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Table 2 Comparison of clinical data from patients assigned to high- or low-pressure classes by the latent mixture analysis

From: Mechanical ventilation in patients with cardiogenic pulmonary edema: a sub-analysis of the LUNG SAFE study

 

High pressure

(N = 188)

Low pressure

(N = 126)

p.value

Gender

0.338

 Female

77

44

 Male

111

82

Age (year)

69 (61–77)

79 (59–77)

0.773

Predicted body weight (kg)

60.2 (52.4–66.3)

61 (53–67.1)

0.661

Chronic heart failure

74 (39%)

53 (42%)

0.718

Comorbidities

 Diabetes

58 (31%)

30 (24%)

0.217

 Chronic kidney failure

43 (23%)

17 (13%)

0.054

 Chronic liver failure

5 (3%)

2 (2%)

0.81

 Solid neoplasm

4 (2%)

7 (6%)

0.191

 Hematological neoplasm

2 (1%)

3 (2%)

0.65

 Chronic immunosuppression

5 (3%)

1 (1%)

0.704

 COPD

31 (16%)

15 (12%)

0.335

 Home ventilation

5 (3%)

0 (0%)

0.166

Day 1

   

SOFA score

11 (9–13)

9 (7–12)

0.002

Hemodynamic SOFA scorea

 < 0.001

 MAP ≥ 70 mmHg

52 (23%)

62 (46%)

 MAP < 70 mmHg

23 (10%)

17 (13%)

 Dopamine ≤ 5 μg/kg/min or dobutamine

15 (6%)

10 (7%)

 Dopamine 5–15 μg/kg/min or norepinephrine ≤ 0.1 μg/kg/min or epinephrin ≤ 0.1 μg/kg/min

46 (20%)

15 (11%)

 Dopamine > 15 μg/kg/min or norepinephrine > 0.1 μg/kg/min or epinephrin > 0.1 μg/kg/min

95 (41%)

32 (23%)

Arterial pH

7.33 (7.24–7.41)

7.38 (7.31–7.43)

0.006

PaO2/FiO2

148 (100–189)

219 (163–247)

 < 0.001

PaCO2(mmHg)

40 (35–48)

40 (34–47)

0.726

Tidal volume (ml/kg PBW)

8.1 (7.2–9.0)

8.7 (7.2–9.8)

0.014

PEEP (cmH2O)

8 (5–10)

6 (5–7)

 < 0.001

Peak pressure (cmH2O)

28 (24–34)

19 (16–21)

 < 0.001

Plateau pressure (cmH2O)

24 (21–28)

17 (14–19)

 < 0.001

Driving pressure (cmH2O)

16 (14–19)

10 (7–12)

 < 0.001

Respiratory rate (breaths/min)

19 (15–22)

17 (14–20)

0.004

Respiratory system compliance (ml/cmH2O)

30 (25–37)

54 (43–72)

 < 0.001

ICU evolution

   

Death in ICU

81 (43%)

38 (30%)

0.028

Causes of death

0.224

 Cardiovascular failure

60 (74%)

26 (68%)

 Neurologic failure

11 (14%)

7 (18%)

 Respiratory failure

4 (5%)

3 (8%)

 Other

6 (7%)

2 (6%)

Length of mechanical ventilation (days)

4 (2–10)

5 (2–10)

0.828

Ventilator-free days

4 (0–24)

19 (0–26)

0.006

Hospital evolution

   

Death in hospital

93 (49%)

45 (36%)

0.022

  1. Values represent median (interquartile range) or count (percentage). p-values were obtained using Wilcoxon or Chi-square tests (for quantitative and qualitative data, respectively). In variables with multiple mutually exclusive categories per group (i.e., hemodynamics), a Chi-square test including all the categories was performed
  2. a SOFA score was available for 166 patients