Variables | All (N = 616) | No BPT (N = 489) | Any BPT (N = 127) | Any CRRT (N = 107) | CRRT for renal indications (N = 82) | CRRT for non-renal indication (N = 33) | IRRT (N = 28) | PMX-DHP (N = 42) |
---|---|---|---|---|---|---|---|---|
Age (year) | 75.0 (65.0–83.0) | 76.0 (66.0–84.0) | 71.0 (63.0–81.0) | 71.0 (61.0–82.0) | 71.0 (61.0–80.0) | 73.0 (60.0–84.0) | 71.0 (60.0–78.5) | 72.5 (62.0–79.0) |
Male sex | 379/616 (61.5) | 297/489 (60.7) | 82/127 (64.6) | 69/107 (64.5) | 54/82 (65.9) | 12/33 (36.4) | 24/28 (85.7) | 25/42 (59.5) |
Severity | ||||||||
APACHE II score (0–71) | 20.0 (15.0–26.0) | 19.0 (14.0–25.0) | 25.0 (20.0–31.0) | 25.0 (19.0–32.0) | 25.0 (20.0–32.5) | 21.0 (17.0–29.0) | 26.0 (22.0–29.0) | 26.0 (21.0–29.0) |
SOFA score (0–24) | 8.0 (5.0–11.0) | 7.0 (5.0–10.0) | 11.0 (8.0–14.0) | 11.0 (8.0–14.0) | 11.0 (8.0–14.0) | 10.0 (9.0–11.0) | 9.0 (8.0–12.0) | 11.0 (9.0–14.0) |
Comorbidity | ||||||||
Chronic kidney disease | 61/616 (9.9) | 29/489 (5.9) | 32/127 (25.2) | 25/107 (23.4) | 23/82 (28.1) | 3/33 (9.1) | 16/28 (57.1) | 4/42 (9.5) |
Malignancy | 71/616 (11.5) | 49/489 (10.0) | 22/127 (17.3) | 19/107 (17.8) | 16/82 (19.5) | 3/33 (9.1) | 2/28 (7.1) | 11/42 (26.2) |
Diabetes mellitus | 176/616 (28.6) | 137/489 (28.0) | 39/127 (30.7) | 33/107 (30.8) | 25/82 (30.5) | 10/33 (30.3) | 12/28 (42.9) | 7/42 (16.7) |
Hepatic disease | 22/616 (3.6) | 15/489 (3.1) | 7/127 (5.5) | 6/107 (5.6) | 5/82 (6.1) | 1/33 (3.0) | 1/28 (3.6) | 2/42 (4.8) |
Stroke | 89/616 (14.5) | 82/489 (16.8) | 7/127 (5.5) | 7/107 (6.5) | 6/82 (7.3) | 2/33 (6.1) | 1/28 (3.6) | 2/42 (4.8) |
Heart failure (acute and/or chronic) | 64/616 (10.4) | 44/489 (9.0) | 20/127 (15.8) | 18/107 (16.8) | 14/82 (17.1) | 4/33 (12.1) | 6/28 (21.4) | 4/42 (9.5) |
Collagen disease | 32/616 (5.2) | 26/489 (5.3) | 6/127 (4.7) | 5/107 (4.7) | 4/82 (4.9) | 2/33 (6.1) | 0/28 (0.0) | 1/42 (2.4) |
Myocardial infarction (acute and/or old) | 27/616 (4.4) | 21/489 (4.3) | 6/127 (4.7) | 6/107 (5.6) | 4/82 (4.9) | 3/33 (9.1) | 0/28 (0.0) | 1/42 (2.4) |
Gastroduodenal ulcer | 27/616 (4.4) | 22/489 (4.5) | 5/127 (3.9) | 0/107 (0.0) | 2/82 (2.4) | 2/33 (6.1) | 3/28 (10.7) | 1/42 (2.4) |
Arterial disease | 25/616 (4.1) | 22/489 (4.5) | 3/127 (2.4) | 2/107 (1.9) | 2/82 (2.4) | 0/33 (0.0) | 0/28 (0.0) | 1/42 (2.4) |
Chronic Obstructive Pulmonary Disease | 22/616 (3.6) | 21/489 (4.3) | 1/127 (0.8) | 1/107 (0.9) | 1/82 (1.2) | 1/33 (3.0) | 1/28 (3.6) | 1/42 (2.4) |
Physiological variable (Day 1) | ||||||||
Worst GCS score | 14.0 (9.0–15.0) | 14.0 (10.0–15.0) | 13.0 (8.0–15.0) | 13.5 (8.0–15.0) | 13.5 (8.0–15.0) | 14.0 (6.0–14.0) | 14.0 (10.0–15.0) | 13.0 (8.0–14.0) |
Worst heart rate (beats/min) | 113.0 (95.0–128.0) | 112.0 (96.0–127.0) | 114.0 (92.0–130.0) | 114.0 (92.0–130.0) | 115.0 (95.0–135.0) | 113.0 (89.0–120.0) | 109.0 (79.5–130.0) | 123.5 (98.0–141.0) |
Worst mean arterial pressure (mmHg) | 65.7 (53.7–82.5) | 67.3 (56.0–84.7) | 58.3 (46.0–72.7) | 58.0 (45.0–68.7) | 57.3 (43.0–68.3) | 62.0 (49.3–73.3) | 61.5 (51.3–77.5) | 52.8 (41.3–64.0) |
Lactate level (mg/dL) | 25.2 (18.0–40.2) | 24.3 (18.0–36.9) | 34.2 (17.1–55.8) | 34.2 (18.9–55.9) | 34.2 (18.0–54.6) | 38.0 (29.7–71.1) | 36.0 (49.1–78.6) | 38.0 (27.0–64.0) |
PaO2:FiO2 | 232.5 (133.3–328.1) | 236.8 (137.5–326.7) | 206.1 (127.8–328.1) | 230 (127.8–332.9) | 198.5 (113.8–313.0) | 262.4 (137.5–373.5) | 112.4 (96.3–309.5) | 186.8 (117.5–308.2) |
Worst creatinine level (mg/dL) | 1.2 (0.8–2.2) | 1.1 (0.8–1.7) | 2.9 (1.5–4.9) | 2.7 (1.5–4.4) | 3.1 (1.7–4.9) | 1.7 (1.0–2.5) | 2.3 (1.4–3.2) | 2.2 (1.4–3.6) |
Bilirubin level (mg/dL) | 0.9 (0.6–1.5) | 0.9 (0.6–1.5) | 0.9 (0.5–1.5) | 0.9 (0.5–1.5) | 0.9 (0.5–1.5) | 0.8 (0.6–1.3) | 2.3 (2.0–2.6) | 1.3 (1.4–3.6) |
Platelet count (cells × 104/mm3) | 15.9 (10.2–23.1) | 16.8 (11.2–23.5) | 12.3 (7.3–19.0) | 12.3 (7.2–19.0) | 11.3 (6.8–18.2) | 13.5 (9.6–27.7) | 15.4 (9.1–21.5) | 9.3 (5.5–18.2) |
AKI-related variables (Day 1–3) | ||||||||
AKI | 258/616 (41.9) | 152/489 (31.1) | 106/127 (83.5) | 93/107 (86.9) | 82/82 (100.0) | 19/33 (57.6) | 25/28 (89.3) | 31/42 (73.8) |
AKI stage | ||||||||
 0 | 358/616 (58.1) | 337/489 (69.0) | 21/127 (16.5) | 14/107 (13.1) | 0/82 (0.0) | 14/33 (42.4) | 3/28 (10.7) | 11/42 (26.2) |
 1 | 63/616 (20.4) | 56/489 (11.5) | 7/127 (5.5) | 6/107 (5.6) | 0/82 (0.0) | 6/33 (18.2) | 0/28 (0.0) | 3/42 (7.1) |
 2 | 57/616 (9.3) | 53/489 (10.8) | 4/127 (3.2) | 2/107 (1.9) | 0/82 (0.0) | 2/33 (6.1) | 1/28 (3.6) | 2/42 (4.8) |
 3 | 138/616 (22.4) | 43/489 (8.8) | 95/127 (74.8) | 85/107 (79.4) | 82/82 (100.0) | 11/33 (33.3) | 24/28 (85.7) | 26/42 (61.9) |
Primary site of infection | ||||||||
Lung | 217/616 (35.2) | 184/489 (37.6) | 33/127 (26.0) | 26/107 (24.3) | 21/82 (25.6) | 6/33 (18.2) | 10/28 (35.7) | 6/42 (14.3) |
Urinary tract | 99/616 (16.0) | 82/489 (16.8) | 17/127 (13.4) | 12/107 (11.2) | 8/82 (9.8) | 5/33 (15.2) | 4/28 (14.3) | 8/42 (19.1) |
Abdomen | 184/616 (29.8) | 143/489 (29.2) | 41/127 (32.3) | 37/107 (34.6) | 26/82 (31.7) | 16/33 (48.5) | 6/28 (21.4) | 19/42 (45.2) |
Central nerve system | 8/616 (1.3) | 7/489 (1.4) | 1/127 (0.8) | 1/107 (0.9) | 1/82 (1.2) | 0/33 (0.0) | 0/28 (0.0) | 0/42 (0.0) |
Soft tissue | 44/616 (7.1) | 30/489 (6.1) | 14/127 (11.0) | 11/107 (10.3) | 8/82 (9.8) | 3/33 (9.1) | 6/28 (21.4) | 4/42 (9.5) |
Skeletal system | 5/616 (0.8) | 5/489 (1.0) | 0/127 (0.0) | 0/107 (0.0) | 0/82 (0.0) | 0/33 (0.0) | 0/28 (0.0) | 0/42 (0.0) |
Wound | 5/616 (0.8) | 5/489 (1.0) | 0/127 (0.0) | 0/107 (0.0) | 0/82 (0.0) | 0/33 (0.0) | 0/28 (0.0) | 0/42 (0.0) |
Intravascular catheter | 11/616 (0.8) | 5/489 (1.0) | 6/127 (4.7) | 5/107 (4.7) | 4/82 (4.9) | 1/33 (3.0) | 0/28 (0.0) | 2/42 (4.8) |
Endocardium | 3/616 (0.5) | 2/489 (0.4) | 1/127 (0.8) | 1/107 (0.9) | 1/82 (1.2) | 0/33 (0.0) | 0/28 (0.0) | 0/42 (0.0) |
Medical device | 2/616 (0.3) | 2/489 (0.4) | 0/127 (0.0) | 0/107 (0.0) | 0/82 (0.0) | 0/33 (0.0) | 0/28 (0.0) | 0/42 (0.0) |
Others | 15/616 (2.4) | 8/489 (1.6) | 7/127 (5.5) | 7/107 (6.5) | 7/82 (8.5) | 1/33 (3.0) | 1/28 (3.6) | 1/42 (3.4) |
Unknown | 23/616 (3.7) | 16/489 (3.3) | 7/127 (5.5) | 7/107 (6.5) | 6/82 (7.3) | 1/33 (3.0) | 1/28 (3.6) | 2/42 (4.8) |
Blood purification therapy | ||||||||
Any BPT | 127/614 (20.7) | – | 127/127 (100.0) | 107/107 (100.0) | 82/82 (100.0) | 32/32 (100.0) | 28/28 (100.0) | 42/42 (100.0) |
Any CRRT | 107/614 (17.4) | – | 107/127 (84.3) | 107/107 (100.0) | 82/82 (100.0) | 32/32 (100.0) | 15/28 (53.6) | 32/42 (76.2) |
CRRT for renal indications | 82/613 (13.4) | – | 82/126 (65.1) | 82/106 (77.4) | 82/82 (100.0) | 8/32 (25.0) | 14/28 (50.0) | 25/41 (58.5) |
 Within 24 h | 68/613 (11.1) | – | 68/126 (54.0) | 68/106 (64.2) | 68/82 (82.9) | 5/32 (15.6) | 12/28 (42.9) | 19/41 (46.3) |
 Within 24 and 48 h | 7/613 (1.1) | – | 7/126 (5.6) | 7/106 (6.6) | 7/82 (8.5) | 1/32 (3.1) | 2/28 (7.1) | 4/41 (9.8) |
 After 48 h | 7/613 (1.1) | – | 7/126 (5.6) | 7/106 (6.6) | 7/82 (8.5) | 2/32 (6.3) | 0/28 (0.0) | 1/41 (2.4) |
CRRT for non-renal indications | 33/612 (5.4) | – | 33/127 (26.0) | 33/107 (30.8) | 8/82 (9.8) | 33/33 (100.0) | 4/28 (14.3) | 11/42 (26.2) |
 Within 24 h | 32/612 (5.2) | – | 32/127 (25.2) | 32/107 (29.9) | 8/82 (9.8) | 32/33 (97.0) | 4/28 (14.3) | 11/42 (26.2) |
 Within 24 and 48 h | 0/612 (0.0) | – | 0/127 (0.0) | 0/107 (0.0) | 0/82 (0.0) | 0/33 (0.0) | 0/28 (0.0) | 0/42 (0.0) |
 After 48 h | 1/612 (0.2) | – | 1/127 (0.8) | 1/107 (0.9) | 0/82 (0.0) | 1/33 (3.0) | 0/28 (0.0) | 0/42 (0.0) |
IRRT | 28/611 (4.6) | – | 28/126 (22.2) | 15/106 (14.2) | 14/81 (17.3) | 4/33 (12.1) | 28/28 (100.0) | 6/41 (14.6) |
 Within 24 h | 8/611 (1.3) | – | 8/126 (6.4) | 2/106 (1.9) | 1/81 (1.2) | 1/33 (3.0) | 8/28 (28.6) | 3/41 (7.3) |
 Within 24 and 48 h | 4/611 (0.7) | – | 4/126 (3.2) | 1/106 (0.9) | 1/81 (1.2) | 1/33 (3.0) | 4/28 (14.3) | 1/44 (2.4) |
 After 48 h | 16/611 (2.6) | – | 16/126 (12.7) | 12/106 (11.3) | 12/81 (14.8) | 2/33 (6.1) | 16/28 (57.1) | 2/41 (4.9) |
PMX-DHP | 42/611 (6.9) | – | 42/127 (33.1) | 32/107 (29.9) | 24/82 (29.3) | 11/33 (33.3) | 6/28 (21.4) | 42/42 (100.0) |
 Within 24 h | 37/611 (6.1) | – | 37/127 (29.1) | 29/107 (27.1) | 21/82 (25.6) | 11/33 (33.3) | 6/28 (21.4) | 37/42 (88.1) |
 Within 24 and 48 h | 4/611 (0.7) | – | 4/127 (3.2) | 2/107 (1.9) | 2/82 (2.4) | 0/33 (0.0) | 0/28 (0.0) | 4/42 (9.5) |
 After 48 h | 1/611 (0.2) | – | 1/127 (0.8) | 1/107 (0.9) | 1/82 (1.2) | 0/33 (0.0) | 0/28 (0.0) | 1/42 (2.4) |
Other therapies | ||||||||
Mechanical ventilation within 24Â h | 281/612 (54.1) | 190/485 (39.2) | 91/127 (71.7) | 79/107 (73.8) | 59/82 (72.0) | 28/33 (84.9) | 19/28 (67.9) | 31/42 (73.8) |
Inotropes or vasopressors | 312/610 (51.1) | 220/484 (45.5) | 92/126 (73.0) | 81/106 (76.4) | 63/81 (77.8) | 26/33 (78.8) | 17/28 (60.7) | 31/41 (75.6) |
Antimicrobial therapy | 590/596 (99.0) | 471/473 (99.6) | 119/123 (96.8) | 100/104 (96.2) | 76/80 (95.0) | 31/32 (96.9) | 27/27 (100.0) | 41/41 (100.0) |
Drainage or operation | 221/612 (36.1) | 168/486 (34.6) | 53/126 (42.1) | 47/106 (44.3) | 32/81 (39.5) | 21/33 (63.6) | 10/28 (35.7) | 22/42 (52.4) |