From: Severe but reversible impaired diaphragm function in septic mechanically ventilated patients
Increase in diaphragm function n = 40 | Decrease or no change in diaphragm function n = 52 | p | |
---|---|---|---|
Time between intubation and second measure, days | 5 (3–6) | 4 (2–6) | 0.163 |
Time between 2 measures, days | 4 (3–5) | 3 (1–5) | 0.134 |
Sepsis at inclusion, n (%) | 29 (73) | 22 (42) | 0.004 |
Age, years | 61 (49–72) | 63 (54–71) | 0.425 |
Male sex, n (%) | 22 (55) | 34 (65) | 0.312 |
Body mass index, kg m−2 | 24 (21–25) | 25 (23–28) | 0.036 |
SAPS2 at inclusion | 58 (35–66) | 54 (45–64) | 0.831 |
SOFA at inclusion | 9 (5–11) | 10 (7–12) | 0.301 |
Comorbidities, n (%) | |||
Active smoking | 20 (50) | 25 (48) | 0.855 |
COPD | 9 (23) | 12 (23) | 0.948 |
Diabetes | 11 (28) | 14 (27) | 0.951 |
Cirrhosis | 7 (18) | 10 (19) | 0.832 |
Primary reason for ventilation, n (%) | |||
Acute respiratory failure | 28 (70) | 27 (52) | 0.080 |
Shock | 5 (13) | 7 (13) | 0.892 |
Cardiac arrest | 1 (3) | 6 (12) | 0.105 |
Coma | 6 (15) | 12 (23) | 0.333 |
Biological variables | |||
PCT at inclusion, ng/ml | 3 (0.3–20) | 1.7 (0.9–7.3) | 0.909 |
Blood lactate at inclusion, mmol.l−1 | 1.8 (1.2–3.2) | 2.1 (1.4–2.9) | 0.838 |
PaO2/FiO2 at inclusion | 230 (160–305) | 226 (162–306) | 0.940 |
PaO2/FiO2 at second measure | 280 (202–327) | 260 (220–333) | 0.990 |
Sedation | |||
Hypnotics at inclusion (propofol or midazolam), n (%) | 33 (100) a | 44 (100) c | 1.000 |
Sufentanyl at inclusion, n (%) | 29 (88) a | 38 (86) c | 1.000 |
Hypnotics at second measure (propofol or midazolam), n (%) | 19 (56) b | 16 (40) d | 0.130 |
Sufentanyl at second measure, n (%) | 9 (26) b | 14 (35) d | 0.808 |
Organ support | |||
Vasopressors, n (%) | 28 (70) | 38 (73) | 0.745 |
Diaphragm function | |||
Ptr,stim at inclusion, cmH2O | 5.8 (4.0–8.0) | 10.2 (7.0–14.3) | < 0.001 |
Ptr,stim at second measure, cmH2O | 10.5 (7.0–12.5) | 6.9 (4.5–9.4) | 0.002 |
Absolute change in Ptr,stim, cmH2O | 3.4 (1.8–4.8) | – 1.5 (– 4.9 to – 0.6) | < 0.001 |
Relative change in Ptr,stim, % | 59 (32–78) | – 19 (– 43 to – 7) | < 0.001 |
End-expiratory diaphragm thickness at inclusion, mm | 2.3 (1.9–2.9) e | 2.1 (1.7–2.5) f | 0.484 |
End-expiratory diaphragm thickness at second measure, mm | 1.9 (1.5–2.3) e | 2.0 (1.7–2.2) f | 0.565 |