Table 2.
Sepsis | No sepsis | |||||||
---|---|---|---|---|---|---|---|---|
No AKI | Stage 1 | Stage 2 | Stage 3 | No AKI | Stage 1 | Stage 2 | Stage 3 | |
Systemic inflammatory response syndrome | ||||||||
Temperature, n (%) | ||||||||
< 36 °C | 14 (2.3) | 19 (3.4) | 7 (3.3) | 38 (7.4)a | 59 (2.3) | 51 (2.6) | 21 (3.4) | 69 (8.8)a |
36–38 °C | 415 (67.4)b | 365 (64.7)b | 167 (77.7)b | 341 (66.0)b | 2033 (80.5) | 1654 (84.9)a | 522 (84.2)a | 600 (76.4)a |
> 38 °C | 187 (30.4)b | 180 (31.9)b | 41 (19.1)ab | 138 (26.7)b | 432 (17.1) | 243 (12.5)a | 77 (12.4)a | 116 (14.8) |
Leucocytes, n (%) | ||||||||
< 4 × 109/L | 28 (4.6) | 22 (3.9)b | 14 (6.4)b | 26 (5.0)b | 79 (3.3) | 37 (2.0) | 12 (2.0) | 18 (2.3) |
4–12 × 109/L | 247 (40.7)b | 203 (35.7)b | 73 (33.5)b | 157 (30.5)ab | 1122 (46.4) | 925 (49.6)a | 288 (49.0) | 323 (41.8)a |
> 12 × 109/L | 332 (54.7)b | 343 (60.4)b | 131 (60.1)b | 332 (64.5)ab | 1215 (50.3) | 904 (48.4) | 288 (49.0) | 432 (55.9)a |
Heart rate (bpm), mean (SD) | 112.5 (24.0)b | 116.1 (26.2)ab | 111.9 (25.7)b | 118.5 (26.6)ab | 104.1 (23.0) | 102.3 (23.2) | 102.6 (24.5) | 106.4 (26.9)a |
Mean arterial pressure (mmHg), mean (SD) | 98.4 (18.6) | 97.5 (17.8) | 92.1 (17.7)ab | 91.2 (19.8)a | 100.3 (19.4) | 98.4 (19.0)a | 98.1 (21.0)a | 94.1 (21.7)a |
Respiratory rate (bpm), mean (SD) | 25.9 (8.7)b | 26.6 (9.3)b | 25.4 (8.8) | 26.7 (9.0)b | 24.2 (7.9) | 23.9 (7.6) | 24.9 (8.2) | 24.7 (8.3) |
Patients on ventilator, n (%) | 434 (69.1)b | 396 (68.9)b | 150 (68.5)b | 378 (72.1)b | 1089 (41.6) | 818 (41.4) | 249 (39.7) | 364 (45.2)a |
Blood parameters | ||||||||
FiO2, mean (SD) | 59.2 (24.9)b | 63.9 (25.9)ab | 63.4 (27.6)ab | 68.1 (26.9)ab | 48.2 (24.4) | 48.6 (24.2) | 49.2 (25.7) | 56.4 (28.7) |
PaO2 (mmHg), mean (SD) | 141.2 (72.6) | 141.2 (77.8) | 138.3 (75.0) | 142.2 (81.6) | 147.4 (77.5) | 143.4 (77.6) | 134.3 (75.2)a | 138.1 (86.3)a |
PaCO2 (mmHg), mean (SD) | 45.5 (18.4)b | 44.8 (19.4)b | 44.5 (18.2) | 44.5 (18.8)b | 42.0 (15.0) | 42.3 (15.6) | 43.3 (17.2) | 41.3 (17.9) |
Bicarbonate (mmol/L), mean (SD) | 25.3 (6.2) | 24.2 (5.5) | 23.6 (6.4)a | 21.6 (6.3)a | 24.5 (5.2) | 24.1 (4.8)a | 23.6 (5.4)a | 21.9 (6.3)a |
Arterial pH, mean (SD) | 7.4 (0.1) | 7.4 (0.1) | 7.4 (0.1) | 7.3 (0.1) | 7.4 (0.1) | 7.4 (0.1) | 7.4 (0.1) | 7.3 (0.1) |
Creatinine (mg/dl), mean (SD) | 1.4 (1.6)b | 1.5 (1.6)b | 1.6 (1.5) | 3.2 (3.5)ab | 1.1 (1.4) | 1.3 (1.5) | 1.4 (1.8)a | 2.6 (3.3)a |
Potassium (mmol/L), mean (SD) | 4.2 (0.7) | 4.3 (0.7)a | 4.4 (0.8)a | 4.8 (1.1)ab | 4.2 (0.7) | 4.3 (0.7)a | 4.3 (0.7)a | 4.6 (1.0)a |
Sodium (mmol/L), mean (SD) | 140.1 (7.2) | 140.6 (6.8)b | 140.3 (5.9)b | 139.8 (6.8) | 139.7 (5.9) | 139.6 (5.7) | 139.2 (5.9) | 139.4 (6.8) |
Urea (mmol/L), median (IQR) | 0.6 (0.1–35.0) | 5.0 (0.1–39.0) | 4.6 (0.1–35.0) | 21.0 (0.2–73.0)ab | 13.0 (0.1–31.0) | 16.0 (0.1–37.0) | 17.0 (0.1–36.0) | 15.0 (0.2–44.0) |
Haematocrit (L/L), median (IQR) | 33.2 (28.9–38.4) | 33.7 (28.5–38.8) | 33.0 (28.0–38.0) | 32.5 (27.1–37.7) | 35.2 (30.0–40.0) | 35.6 (30.2–40.6) | 36.0 (30.0–41.0) | 34.5 (29.0–40.0) |
Bilirubin (mg/dl), median (IQR) | 0.9 (0.5–2.0) | 0.9 (0.5–2.0) | 1.1 (0.5–3.0) | 1.3 (0.6–3.6) | 0.8 (0.5–1.3) | 0.8 (0.5–1.4) | 0.8 (0.5–1.5) | 0.9 (0.5–2.3) |
Noradrenaline infusion rate (μg/kg/min), median (IQR) | 0.0 (0.0–0.2) | 0.0 (0.0–0.2) | 0.1 (0.0–0.3)ab | 0.1 (0.0–0.5)ab | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) | 0.0 (0.0–0.0) |
Inotropic score, median (IQR) | 0 (0–19)b | 0 (0–20)b | 9 (0–37)ab | 13 (0–60)ab | 0 (0–0) | 0 (0–0) | 0 (0–0) | 0.0 (0–10) |
Urine output (ml/24 h), median (IQR) | 2500 (2000–3280) | 1376 (1100–1700)a | 750 (600–1000) a | 355 (120–906)a | 2500 (2000–3250) | 1350 (1100–1666)a | 750 (600–953)a | 350 (138–648)a |
AKIN Acute Kidney Injury Network, AKI acute kidney injury, SD standard deviation, n number of patients, FiO2fraction of inspired oxygen, PaO2 partial pressure arterial oxygen, PaCO2 partial pressure arterial carbon dioxide, IQR interquartile range
aSignificant at 5% level vs No AKI in the same group (sepsis or no sepsis)
bSignificant at 5% level vs no sepsis patients with the same AKIN stage