Table 1.
Main characteristics of the study population
Id | Intoxicant | Serum drug level (μg/ml) | Creatinine (mg/dl) | pH | Lactate (mM) | Monitoring | SAPS II | ICU outcome |
---|---|---|---|---|---|---|---|---|
1 | Metformin | 70 | 6.4 | 7.21 | 22 | CI; ![]() |
58 | S |
2 | Metformin | 63 | 12.4 | 6.95 | 33 | CI; ![]() |
53 | S |
3 | Metformin | NA | 10.8 | 6.76 | 21 | CI; ![]() |
61 | S |
4 | Metformin | NA | 15.2 | 7.06 | 18 | CI; ![]() |
51 | S |
5 | Metformin | NA | 9.0 | 6.63 | 21 | CI; ![]() |
55 | S |
6 | Metformin | NA | 10.3 | 6.82 | 21 | CI; ScvO2 | 87 | S |
7 | Metformin | NA | 10.8 | 6.70 | 24 | CI; ScvO2 | 74 | S |
8 | Metformin | 61 | 1.9 | 7.27 | 10 | CI; ![]() |
83 | NS |
9 | Metformin | NA | 13.2 | 6.79 | 21 | CI; ScvO2 | 63 | S |
10 | Metformin | NA | 4.7 | 7.13 | 19 | CI; ScvO2 | 66 | S |
11 | Metformin | 53 | 4.5 | <6.80 | 16 | CI; ![]() |
87 | NS |
12 | Metformin | 65 | 8.4 | 6.76 | 22 | ScvO2 | 43 | S |
13 | Phenformin | 480§ | 9.5 | 6.91 | 13 | ScvO2 | 59 | S |
14 | Metformin | 100 | 5.8 | 7.26 | 10 | ScvO2 | 58 | S |
15 | Metformin | 63 | 4.2 | 6.89 | 18 | ScvO2 | 53 | NS |
16 | Metformin | NA | 13.0 | 6.93 | 17 | ScvO2 | 67 | S |
17 | Metformin | 19† | 9.9 | 6.62 | 19 | ScvO2 | 62 | S |
18 | Metformin | NA | 6.1 | <6.80 | 24 | ScvO2 | 70 | NS |
19 | Metformin | 100 | 7.6 | 6.87 | 16 | ScvO2 | 45 | S |
20 | Metformin | 25† | 9.3 | 6.81 | 15 | ScvO2 | 44 | S |
21* | Metformin | 70 | 4.8 | 7.22 | 11 | ScvO2 | 66 | S |
22* | Metformin | 44 | 10.0 | 6.93 | 14 | ScvO2 | 55 | S |
23 | Metformin | NA | 13.8 | 7.21 | 6 | ScvO2 | 39 | S |
24 | Metformin | NA | 7.1 | 6.93 | 17 | ScvO2 | 65 | NS |
The first available serum drug concentration (§ phenformin in ng/ml;† blood sample obtained with ongoing renal replacement therapy), creatinine level, arterial blood pH and plasma lactate level, available data (CI, cardiac index; ScvO2, central venous oxymetry; , mixed venous oxymetry), severity of the disease (expressed as Simplified Acute Physiology Score (SAPS) II score) and outcome (S = survivor; NS = non survivor) are reported. Target values in patients on metformin or phenformin are less than 4 μg/ml and less than 140 ng/ml, respectively. ICU, intensive care unit; NA, not available; * patients admitted to the Nephrology Unit.