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Table 1 Characteristics of the patients

From: Blood purification therapy for severe sepsis: a multicenter, observational cohort study in northern Japan

Variables

All (N = 616)

No BPT (N = 489)

Any BPT (N = 127)

p value

Age (year)

75 (65–83)

76 (66–84)

71 (63–81)

0.016

Male sex

379/616 (61.5)

297/489 (60.7)

82/127 (64.6)

0.429

Severity

APACHE II score (0–71)

20 (15–26)

19 (14–25)

25 (20–31)

 < 0.001

SOFA score (0–24)

8 (5–11)

7 (5–10)

11 (8–14)

 < 0.001

Comorbidity

Chronic kidney disease

61/616 (9.9)

29/489 (5.9)

32/127 (25.2)

 < 0.001

Malignancy

71/616 (11.5)

49/489 (10.0)

22/127 (17.3)

0.022

Diabetes mellitus

176/616 (28.6)

137/489 (28.0)

39/127 (30.7)

0.550

Hepatic disease

22/616 (3.6)

15/489 (3.1)

7/127 (5.5)

0.186

Others

229/616 (37.2)

193/489 (39.5)

36/127 (28.3)

0.021

Physiological variable (Day 1)

Worst GCS score

14 (9–15)

14 (10–15)

13 (8–15)

0.034

Worst heart rate (beats/min)

113 (95–128)

112 (96–127)

114 (92–130)

0.965

Worst mean arterial pressure (mmHg)

65.7 (53.7–82.5)

67.3 (56.0–84.7)

58.3 (46.0–72.7)

 < 0.001

Lactate level (mg/dL)

25.2 (18.0–40.2)

24.3 (18.0–36.9)

34.2 (17.1–55.8)

0.009

PaO2:FiO2

232.5 (133.3–328.1)

236.8 (137.5–326.7)

206.1 (127.8–328.1)

0.390

Worst creatinine level (mg/dL)

1.2 (0.8–2.2)

1.1 (0.8–1.7)

2.9 (1.5–4.9)

 < 0.001

Bilirubin level (mg/dL)

0.9 (0.6–1.5)

0.9 (0.6–1.5)

0.9 (0.5–1.5)

0.908

Platelet count (cells × 104/mm3)

15.9 (10.2–23.1)

16.8 (11.2–23.5)

12.3 (7.3–19.0)

 < 0.001

AKI-related variables (Day 1–3)

AKI

258/616 (41.9)

152/489 (31.1)

106/127 (83.5)

 < 0.001

AKI stage

   

 < 0.001

 0

358/616 (58.1)

337/489 (69.0)

21/127 (16.5)

–

 1

63/616 (20.4)

56/489 (11.5)

7/127 (5.5)

–

 2

57/616 (9.3)

53/489 (10.8)

4/127 (3.2)

–

 3

138/616 (22.4)

43/489 (8.8)

95/127 (74.8)

–

Primary site of infection

   

0.006

Lung

217/616 (35.2)

184/489 (37.6)

33/127 (26.0)

–

Urinary tract

99/616 (16.0)

82/489 (16.8)

17/127 (13.4)

–

Abdomen

184/616 (29.8)

143/489 (29.2)

41/127 (32.3)

–

Others

116/616 (18.8)

80/489 (16.4)

36/127 (28.4)

–

Blood purification therapy

Any BPT

127/614 (20.7)

–

127/127 (100.0)

–

Any CRRT

107/614 (17.4)

–

107/127 (84.3)

–

CRRT for renal indications

82/613 (13.4)

–

82/126 (65.1)

–

 Within 24 h

68/613 (11.1)

–

68/126 (54.0)

–

 Within 24 and 48 h

7/613 (1.1)

–

7/126 (5.6)

–

 After 48 h

7/613 (1.1)

–

7/126 (5.6)

–

CRRT for non-renal indications

33/612 (5.4)

–

33/127 (26.0)

–

 Within 24 h

32/612 (5.2)

–

32/127 (25.2)

–

 Within 24 and 48 h

0/612 (0.0)

–

0/127 (0.0)

–

 After 48 h

1/612 (0.2)

–

1/127 (0.8)

–

IRRT

28/611 (4.6)

–

28/126 (22.2)

–

 Within 24 h

8/611 (1.3)

–

8/126 (6.4)

–

 Within 24 and 48 h

4/611 (0.7)

–

4/126 (3.2)

–

 After 48 h

16/611 (2.6)

–

16/126 (12.7)

–

PMX-DHP

42/611 (6.9)

–

42/127 (33.1)

–

 Within 24 h

37/611 (6.1)

–

37/127 (29.1)

–

 Within 24 and 48 h

4/611 (0.7)

–

4/127 (3.2)

–

 After 48 h

1/611 (0.2)

–

1/127 (0.8)

–

Other therapies

Mechanical ventilation within 24 h

281/612 (54.1)

190/485 (39.2)

91/127 (71.7)

 < 0.001

Inotropes or vasopressors

312/610 (51.1)

220/484 (45.5)

92/126 (73.0)

 < 0.001

Antimicrobial therapy

590/596 (99.0)

471/473 (99.6)

119/123 (96.8)

0.005

Drainage or operation

221/612 (36.1)

168/486 (34.6)

53/126 (42.1)

0.119

  1. Data are expressed as medians (interquartile ranges) for continuous variables and numbers (%) for categorical variables
  2. Missing data were not included
  3. The Wilcoxon rank sum test was used for the continuous variables, and the Chi-square test was used for categorical variables
  4. APACHE II acute physiology and chronic health evaluation II, SOFA sequential organ failure assessment, GCS Glasgow Coma Scale, AKI acute kidney injury, BPT blood purification therapy, CRRT continuous renal replacement therapy, IRRT intermittent renal replacement therapy, PMX-DHP polymyxin B immobilized fiber column-direct hemoperfusion