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Table 1 Baseline characteristics and hypotension exposure in septic ICU patients

From: Association of systolic, diastolic, mean, and pulse pressure with morbidity and mortality in septic ICU patients: a nationwide observational study

 

Mortality

p value

Standardized difference

 

No

Yes

Number of patients

74,555

2,773

  

Age (years)

64 ± 15

65 ± 14

 < 0.001

0.08

Gender (male)

40,144 (54%)

1568 (57%)

0.005

0.05

Ethnicity

  

0.024

0.07

 Caucasian (reference)

55,745 (75%)

2034 (73%)

  

 African American

8169 (11%)

354 (13%)

  

 Hispanic

4205 (6%)

140 (5%)

  

 Native American

1027 (1%)

32 (1%)

  

 Asian

1095 (2%)

49 (2%)

  

 Other/Unknown

4314 (6%)

164 (6%)

  

BMI (kg/m2)

29 ± 8

28 ± 8

0.024

0.04

APACHE IVa score

67 ± 22

95 ± 32

 < 0.001

1.02

Admission type

  

 < 0.001

0.29

 Emergency department (reference)

43,598 (59%)

1262 (46%)

  

 Other ward

23,045 (31%)

1124 (41%)

  

 Elective

5631 (8%)

212 (8%)

  

 Other hospital

2078 (3%)

162 (6%)

  

 Other/unknown

203 (0.3%)

13 (0.5%)

  

Admission year

  

 < 0.001

0.15

 2004 to 2008

4416 (6%)

278 (10%)

  

 2009 to 2012

28,096 (38%)

1023 (37%)

  

 2013 to 2016 (reference)

42,043 (56%)

1472 (53%)

  

Hospital bed size

  

 < 0.001

0.09

  < 100

2360 (3%)

91 (3%)

  

 100–249

15,063 (20%)

533 (19%)

  

 250–500

17,786 (24%)

599 (22%)

  

  > 500 (reference)

32,399 (44%)

1324 (48%)

  

 Unknown

6947 (9%)

226 (8%)

  

Aspirin

8,989 (12%)

297 (11%)

0.035

0.04

Diuretics

10,421 (14%)

399 (14%)

0.56

0.01

ACE inhibitors

7634 (10%)

248 (9%)

0.029

0.04

ARBs

2722 (4%)

83 (3%)

0.077

0.04

Beta blockers

12,096 (16%)

457 (17%)

0.74

0.01

Calcium channel blockers

6150 (8%)

234 (8%)

0.75

0.01

Hemoglobin (g/dL)

  

0.001

0.08

  < 8

6761 (9%)

307 (11%)

  

 8 ≤ Hb < 11

39,290 (53%)

1469 (53%)

  

  ≥ 11 (reference)

27,638 (37%)

961 (35%)

  

 No reading available

866 (1%)

36 (1%)

  

Albumin (g/dL)

  

 < 0.001

0.42

  < 2

6873 (9%)

597 (22%)

  

 2 ≤ Alb < 3

30,902 (41%)

1189 (43%)

  

  ≥ 3 (reference)

22,668 (30%)

479 (17%)

  

 No reading available

14,112 (19%)

508 (18%)

  

WBC (/μL)

  

 < 0.001

0.37

  < 4000

4088 (6%)

315 (11%)

  

 4000 ≤ WBC < 12,000 (reference)

35,122 (47%)

848 (31%)

  

  ≥ 12,000

34,539 (46%)

1572 (57%)

  

 No reading available

806 (1%)

38 (1%)

  

BUN (mg/dL)

  

 < 0.001

0.40

  ≤ 30 (reference)

43,368 (58%)

1077 (39%)

  

  > 30

30,602 (41%)

1,678 (61%)

  

 No reading available

585 (0.8%)

18 (0.6%)

  

Lactate (mmol/L)

  

 < 0.001

0.72

  < 2 (reference)

31,324 (42%)

664 (24%)

  

 2 ≤ Lac < 5

12,527 (17%)

675 (24%)

  

  ≥ 5

1763 (2%)

597 (22%)

  

 No reading available

28,941 (39%)

837 (30%)

  

Hypertension

40,446 (54%)

1441 (52%)

0.019

0.05

Diabetes

26,053 (35%)

844 (30%)

 < 0.001

0.10

COPD

16,762 (23%)

565 (20%)

0.01

0.05

Congestive heart failure

13,401 (18%)

507 (18%)

0.696

0.008

Peripheral vascular disease

4334 (6%)

171 (6%)

0.46

0.02

Valve disease

2828 (4%)

155 (6%)

 < 0.001

0.09

Pulmonary embolism

1464 (2%)

43 (2%)

0.14

0.03

Neuromuscular disease

1008 (1%)

21 (0.8%)

0.009

0.06

Hypothyroidism

8021 (11%)

281 (10%)

0.311

0.02

Liver disease

3566 (5%)

213 (8%)

 < 0.001

0.12

AIDS

704 (1%)

40 (1%)

0.011

0.05

Cancer

12,173 (16%)

610 (22%)

 < 0.001

0.14

Arthritis/Vasculitis

1797 (2%)

74 (3%)

0.42

0.02

Coagulopathy

3902 (5%)

131 (5%)

0.254

0.02

Anemia

645 (0.9%)

42 (2%)

0.001

0.06

Home oxygen

3750 (5%)

132 (5%)

0.552

0.01

Organ transplant

1294 (2%)

45 (2%)

0.709

0.009

Chronic kidney disease

13,793 (19%)

626 (23%)

 < 0.001

0.10

Myocardial infarction

6335 (9%)

225 (8%)

0.499

0.01

Stroke

8788 (12%)

264 (10%)

 < 0.001

0.07

Coronary artery disease

8873 (12%)

326 (12%)

0.84

0.004

On ventilator on the day of admission

26,993 (36%)

1826 (66%)

 < 0.001

0.62

Average vasopressor rate (mcg/kg/min in NEE)

12 ± 54

94 ± 216

 < 0.001

0.52

Lowest MAP 120-min (mmHg)

62 ± 10

52 ± 9

 < 0.001

1.04

Lowest SBP 120-min (mmHg)

94 ± 14

78 ± 13

 < 0.001

1.23

Lowest DBP 120-min (mmHg)

48 ± 9

40 ± 9

 < 0.001

0.85

Lowest PP 120-min (mmHg)

35 ± 12

27 ± 11

 < 0.001

0.73

  1. Categorical variables were expressed as the number (%), and continuous variables were presented as the mean ± standard deviation. Proportions of each category do not necessarily add up to 100% because of rounding. The listed variables were included in the multivariable analysis except for average vasopressor rate as it was a potential mediator on the causal pathway between exposure and outcome.
  2. ACE angiotensin-converting enzyme, ARB angiotensin II receptor blockers, AIDS acquired immunodeficiency syndrome, APACHE Acute Physiology and Chronic Health Evaluation, BP blood pressure, BMI body mass index, BUN blood urea nitrogen, COPD chronic obstructive pulmonary disease, ICU intensive care unit, NEE norepinephrine equivalent, WBC white blood cell