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Table 1 Baseline characteristics and clinical outcomes of septic shock patients with normal versus abnormal capillary refill time at 2 h from inclusion

From: A lactate-targeted resuscitation strategy may be associated with higher mortality in patients with septic shock and normal capillary refill time: a post hoc analysis of the ANDROMEDA-SHOCK study

 

CRT normal

CRT abnormal

P

Number of patients

184 (48.7)

194 (51.3)

 

Age (years)

63 [60–80]

69 [56–77]

0.0001

Sex (female)

88 (47.8)

93 (47.9)

0.9

APACHE score

20 [14–25]

24 [18–29]

0.0001

SOFA score

9 [7–11]

10 [8–13]

0.0001

Charlson index

3 [1–5]

3 [1–5]

0.9

Randomization arm

LT: 82 (45)

LT: 92 (48)

0.5

CRT-T: 102 (55)

CRT-T:102 (52)

Sepsis origin

Abdominal 64 (35)

Abdominal: 74 (38)

0.3

Pulmonary 55 (30)

Pulmonary: 52 (27)

Urinary 37 (20)

Urinary: 45 (23)

Other 28 (15)

Other: 23 (12)

MAP (mmHg)

68 [64–78]

64 [56–73]

0.0001

CVP (mmHg)

9 [5–13]

9 [7–13]

0.3

Fluids administered before ICU admission (ml)

2000 [1350–2907]

2000 [1200–2500]

0.13

Fluid responsiveness positive state

98 (53)

120 (62)

0.09

Fluid administered in boluses between 0 and 8 h (ml)

1000 [0–1500]

1500 [500–2500]

0.001

Fluid balance at 8 h (ml)

1244 [480–2136]

1842 [977–2977]

0.001

Norepinephrine dose (mcg/kg/min)

0.17 [0.1–0.3]

0.26 [0.14–0.43]

0.0001

Lactate (mmol/L)

3.3 [2.6–4.4]

4 [2.9–6.5]

0.0001

CRT (s)

4 [2–5]

6 [5–7]

0.0001

ScvO2 (%)

73 [65–80]

72 [62–78]

0.36

Delta pCO2(v-a)

7 [4–10]

7 [5–10]

0.3

SOFA at 24 h

7 [4–10]

10 [6–13]

0.0001

Renal replacement therapy

27 (15)

39 (20)

0.16

Mechanical ventilation

123 (67)

163 (84)

0.001

ICU length of stay (days)

6 [3–11]

6 [2–10]

0.45

28-day mortality

56 (30)

89 (46)

0.002

  1. Data are presented as median [IQR 25–75] or count (percentage)
  2. Data at 8 and 24 h are reported for clarification purposes
  3. APACHE II Acute Physiology And Chronic Health Evaluation II, SOFA Sequential organ failure Assessment score, LT lactate-targeted group, CRT-T CRT targeted group, ICU intensive care unit, MAP mean arterial pressure, CVP central venous pressure, CRT capillary refill time, ScvO2 central venous oxygen saturation, Delta pCO2(v-a) difference between central venous carbon dioxide pressure and arterial carbon dioxide pressure