Table 2: Patient Characteristics at time of Vasopressor Initiation.
|
|
Early (n=36) |
Late (n=10) |
P-value |
|
Site of infection – n (%) Pulmonary Intra-abdominal Urinary tract Bone/Joint Cardiac/Endocarditis Line/Bloodstream Skin and soft tissue Other |
12 (33.3) 12 (33.3) 2 (5.6) 0 (0) 0 (0) 2 (5.6) 0 (0) 8 (22.2) |
7 (70) 0 (0) 0 (0) 0 (0) 0 (0) 2 (20) 0 (0) 1 (10) |
0.0672 0.0439 0.9999 0.9999 0.9999 0.2015 0.9999 0.6590 |
|
Need for MV during course of vasopressor therapy – n (%) |
33 (91.6) |
10 (100) |
0.5489 |
|
Need for RRT during course of vasopressor therapy – n (%) |
21 (58.3) |
6 (60) |
0.9999 |
|
Concomitant medications during course of vasopressor therapy – n (%) Ascorbic acid, thiamine, hydrocortisone Hydrocortisone monotherapy Midodrine Intravenous sodium bicarbonate Dobutamine Milrinone Propofol Midazolam |
21 (58.3)
6 (16.6) 4 (11.1) 6 (16.7) 12 (33.3) 4 (11.1) 2 (5.6) 7 (47.2) 6 (16.7) |
4 (40)
3 (30) 3 (30) 0 (0) 7 (70) 1 (10) 0 (0) 3 (30) 3 (30) |
0.4748
|
|
Fluids administered prior to vasopressor therapy – mL/kg, median (SD) |
41.6 (23.2) |
35.3 (11.9) |
0.6534 |
|
First adjunctive vasopressor initiated – n (%) Phenylephrine Vasopressin |
3 (8.3) 33 (91.6) |
1 (10) 9 (90) |
0.9999
|
|
Norepinephrine dose at time of first adjunctive vasopressor initiation – mcg/kg/min, median (IQR) |
0.875 (0.375, 1.25) |
2 (2, 2) |
<0.001 |
|
-- mcg/min |
55.3175 |
127.2 |
<0.001 |
|
MAP at the time of adjunctive vasopressor initiation – mmHg, median (SD) |
69 (13.6) |
59.5 (11.2) |
0.1475 |
|
Median total number of concomitant vasopressors |
3 |
3 |
0.0695 |
Note: SD: Standard Deviation, MV: Mechanical Ventilation, RRT: Renal Replacement Therapy, MAP: Mean Arterial Pressure, IQR: Interquartile Range.