Table 3.
Median (25th & 75th Percentile) PCO2 Values (mmHg) | Adjusted Analyses* | ||||
---|---|---|---|---|---|
Measures of PCO2 Exposure | Death or Disability | No Death Disability | p-value** | OR & 95% CI*** | p-value |
Minimum PCO2 to 12h | 22 (20 - 29) | 26 (21 - 32) | 0.0202 | 2.0 (1.1 - 3.4) | 0.0151 |
Maximum PCO2 to 12h | 48 (38 - 66) | 42 (37 - 59) | 0.1768 | 1.1 (1.0 - 1.3) | 0.1423 |
Difference in Max. & Min. PCO2 | 23.5 (13 - 42) | 18 (9 - 32) | 0.0247 | 1.1 (0.9 - 1.2) | 0.3986 |
Standard Deviation in PCO2 Measurements | 10.3 (5.7-16.9) | 7.8 (4.3-13.0) | 0.0435 | 1.2 (0.9 - 1.6) | 0.3169 |
Logistic Regression Model with Cumulative Exposure | Unadjusted Odds Ratios | Adjusted Odds Ratios | ||
Cumulative Exposure to Hypocarbia (<35mmHg) | OR & 95%CI | p-value | OR & 95%CI | p-value |
> 75th quartile (>=116 mmHg.hrs) | 4.1 (1.4 - 12.5) | 0.0536 | 6.9 (1.5 - 31.9) | 0.0490 |
50-75th quartile (59-115 mmHg.hrs) | 3.4 (1.2 - 10.1) | - | 7.7 (1.8 - 33.4) | - |
25-50th quartile (29-58 mmHg.hrs) | 2.6 (0.9 - 7.8) | - | 4.4 (1.0 - 19.4) | - |
< 25th quartile (1-28 mmHg.hrs) | 1.6 (0.6 - 4.8) | - | 2.5 (0.6 - 10.4) | - |
Initial Level of HIE – Severe vs. Moderate | 6.0 (3.0 - 12.0) | <0.0001 | 3.4 (1.5 - 7.7) | 0.0043 |
Study Treatment Group – Control vs Hypothermia | 2.2 (1.2 - 3.9) | 0.0080 | 3.3 (1.5 - 7.0) | 0.0024 |
Time to Spontaneous Respiration >10min vs < 10min | 8.1 (3.8 - 17.1) | <0.0001 | 5.0 (2.1 - 11.7) | 0.0002 |
pH at Randomization (0.1 point decrease) | 1.4 (1.2 - 1.7) | 0.0009 | 1.5 (1.1 - 1.9) | 0.0047 |
Days on Ventilation (1 day increase) | 1.2 (1.0 - 1.2) | 0.0009 | 1.1 (1.0 - 1.2) | 0.0088 |
AUC c-statistic | 0.861 |
Adjusted for initial level of encephalopathy, study treatment group, time to spontaneous respiration >10 minutes, systemic pH at randomization & days on ventilation
Wilcoxon
Odds Ratios are increased odds of death/disability associated with a 10 mmHg decline in the PCO2 measure.