parameters. P-value corresponds to the comparison between deceased and living patients

From: Association between prehospital shock index variation and 28-day mortality among patients with septic shock

 

Overall population (n = 406)

Living (n = 290)

Deceased (n = 116)

p value

Demographics

  Age (years)

69 ± 15

67 ± 16

72 ± 14

0.005

  Hypertension

166 (41%)

117 (40%)

49 (42%)

0.726

  Chronic cardiac failure

69 (17%)

44 (15%)

25 (22%)

0.124

  Diabetes Mellitus

106 (26%)

83 (29%)

23 (20%)

0.07

  Cancer history

144 (35%)

95 (33%)

49 (42%)

0.072

  COPD

55 (14%)

34 (12%)

21 (18%)

0.092

  Chronic Renal Failure

52 (13%)

32 (11%)

20 (17%)

0.093

Prehospital initial values

  Initial SBP (mmHg)

102 ± 43

103 ± 47

97 ± 27

0.193

  Initial DBP (mmHg)

59 ± 20

60 ± 21

58 ± 19

0.240

  Initial MBP (mmHg)

72 ± 22

73 ± 23

70 ± 20

0.211

  Initial HR (beats.min−1)

112 ± 28

112 ± 28

112 ± 30

0.974

  Initial SI

1.2 ± 0.5

1.2 ± 0.5

1.2 ± 0.5

0.354

  Initial RR (movements.min−1)

30 [22-38]

28 [22-36]

32 [25-39]

0.088

  Initial pulse oximetry (%)

93 [87 – 96]

94 [88 – 97]

91 [83 – 95]

0.012

  Initial body core temperature (°C)

38.5 [37.0 – 39.3]

38.6 [37.1 – 39.5]

38.2 [35.8 – 39.0]

0.011

  Initial Glasgow coma scale

15 [13-15]

15 [14-15]

15 [12-15]

0.018

  Initial blood lactate (mmol.l−1)

6.2 ± 3.7

5.8 ± 3.5

6.9 ± 4.0

0.059

  Fluid expansion (ml)

625 [500 – 1200]

675 [500 – 1000]

500 [500 – 1000]

0.762

  Fluid expansion / body weight (ml.kg−1)

15 ± 10

15 ± 10

14 ± 10

0.812

  Norepinephrine administration

100 (25%)

83 (29%)

32 (28%)

0.357

  Norepinephrine dose (mg.h−1)

1.0 [0.5 – 2.0]

1.0 [0.5 – 2.0]

1.0 [0.7 – 2.0]

0.668

  Prehospital AB administration

114 (28%)

83 (29%)

31 (27%)

0.701

  Prehospital duration (min)

65 ± 32

64 ± 32

66 ± 31

0.373

Prehospital final values

  Final SBP (mmHg)

103 ± 26

104 ± 26

100 ± 28

0.147

  Final DBP (mmHg)

60 ± 18

60 ± 18

58 ± 20

0.360

  Final MBP (mmHg)

74 ± 20

74 ± 19

72 ± 22

0.242

  Final HR (beats.min−1)

106 ± 25

107 ± 24

109 ± 27

0.267

  Final SI

1.1 ± 0.7

1.1 ± 0.7

1.1 ± 0.4

0.595

  Delta SI

0.1 ± 0.7

0.01 ± 0.8

0.01 ± 0.5

0.886

  Positive delta SI (%)

248 (61%)

183 (63%)

65 (56%)

0.188

  Negative delta SI (%)

158 (39%)

107 (37%)

51 (44%)

0.188

  Final RR (movements.min−1)

25 [20-33]

24 [18-30]

29 [22-35]

0.002

  Final pulse oximetry (%)

97 [94 – 99]

97 [95 – 99]

96 [92 – 98]

0.004

  Final body core temperature (°C)

38.2 [37.0 – 39.0]

38.3 [37.2 – 39.0]

37.8 [35.9 – 38.9]

0.004

  Final Glasgow coma scale

15 [14-15]

15 [14-15]

15 [13-15]

0.001

  Final blood lactate (mmol.l−1)

4.5 ± 3.6

3.7 ± 3.0

6.1 ± 4.3

 < 10–3

  Delta blood lactate (mmol.l−1)

1.2 ± 2.8

1.6 ± 2.9

0.4 ± 2.5

0.01

  Positive delta blood lactate (%)

115 (28%)

80 (28%)

35 (30%)

0.161

  Negative delta blood lactate (%)

54 (13%)

32 (11%)

22 (19%)

0.217

Hospital parameters

  SOFA score

7 [3-10]

6 [3-9]

9 [6-12]

 < 10–3

  SAPS2 score

58 ± 22

52 ± 19

70 ± 22

 < 10–3

  In-ICU length of stay (days)

5 [2-9]

5 [2-9]

4 [2-8]

0.099

  In-hospital length of stay (days)

12 [7-20]

15 [9-24]

4 [2-13]

 < 10–3

Presumed septic shock origins

  Pulmonary

170 (42%)

111 (38%)

59 (51%)

0.021

  Digestive

102 (25%)

70 (24%)

32 (28%)

0.470

  Urinary

67 (17%)

56 (19%)

11 (9%)

0.018

  Cutaneous

28 (7%)

23 (8%)

5 (4%)

0.200

  Meningeal

9 (2.5%)

7 (2%)

2 (2%)

0.671

  Gynaecological

3 (0.5%)

3 (100%)

0 (0%)

0.986

  Ears nose throat

2 (0.5%)

1 (50%)

1 (50%°

0.516

  Endocarditis

2 (0.5%)

2 (100%)

0 (0%)

0.983

  Unknown

23 (5%)

17 (6%)

6 (5%)

0.786

  1. SBP Systolic blood pressure, DBP Diastolic blood pressure, MBP Mean blood pressure, HR Heart rate, RR Respiratory rate, SI Shock index, ICU Intensive care unit, SOFA Sequential organ failure assessment, SAPS2 Simplified acute physiology score 2nd version, HIV Human immunodeficiency virus, COPD Chronic obstructive pulmonary disease, AB Antibiotic therapy, min Minutes, delta SI = Initial SI-Final SI, negative delta SI = Initial SI-Final SI < 0, positive delta SI = Initial SI-Final SI > 0, delta Lactate = Lactate SI-Lactate SI, negative delta Lactate = Initial Lactate -Final Lactate < 0, positive delta Lactate = Initial Lactate -Final Lactate > 0.
  2. Values in bold indicate a p-value < 0.05 between living and deceased patients