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) |