Table 2.
Clinical outcomes
Outcome | DEX (n = 44) | Usual care (n = 39) | Estimate (95%CI) | p value |
---|---|---|---|---|
Difference in medians | ||||
NEq dosea, μg/kg/min | 0.03 [0.01, 0.07] | 0.04 [0.01, 0.16] | − 0.01 [− 0.06, 0.04] | 0.17 |
Noradrenaline dosea, μg/kg/min | 0.03 [0.01, 0.07] | 0.05 [0.01, 0.15] | − 0.01 [− 0.06, 0.03] | 0.08 |
Cumulative NEq dosea, μg/kg/48 h. | 1.51 [0.51, 3.60] | 2.14 [0.58, 7.78] | − 0.62 [− 3.18, 1.93] | 0.19 |
Peak NEq dosea, μg/kg/min | 0.12 [0.05, 0.20] | 0.16 [0.08, 0.32] | − 0.03 [− 0.12, 0.06] | 0.24 |
Change in NEq dose from baseline to peak levela, μg/kg/min | 0.05 [0.01, 0.12] | 0.05 [0.01, 0.14] | − 0.01 [− 0.06, 0.05] | 0.61 |
Total duration of vasopressor supportb, h | 51.6 [18.3, 99.7] | 45.7 [19.6, 159.0] | 3.1 [− 30.7, 36.9] | 0.72 |
Survivors (n = 67) | 35.6 [18.3, 69.4] | 40.3 [22.2, 75.6] | − 3.5 [− 30.1, 23.1] | 0.64 |
Non-survivors (n = 16) | 186.0 [59.0, 311.0] | 70.4 [19.4, 168.0] | 19.8 [− 173.1, 212.6] | 0.42 |
Duration of invasive ventilationb, days | 2.2 [1.1, 5.9] | 2.8 [1.2, 9.6] | − 0.5 [− 3.8, 2.8] | 0.60 |
Hospital length of stayb, days | 15.5 [9.4, 24.4] | 13.2 [7.7, 21.0] | − 2.2 [− 8.5, 4.1] | 0.30 |
ICU length of stayb, days | 4.2 [2.7, 10.2] | 4.7 [3.0, 11.3] | − 0.4 [− 3.4, 2.6] | 0.67 |
Survivors (n = 67) | 4.1 [3.0, 9.2] | 4.3 [3.2, 7.0] | − 0.1 [− 2.7, 2.3] | 0.70 |
Non-survivors (n = 16) | 8.9 [2.4, 16.2] | 8.3 [0.8, 11.3] | − 3.3 [− 16.2, 9.6] | 0.87 |
Odds ratio (95% CI) | ||||
Patients alive and vasopressor-free at 48 h after randomization | 20 (45.5) | 18 (46.2) | 0.97 (0.41–2.31) | 0.95 |
ICU mortality | 6 (13.6) | 10 (25.6) | 0.46 (0.15–1.41) | 0.17 |
Hospital mortality | 9 (20.5) | 12 (30.8) | 0.58 (0.21–1.57) | 0.28 |
Day 90 mortality | 12 (27.3) | 13 (34.2) | 0.72 (0.28–1.85) | 0.50 |
Categorical values are expressed as numbers (%). Continuous variables are presented as medians [IQR]
DEX dexmedetomidine, IQR interquartile range, 95% CI 95% confidence interval, ICU intensive care unit, MAP mean arterial pressure, NEq noradrenaline equivalents
aIn the first 48 h after randomization
bWithin principal hospital admission, measured from randomization