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Table 1 Patient characteristics and management according to the presence of RV injury during ICU stay

From: Right ventricular injury in critically ill patients with COVID-19: a descriptive study with standardized echocardiographic follow-up

 

No RV injury (n = 45)

RV injury (n = 73)

p-value

Clinical characteristics

 Age (years)

64 (59–70)

67 (61–74)

0.20

 Gender (male), n (%)

33 (73)

51 (70)

0.69

 SAPS-2 score

38 (29–51)

45 (34–67)

0.05

 SOFA score on ICU admission

6 (3–9)

8 (4–11)

0.12

 Body mass index (kg/m2)

28 (26–30)

28 (26–31)

0.90

 Obesity, n (%)

13 (29)

27 (37)

0.37

 Arterial hypertension, n (%)

18 (40)

40 (55)

0.12

 Diabete mellitus, n (%)

10 (22)

25 (34)

0.16

 Dyslipidemia, n (%)

7 (16)

24 (33)

0.04

 Smokers, n (%)

8 (18)

9 (12)

0.41

 Coronary artery disease, n (%)

4 (9)

7 (10)

0.90

 Stroke, n (%)

1 (2)

5 (7)

0.27

 Chronic heart failure, n (%)

2 (4)

2 (3)

0.62

 Chronic respiratory disease, n (%)

0 (0)

5 (7)

0.07

 Chronic kidney disease, n (%)

5 (11)

15 (21)

0.18

 Immunosuppression, n (%)

5 (11)

19 (26)

0.05

 Renin-Angiotensin System Blockers, n (%)

15 (33)

31 (43)

0.32

 Delay from onset of symptoms to ICU admission (days)

8 (7–11)

9 (6–12)

0.98

Oxygenation variables at the time of TTE examination on ICU admission

 pH

7.50 (7.40- 7.50)

7.40 (7.40–7.50)

0.14

 FiO2 (%)

0.7 (0.5–0.9)

0.6 (0.5–0.8)

0.48

 PaO2/FiO2

121 (80–190)

112 (79–165)

0.50

 PaCO2 (mmHg)

35 (32–40)

39 (33–43)

0.05

 Blood lactate level (mmol/L)

1.0 (0.8–1.3)

1.2 (1.0–1.5)

0.03

Biological variables on ICU admission

 Leukocytes (G/L)

8.5 (7.0–11.0)

8.4 (6.7–11.2)

0.95

 Neutrophils (G/L)

7.4 (6.1–9.9)

7.3 (5.6–10.3)

0.93

 Platelet count (G/L)

228 (186–287)

232 (180–292)

1.00

 Lymphocytes (G/L)

0.7 (0.5–0.9)

0.7 (0.5–0.9)

0.87

 Fibrinogen (g/L)

5.7 (4.8–7.3)

6.4 (5.4–7.7)

0.14

 D-Dimers (µg/L)

1099 (679–2255)

1206 (709–2256)

0.69

 Protein C reactive (mg/L)

122 (71–268)

136 (91–207)

0.93

 Procalcitonin (ng/L)

0.30 (0.20–0.80)

0.30 (0.10–0.80)

0.80

 Ferritin (ng/mL)

1066 (575–1949)

1096 (781–2751)

0.38

 Interleukin-6 (pg/mL)

70 (17–168)

64 (26–184)

0.76

 Plasma creatinine (µmol/L)

73 (57–104)

73 (61–104)

0.86

 Troponin (ng/L)

21 (16–46)

17 (16–35)

0.16

 N-terminal pro B-type natriuretic peptide (pg/mL)

116 (52–214)

206 (69–893)

0.04

Management during ICU stay

 High-flow nasal oxygen therapy, n (%)

29 (64)

32 (44)

0.03

 Non invasive ventilation, n (%)

1 (2)

3 (4)

0.58

 Intubation, n (%)

27 (60)

58 (80)

0.02

 Corticosteroids, n (%)

36 (80)

59 (81)

0.91

 Antiviral drugs, n (%)

6 (13)

9 (12)

0.87

 Tocilizumab, n (%)

19 (42)

18 (25)

0.05

 Hydroxychloroquine, n (%)

3 (7)

5 (7)

0.97

 Low-dose thrombophylaxis, n (%)

2 (4)

8 (11)

0.22

 Enhanced intermediate-dose thrombophylaxis, n (%)

36 (80)

52 (71)

0.29

 Curative anticoagulation, n (%)

7 (16)

18 (25)

0.24

 Norepinephrine, n (%)

18 (40)

50 (69)

 < 0.01

 Dobutamine, n (%)

0 (0)

1 (1)

0.43

 Neuromuscular blocker agents, n (%)

21 (47)

51 (70)

0.01

 Prone positioning, n (%)

30 (67)

57 (78)

0.17

 Nitric oxide, n (%)

26 (58)

27 (37)

0.03

 Venovenous ECMO, n (%)

1 (2)

3 (4)

0.58

 Renal replacement therapy, n (%)

8 (18)

16 (22)

0.59

  1. n = 118 patients. Variables are expressed as median (interquartile) or numbers (percentages)
  2. ECMO: extracorporeal membrane oxygenation; FiO2: inspired fraction of oxygen; ICU: intensive care unit; PaO2: partial arterial pressure of oxygen; PaCO2: partial arterial pressure of carbon dioxide; RV: right ventricular; SAPS: simplified acute physiology score; SOFA: sepsis-related organ failure assessment; TTE: transthoracic echocardiography