Research Article

Hemodynamic Analysis of Pediatric Septic Shock and Cardiogenic Shock Using Transpulmonary Thermodilution

Table 2

Initial PiCCO parameters between survivors and nonsurvivors in children with cardiogenic shock and septic shock at the time of admission to the PICU.

CharacteristicsCardiogenic ShockSeptic shock
Death ()Survival () valueDeath ()Survival () value

Age (years)8.7 ± 10.899.15 ± 5.690.92712.62 ± 4.311.53 ± 4.810.476
Gender0.5220.729
 Male18138
 Female1397
LOS in ICU11.5 ± 14.8531.01 ± 34.040.45324.05 ± 38.4326.73 ± 22.020.808
Cardiac characteristics
 inotropic equivalent63.75 ± 76.9124.55 ± 17.040.59856.11 ± 54.3332.17 ± 15.930.107
 heart rate (beats/min)121.75 ± 32.17132.23 ± 34.630.673137.83 ± 28.51138.94 ± 26.380.906
 Mean arterial pressure (mm Hg)67.34 ± 26.472.3 ± 14.090.68764.24 ± 17.7376.87 ± 19.40.048
PiCCO parameters
Cardiac output
 CO (L/min)1.6 ± 0.062.88 ± 0.690.0284.31 ± 1.594.09 ± 1.760.705
Cardiac contractility
 CI (L/min/m2)1.34 ± 0.092.93 ± 0.980.0493.68 ± 0.933.86 ± 1.290.626
 GEF (%)15.25 ± 4.5918.27 ± 8.550.64527.49 ± 10.2628.56 ± 7.720.739
 CFI (l/min)4.48 ± 2.935.91 ± 2.580.5849.01 ± 2.5910.08 ± 2.950.263
Preload parameters
 GEDVI (mL/m2)458.75 ± 51.97530.08 ± 143.480.514424.52 ± 107.12415.23 ± 134.880.822
 ITBVI (mL/m2)572.41 ± 65.17662.19 ± 179.540.512530.18 ± 134.03518.64 ± 168.630.823
 SVV (%)12.58 ± 0.1214.07 ± 5.980.74115.54 ± 7.2314.21 ± 5.390.55
Afterload parameters
 SVRI, dynscm−5m21794.4 ± 219.081962.67 ± 873.530.7981196.75 ± 509.521510.17 ± 901.110.193
Lung parameters
 EVLWI, mL/m218.16 ± 3.0618.52 ± 13.180.9715.34 ± 13.5114.09 ± 10.580.769
 PVPI4.02 ± 23.98 ± 2.990.993.99 ± 2.843.74 ± 2.120.774

ICU = intensive care unit; CO = cardiac output; CI = cardiac index; GEF = global ejection fraction; CFI = cardiac function index; GEDVI = global end-diastolic volume index; ITBVI = intrathoracic blood volume index; SVV = stroke volume variation; SVRI = systemic vascular resistance index; EVLWI = extravascular lung water index; PVPI = pulmonary vascular permeability index.