Table 3.
Multivariable Association between Grade-3 Primary Graft Dysfunction (PGD) and total volume of intraoperative fluids and its components (N =494)
Variables | PGD Grade ≥ 3 (N = 123) | PGD Grade 0–2 (N = 371) | Adjusted OR (95% CI)* | P value* |
---|---|---|---|---|
Total volume of intraoperative fluids (L) | 5.0 [3.8,7.5] | 3.9 [2.9,5.2] | 1.22 (1.12, 1.34) | <0.001 |
Components of intraoperative fluids | 99.2% CI | |||
Volume of crystalloid solution (L) | 3.0 [2.2, 4.0] | 2.7 [2.1, 3.5] | 1.0 (0.73, 1.37) | 0.99 |
Volume of colloid solution (L) | 0.3[0, 0.5] | 0.3 [0, 0.5] | 1.61(0.73, 3.60) | 0.11 |
Volume of red blood cells (L) a | 1.1 [0, 1.8] | 0.4 [0, 1.1] | 1.7 (1.08, 2.7) | 0.002 |
Fresh frozen plasma (N of patients received, %) | 54 (44) | 84 (23) | 0.99 (0.38, 2.53) | 0.97 |
Platelet concentrate (N of patients received, %) | 58 (47) | 86 (23) | 0.98 (0.39, 2.48) | 0.96 |
Cryoprecipitate (N of patients received, %) | 24 (20) | 12 (3) | 2.54 (0.68, 9.54) | 0.06 |
Data are presented as mean ± SD, N (%), or median [25th, 75th percentiles].
CI – confidence interval; OR - odds ratio adjusted for the history of Idiopathic pulmonary hypertension, ischemia time, double lung transplant, use of cardiopulmonary bypass, average mean pulmonary artery pressure post-reperfusion, and average fraction of inspired oxygen post-reperfusion; N – number of patients Significance criterion for the total volume of intraoperative fluids was P < 0.05. As for the individual components of intraoperative fluids, P < 0.008 (Bonferroni correction, 0.05/6) was required to claim significance.
259 (54%) patients received red blood transfusion.