Table 2. Clinical characteristics and laboratory analysis at the time of extubation between patients with extubation success and failure.
Parameters | Extubation success (n = 82) | Extubation failure (n = 43) | P |
---|---|---|---|
Clinical characteristics | |||
Lower extremities edema (%) | 26 (31.7) | 17 (39.5) | 0.381 |
Body temperature (°C) | 37.1 ± 0.9 | 37.1 ± 1.1 | 0.999 |
Respiratory rate (bpm) | 23 ± 6 | 26 ± 7 | 0.012 |
Heart rate (bpm) | 105 ± 24 | 112 ± 28 | 0.121 |
SBP (mmHg) | 116 ± 22 | 121 ± 22 | 0.251 |
DBP (mmHg) | 67 ± 15 | 70 ± 20 | 0.484 |
SpO2 (%) | 96 ± 5 | 94 ± 8 | 0.162 |
Delirium (%) | 14 (17.1) | 4 (9.3) | 0.240 |
New-onset septic shock (%) | 14 (17.1) | 16 (37.2) | 0.012 |
New-onset atrial fibrillation (%) | 2 (2.4) | 1 (2.3) | 1.000 |
ARDS development (%) | 25 (30.5) | 14 (32.6) | 0.812 |
Imaging | |||
Echocardiography | |||
Left ventricle (cm2) | 44.63 ± 5.02 | 45.33 ± 7.07 | 0.571 |
Right ventricle (cm2) | 20.40 ± 2.71 | 20.59 ± 3.78 | 0.779 |
Ejection fraction (%) | 64 ± 7 | 60 ± 15 | 0.070 |
Pericardial effusion (%) | 18 (24.3) | 7 (20.0) | 0.616 |
Chest CT | |||
Pleural effusion (%) | 55 (67.1) | 29 (69.0) | 0.824 |
Head CT | |||
Cerebral lacunar infarction | 20 (54.1) | 10 (62.5) | 0.569 |
Laboratory analysis | |||
Blood types | |||
Type A (%) | 16 (32.0) | 5 (17.2) | 0.152 |
Type B (%) | 10 (20.0) | 8 (27.6) | 0.438 |
Type AB (%) | 3 (6.0) | 4 (13.8) | 0.413 |
Type O (%) | 21 (42.0) | 12 (41.4) | 0.957 |
Arterial blood gas | |||
pH | 7.383 ± 0.069 | 7.350 ± 0 .105 | 0.039 |
PaO2/FiO2 (mmHg) | 151.14 ± 87.92 | 121.14 ± 64.39 | 0.050 |
PaCO2 (mmHg) | 43.1 ± 10.4 | 43.7 ± 14.7 | 0.779 |
HCO3− (mmol/l) | 25.0 ± 5.1 | 23.0 ± 5.1 | 0.055 |
Blood cell analysis | |||
Hemoglobin (g/l) | 101 ± 23 | 102 ± 24 | 0.772 |
Hematocrit (%) | 35 ± 38 | 31 ± 7 | 0.475 |
Platelet (109/l) | 164 ± 92 | 152 ± 98 | 0.505 |
WBC (109/L) | 13.00 ± 7.58 | 14.10 ± 9.10 | 0.475 |
Neutrophils (%) | 89.2 ± 7.4 | 87.7 ± 12.6 | 0.385 |
Laboratory analysis | |||
Biochemical analysis | |||
TB (μmol/l) | 10.8 ± 7.3 | 15.2 ± 17.7 | 0.048 |
ALT (IU/l) | 56 ± 160 | 84 ± 230 | 0.434 |
AST (IU/l) | 86 ± 223 | 237 ± 895 | 0.150 |
ALP (IU/l) | 121 ± 90 | 106 ± 83 | 0.356 |
GGT (IU/l) | 86 ± 125 | 116 ± 344 | 0.475 |
Albumin (g/l) | 27.5 ± 4.8 | 27.8 ± 4.4 | 0.769 |
BUN (mmol/l) | 10.95 ± 6.72 | 12.35 ± 8.24 | 0.307 |
Creatinine (μmol/l) | 105.9 ± 94.2 | 109.1 ± 90.7 | 0.857 |
Glucose (mmol/l) | 8.93 ± 3.96 | 10.47 ± 5.24 | 0.038 |
LDH (IU/l) | 470 ± 289 | 793 ± 1823 | 0.128 |
Na+ (mmol/l) | 141.3 ± 6.4 | 139.4 ± 6.8 | 0.129 |
K+ (mmol/l) | 4.05 ± 0.57 | 4.21 ± 0.67 | 0.173 |
Cl− (mmol/l) | 105.7 ± 8.1 | 104.3 ± 8.5 | 0.356 |
Ca2+ (mmol/l) | 1.98 ± 0.16 | 1.97 ± 0.21 | 0.690 |
Coagulation analysis | |||
PT (s) | 14.1 ± 2.6 | 15.0 ± 5.2 | 0.177 |
INR | 1.24 ± 0.22 | 1.32 ± 0.45 | 0.178 |
APTT (s) | 37.5 ± 11.6 | 48.0 ± 37.0 | 0.021 |
FiB (g/l) | 4.37 ± 2.00 | 4.53 ± 2.29 | 0.687 |
D-dimer (mg/l FEU) | 9.77 ± 9.77 | 218.16 ± 1374.57 | 0.182 |
Laboratory analysis | |||
Myocardial biomarkers | |||
Myoglobin (ng/ml) | 286.20 ± 557.74 | 530.58 ± 868.80 | 0.066 |
Troponin (ng/l) | 79.04 ± 187.12 | 339.31 ± 1500.11 | 0.130 |
BNP (pg/ml) | 3587 ± 6683 | 6904 ± 10049 | 0.034 |
Inflammatory biomarkers | |||
Procalcitonin (ng/ml) | 7.22 ± 18.45 | 7.52 ± 16.31 | 0.930 |
CRP (ng/l) | 144.79 ± 108.25 | 174.69 ± 140.22 | 0.288 |
Interleukin-6 (pg/ml) | 598.28 ± 1230.68 | 872.13 ± 1432.04 | 0.373 |
Cellular immunity | |||
CD3 cell (%) | 58.23 ± 16.28 | 56.33 ± 15.23 | 0.589 |
CD4 cell (%) | 28.62 ± 14.75 | 26.67 ± 10.46 | 0.507 |
CD8 cell (%) | 26.69 ± 16.41 | 26.55 ± 14.40 | 0.968 |
Humoral immunity | |||
Complement 3 (g/l) | 0.8550 ± 0.2253 | 0.7309 ± 0.2959 | 0.035 |
Complement 4 (g/l) | 0.2200 ± 0.0709 | 0.1957 ± 0.0958 | 0.193 |
Abbreviations: ALP, alkaline phosphatase; ALT, alanine aminotransferase; APTT, activated partial thromboplastin time; ARDS, acute respiratory distress syndrome; AST, aspartate aminotransferase; BNP, brain natriuretic peptide; BUN, blood urea nitrogen; Ca2+, calcium ion; Cl−, chloride ion; CRP, C-reactive protein; CT, computed tomography; DBP, diastolic blood pressure; FiB, fibrinogen; GGT, γ-glutamyltranspetidase; HCO3−, bicarbonate ion; INR, international normalized ratio; K+, potassium ion; LDH, lactate dehydrogenase; Na+, sodium ion; PaCO2; partial pressure of arterial carbon dioxide; PaO2/FiO2, ratio of partial pressure of arterial oxygen to fraction of inspired oxygen; PT, prothrombin time; SBP, systolic blood pressure; SpO2, oxygen saturation of pulse oximetry; TB, total bilirubin; WBC, white blood cell count.