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Table 1 Baseline and treatment characteristics

From: Angiotensin II treatment is associated with improved oxygenation in ARDS patients with refractory vasodilatory shock

Outcome

Placebo

Angiotensin-II

All Patients

N

47

34

81

Demographics and clinical factors

   

 Age (years)

60 (17)

57 (18)

59 (17)

 Female—n (%)

16 (34%)

22 (65%)

38 (47%)

 Body Mass Index (kg/m2)

30.2 (8.4)

28.9 (7.5)

29.6 (8.0)

 Ideal body weight (kg)

63.6 (10.6)

59.1 (10.2)

61.7 (10.6)

 Exposure to ACE inhibitors or ARBs—n (%)

5 (11%)

6 (18%)

11 (14%)

 Cause of vasodilatory shock—n (%)

   

  Sepsis

41 (87%)

28 (82%)

69 (85)

  Other—potentially sepsis

4 (9%)

4 (12%)

8 (10%)

  Other—not sepsis

2 (4%)

2 (6%)

4 (5%)

 Baseline APACHE II Score

30.9 (7.9)

29.1 (8.2)

30.1 (8.0)

 Baseline albumin (g/dl)

2.4 (0.6)

2.3 (0.8)

2.3 (0.7)

Baseline cardiovascular status

   

 Mean arterial pressure (mmHg)

65 (7)

66 (5)

65 (6)

 Average NED in past 6 h (µg/kg/min)

0.55 (0.32)

0.54 (0.35)

0.54 (0.33)

 Vasopressin use in past 6 h—n (%)

40 (85%)

24 (71%)

64 (79%)

 Central venous pressure (mmHg)

13.6 (4.5)

15.1 (5.3)

14.3 (4.9)

 Cardiac Index (L/min/m2)

3.4 (0.9)

3.4 (0.7)

3.4 (0.8)

 ScvO2 (%)

78 (7)

77 (8)

78 (8)

Baseline respiratory status

   

 PaO2:FiO2 ratio (mmHg)

148 (63)

155 (69)

151 (65)

  < 100—n (%)

15 (31.9%)

9 (27%)

20 (25%)

  100–199—n (%)

21 (44.7%)

16 (47%)

37 (46%)

  200–299—n (%)

11 (23.4%)

9 (27%)

24 (30%)

 PaO2 (mmHg)

84 (25)

84 (27)

84 (26)

 FiO2

0.64 (0.21)

0.62 (0.25)

0.63 (0.23)

 Oxygenation Index (cmH2O/mmHg)

13.8 (12.8)

13.3 (11.2)

13.6 (12.1)

 mAwP (cmH2O)

16.5 (5.4)

17.4 (6.9)

16.9 (6.0)

 PEEP (cmH2O)

10.4 (4.1)

10.1 (3.3)

10.3 (3.7)

 Tidal volume ≤ 8 mL/kg—n (%)

32 (68%)

21 (62%)

53 (65%)

 PaCO2 (mmHg)

42 (16)

44 (13)

43 (15)

 pH

7.286 (0.118)

7.263 (0.114)

7.276 (0.116)

 Minute ventilation (L/min)

10.8 (4.6)

10.4 (3.3)

10.6 (4.1)

 Ventilatory ratio (L mmHg/min kg)

1.9 (1.0)

2.0 (0.8)

1.9 (0.9)

  Ventilatory ratio ≥ 2.0—n (%)

15 (32%)

11 (32%)

26 (32%)

Additional therapies

   

 Glucocorticoids—n (%)

33 (70%)

25 (74%)

58 (72%)

 Neuromuscular blockade—n (%)

25 (53%)

19 (56%)

44 (54%)

 Pulmonary vasodilators—n (%)

6 (13%)

4 (12%)

10 (12%)

 Nitric oxide scavengers—n (%)

1 (2%)

1 (3%)

2 (3%)

 Venovenous-ECMO

2 (4%)

2 (6%)

4 (5%)

Treatment characteristics

   

 Study drug exposure duration (hrs)—median [IQR]

48 [30, 49]

47 [38, 49]

48 [36, 49]

 Mean study drug dose (ng/kg/min)

39 (13)

31 (25)

35 (19)

  1. Baseline characteristics of the study population. Results displayed as mean (SD) unless otherwise indicated
  2. ACE angiotensin-converting enzyme, ARB angiotensin receptor blockers, NED norepinephrine equivalent dose, ScvO2 central venous oxygenation saturation, PaO2 arterial partial pressure of oxygen, FiO2 fraction inspired oxygen, mAwP mean airway pressure, PEEP positive end-expiratory pressure, PaCO2 arterial partial pressure of carbon dioxide