Characteristic* | All Patients (N = 84) | AKI (n = 45) | Non-AKI (n = 39) | P value |
---|---|---|---|---|
Demographic characteristics | ||||
Age, years | 52.11 (14.21) | 52.24 (13.43) | 51.97 (15.23) | 0.93 |
Male, n (%) | 70 (83.3) | 38 (84.4) | 32 (82.1) | 0.78 |
Female, n (%) | 14 (16.7) | 7 (15.6) | 7 (18.00) | 0.78 |
BMI, (kg/m2) | 23.17 (2.69) | 23.50 (2.68) | 22.68 (2.65) | 0.13 |
Severity of illness | ||||
APACHE II score | 30.77 (10.25) | 35.26 (9.36) | 25.58 (8.75) | < 0.001 |
SOFA score | 12.84 (3.78) | 14.62 (3.23) | 10.79 (3.32) | < 0.001 |
Causes of ECMO support | ||||
ARDS, n (%) | 16 (19.1) | 5 (11.1) | 11 (28.2) | 0.04 |
Non-ARDS lung causes, n (%) | 7 (8.3) | 0 (0.0) | 7 (18.0) | 0.003 |
Post-cardiotomy complications, n (%) | 12 (14.3) | 5 (11.1) | 7 (18.0) | 0.37 |
Non-operative cardiac causes, n (%) | 35 (41.7) | 24 (53.3) | 11 (28.2) | 0.02 |
Others, n (%) | 13 (15.5) | 5 (11.1) | 8 (20.5) | 0.24 |
Comorbidities | ||||
COPD, n (%) | 8 (9.2) | 3 (6.7) | 5 (12.8) | 0.46 |
Hypertension, n (%) | 9 (10.3) | 6 (13.3) | 3 (7.7) | 0.49 |
Type 2 diabetes mellitus, n (%) | 7 (8.1) | 5 (11.1) | 2 (5.1) | 0.44 |
Coronary artery disease, n (%) | 5 (5.8) | 4 (8.9) | 1 (2.6) | 0.37 |
hepatic sclerosis, n (%) | 5 (5.8) | 1 (2.2) | 4 (10.3) | 0.37 |
Laboratory examinations | ||||
WBC count, 109/L | 14.93 (8.06) | 15.02 (8.41) | 14.97 (7.63) | 0.98 |
Hemoglobin, g/L | 95.83 (26.45) | 92.13 (21.98) | 100.10 (30.56) | 0.17 |
Albumin, g/L | 30.77 (1.77) | 31.04 (1.64) | 30.57 (1.91) | 0.23 |
CRP, mg/dL | 42.08 (14.08) | 42.88 (13.23) | 41.16 (15.13) | 0.58 |
Platelet count, 109/L | 125.95 (16.26) | 127.38 (16.06) | 124.31 (16.55) | 0.39 |
Creatinine, µmol/L | ||||
before ECMO initiation | 81.0 [71.0–87.0] | 82.0 [72.0–87.0] | 80.0 [70.0-86.5] | 0.71 |
24 h after ECMO initiation | 145.5 [29.0-703.0] | 220.0 [74.0-703.0] | 84.0 [29.0-149.0] | < 0.001 |
48 h after ECMO initiation | 100.0 [25.0-475.0] | 159.0 [57.0-47.05] | 74.0 [25.0-121.0] | < 0.001 |
BUN, mmol/L | ||||
24 h after ECMO initiation | 11.8 [3.5–38.6] | 16.6 [4.6–38.6] | 8.5 [3.5–15.2] | < 0.001 |
48 h after ECMO initiation | 8.4 [1.7–38.2] | 9.8 [3.2–38.2] | 7.3 [1.7–18.7] | 0.007 |
Lactate, mmol/L | ||||
before ECMO initiation | 6.8 [2.5, 14.1] | 7.9 [5.2–14.9] | 4.0 [1.9–9.7] | 0.002 |
24 h after ECMO initiation | 4.7 [2.50–10.8] | 8.50 [3.2–13.6] | 3.2 [2.2–6.6] | 0.001 |
48 h after ECMO initiation | 2.20 [1.5–3.7] | 2.60 [1.5–5.7] | 1.80 [1.5–2.8] | 0.01 |
VIS count | ||||
before ECMO initiation | 54.0 [30–140.0] | 70.0 [40.0-165.0] | 45.0 [9.5-102.5] | 0.008 |
24 h after ECMO initiation | 101.57 (309.10) | 116.26 (363.78) | 84.62 (234.32) | 0.64 |
48 h after ECMO initiation | 134.29 (471.15) | 214.02 (626.80) | 42.31 (117.16) | 0.08 |
Urine volume, mL | ||||
0 to 24 h after ECMO initiation | 1575.0 [433.5–2780.0] | 556.0 [75.0-2375.0] | 2265.0 [1430.0-2885.0] | < 0.001 |
24 to 48 h after ECMO initiation | 1385.0 [434.2-2862.5] | 590.0 [40.0- 2055.0] | 2390.0 [1330.0, 3287.5] | < 0.001 |
MAP, mmHg | ||||
before ECMO initiation | 31.68 (12.08) | 32.59 (12.08) | 30.63 (12.16) | 0.46 |
24 h after ECMO initiation | 81.56 (17.27) | 81.19 (17.61) | 81.98 (17.08) | 0.84 |
48 h after ECMO initiation | 81.39 (17.31) | 81.89 (18.20) | 80.82 (16.45) | 0.78 |
OI, mmH2O | ||||
before ECMO initiation | 88.52 (39.96) | 84.75 (35.34) | 92.87 (44.77) | 0.36 |
24 h after ECMO initiation | 329.67 (190.58) | 352.64 (210.62) | 303.17 (163.14) | 0.24 |
48 h after ECMO initiation | 289.75 (140.38) | 293.71 (147.86) | 285.17 (133.00) | 0.78 |
Echocardiography | ||||
LVEF, % | ||||
before ECMO initiation | 36.06 (17.08) | 29.85 (16.83) | 43.23 (14.51) | < 0.001 |
24 h after ECMO initiation | 48.92 (11.09) | 46.15 (11.58) | 52.12 (9.68) | 0.01 |
48 h after ECMO initiation | 52.63 (12.21) | 50.00 (12.51) | 55.67 (11.25) | 0.03 |
Medicine | ||||
Nephrotoxic drug (n, %) | 26 (29.9) | 17 (37. 8) | 9 (21.4) | 0.10 |
Diuretic (n, %) | 8 (9.2) | 5 (11.1) | 3 (7.1) | 0.48 |
Procedure | ||||
ECMO support time, h | 176.77 (130.82) | 167.46 (114.52) | 187.51 (148.24) | 0.49 |
VA-ECMO mode (n, %) | 61 (72.6) | 40 (88.9) | 21 (53.9) | < 0.001 |
ICU hospitalization time, day | 15.0 [8.0-22.2] | 13.0 [7.0–22.0] | 18.0 [10.0–28.0] | 0.02 |
Total length of hospital stays, day | 27.09 (18.83) | 24.93 (20.94) | 29.58 (18.40) | 0.29 |