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Table 1 Characteristics of the enrolled critically ill patients divided by overall mortality

From: Prolonged use of neuromuscular blocking agents is associated with increased long-term mortality in mechanically ventilated medical ICU patients: a retrospective cohort study

Variables

All (n = 5709)

Survivors (n = 2954)

Non-survivors (n = 2755)

p valuea

Basic characteristics

 Age, years

67.8 ± 15.8

65.4 ± 16.3

70.4 ± 14.9

 < 0.001

 Sex (male)

3645 (63.9%)

1815 ( 61.4%)

1830 (66.4%)

 < 0.001

 Body mass index

24.1 ± 5.0

24.7 ± 5.0

23.5 ± 5.0

 < 0.001

 Charlson Comorbidity Index

3.8 ± 2.6

3.0 ± 2.3

4.50 ± 2.7

 < 0.001

 Follow-up duration, years

1.9 ± 2.0

3.4 ± 1.7

0.2 ± 0.3

 < 0.001

Etiology for ICU admission

 Acute respiratory failure

2469 (43.2%)

1183 (40.1%)

1286 (46.7%)

 < 0.001

 Pneumonia

658 (11.5%)

287 (9.7%)

371 (13.5%)

 < 0.001

 Sepsis (non-pneumonia)

562 (9.8%)

252 (8.5%)

310 (11.3%)

0.001

 Acute cardiac conditions

178 (3.1%)

109 (3.7%)

69 (2.5%)

0.012

 Acute neurological conditions

558 (9.8%)

328 (11.1%)

230 (8.4%)

0.001

 Acute renal conditions

224 (3.9%)

115 (3.9%)

109 (4.0%)

0.956

 Acute GI condition

287 (5.0%)

133 (4.8%)

154 (5.4%)

0.069

 Post-PCI

45 (0.8%)

30 (1.0%)

15 (0.5%)

0.063

 Cardiac arrest (IHCA + OHCA)

68 (1.2%)

29 (1.0%)

39 (1.4%)

0.165

 Others

732 (11.6%)

380 (12.9%)

352 (12.8%)

0.953

Severity and managements

 APACHE II score

26.4 ± 6.6

24.7 ± 6.5

28.0 ± 6.2

 < 0.001

 SOFA score, day-1

8.5 ± 3.6

7.8 ± 3.4

9.3 ± 3.6

 < 0.001

 SOFA score, day-3

7.5 ± 3.9

6.3 ± 3.3

8.6 ± 4.0

 < 0.001

 SOFA score, day-7

6.7 ± 3.8

5.2 ± 2.8

7.9 ± 4.1

 < 0.001

Laboratory data

 White blood cell count (count/μl)

11,455 ± 9849

10,720 ± 5794

12,240 ± 12,790

 < 0.001

 Hemoglobin (g/dL)

10.0 ± 2.0

10.5 ± 2.0

9.6 ± 1.8

 < 0.001

 Platelet (103/μL)

174.9 ± 109.2

198.0 ± 105.2

150.3 ± 108.0

 < 0.001

 Creatinine (mg/dL)

2.1 ± 2.2

1.9 ± 2.4

2.2 ± 2.0

 < 0.001

 Lactate (mg/dL)

17.0 ± 18.3

13.7 ± 9.2

20.3 ± 23.8

 < 0.001

Ventilatory data

 Ventilator days

10.1 ± 9.8

7.8 ± 8.5

12.6 ± 10.6

 < 0.001

 FIO2 (%)

50.7 ± 21.2

48.9 ± 20.2

52.4 ± 22.0

 < 0.001

 PaO2: FIO2 ratio

270.8 ± 183.9

277.2 ± 191.2

264.0 ± 175.7

0.018

 PEEP (cmH2O)

7.9 ± 4.6

7.6 ± 4.2

8.2 ± 4.9

 < 0.001

 Ppeak, (cmH2O)

26.4 ± 6.6

25.8 ± 6.5

27.1 ± 6.6

 < 0.001

 Pmean, (cmH2O)

14.3 ± 4.9

13.8 ± 4.5

14.8 ± 5.2

 < 0.001

 VT (L)

0.57 ± 0.16

0.58 ± 0.16

0.56 ± 0.16

 < 0.001

 Minute ventilation (L)

10.7 ± 3.2

10.7 ± 3.1

10.8 ± 3.2

0.735

 PaO2 (mmHg)

163.1 ± 101.5

163.0 ± 104.0

163.1 ± 100.2

0.988

 PaCO2 (mmHg)

39.5 ± 13.4

39.8 ± 13.1

39.3 ± 13.7

0.197

 HCO3− (mmol/l)

22.3 ± 6.3

22.4 ± 5.9

22.3 ± 6.6

0.356

Use of NMBAs

 None

4409 (77.2%)

2332 (78.9%)

2077 (75.4%)

 < 0.001

 Use, equal or less than 48 h

765 (13.4%)

394 (13.3%)

371 (13.5%)

 

 Use, longer than 48 h

535 (9.37%)

228 (7.8%)

307 (11.1%)

 

Outcomes

 ICU-stay, days

12.7 ± 10.0

10.7 ± 8.6

14.8 ± 10.9

 < 0.001

 Hospital-stay, days

28.3 ± 24.2

26.5 ± 24.2

30.3 ± 24.0

0.002

  1. GI gastrointestinal, PCI percutaneous coronary intervention, IHCA in-hospital cardiac arrest, OHCA out-of-hospital cardiac arrest, APACHE II Acute Physiology and Chronic Health Evaluation, SOFA score: Sequential Organ Failure Assessment (SOFA) Score, FIO2, fraction of inspired oxygen, PaO2 FIO2 ratio: ratio of partial pressure of arterial oxygen to inspired oxygen fraction, PEEP positive end-expiratory pressure, Ppeak peak airway pressure, PaO2 partial pressure of arterial oxygen, PaCO2 partial pressure of arterial carbon dioxide, HCO3 serum bicarbonate, VT tidal volume, ICU intensive care unit, NMBAs neuromuscular blocking agents
  2. ap value represents comparisons between the survivors and non-survivors critically ill patients