Table 3:
Univariate and multivariable analyses examining the association between demographic and clinical variables and the development of MAKE-90 in children with sepsis requiring CRRT.
| Variable | Univariate Analysis (n=393) |
Multivariable Analysis (n=393) |
||||
|---|---|---|---|---|---|---|
| MAKE-90 (n=260) |
No-MAKE-90 (n=133) |
p | aOR | 95% CI | p | |
| Age, years | 11 (3–16) | 7 (2–13) | 0.031* | 1.04 | 1.0–1.07 | 0.06 |
| Sex, female (%) | 124 (48) | 61 (46) | 0.73 | |||
| Other | 39 (15) | 18 (14) | 1.63 | 0.82–3.25 | 0.16 | |
| Comorbidities, yes (%) | 227 (87) | 83 (63) | <0.001* | 2.81 | 1.55–5.09 | <0.001 |
| Known Baseline, yes (%) | 168 (65) | 52 (39) | <0.001* | 1.95 | 1.18–3.22 | 0.009 |
| PRISM III | 14 (11–19) | 16 (11–21) | 0.18 | |||
| PELOD-2 at CRRT Initiation | 6 (3–10) | 6 (3–8) | 0.49 | |||
| VIS at CRRT Initiation | 10 (0–26) | 6 (0–27) | 0.50 | |||
| Time from ICU Admission to CRRT, days | 2 (1–8) | 2 (1–4) | 0.22 | |||
| %Fluid Balance from ICU Admission to CRRT | 9 (4–20) | 11 (4–24) | 0.21 | |||
| SCUF, n (%) | 3 (1.2) | 1 (0.8) | ||||
| Unchanged/Increased, n (%) | 62 (24) | 17 (13) | Ref | -- | -- | |
| Percentage of Day 1–7 of CRRT Requiring Vasoactives | 50 (13–100) | 38 (0–76) | 0.006* | 1.01 | 1.00–1.01 | 0.016 |
| CRRT Dose Day 1–2, ml/kg | 43 (32–58) | 44 (32–60) | 0.74 | |||
| CRRT Dose Day 1–7, ml/kg | 43 (33–59) | 45 (32–60) | 0.92 | |||
| Time to First Negative Fluid Balance, days | 1 (0–1) | 1 (0–1) | 0.77 | |||
| Median Fluid Balance Day 1–2, ml/kg/day | −6 (−19,7) | −7 (−21,10) | 0.60 | |||
| Median Fluid Balance Day 1–7, ml/kg/day | −4 (−13,3) | −7 (−16,4) | 0.087* | 1.00 | 1.00–1.00 | 0.80 |
Continuous variables reported as median (IQR).
Variables with p<0.15 on univariate analysis were included in the multivariable model, which also adjusted for center using mixed-effects logistic regression.
Abbreviations: PRISM III- Pediatric Risk of Mortality III score; PELOD-2- Pediatric Logistic Organ Dysfunction 2 score; VIS- vasoactive-inotropic score; CRRT- continuous renal replacement therapy; CVVH- continuous veno-venous hemofiltration; CVVHD- continuous veno-venous hemodialysis; CVVHDF- continuous veno-venous hemodiafiltration; mCVVH- modified continuous veno-venous hemofiltration; SCUF- slow continuous ultrafiltration