A large Venous-Arterial PCO2 Is Associated with Poor Outcomes in Surgical Patients
Table 1
Patient characteristics and comparison between patients with [P(v-a) CO2] < 5.0 and [P(v-a)CO2] ≥ 5.0.
Variables
All patients ()
[P(v-a)CO2] < 5.0 mmHg ()
[P(v-a)CO2] ≥ 5.0 mmHg ()
Age
0.67
Males (%)
56.1
50.0
59.1
0.48
APACHE II
0.29
MODS
3 (1.0–4.0)
3.0 (1.0–4.0)
3.5 (1.0–4.5)
0.46
ASA (%)
0.65
I
6.6
9.5
5.0
II
68.9
71.4
67.5
III
24.6
19.0
27.5
Elective surgery (%)
95.5
95.5
95.5
1.00
Emergency surgery (%)
4.5
4.5
4.5
1.00
Gastrointestinal surgery (%)
78.8
81.8
73.3
0.38
[P (v-a) Co2] (mmHg)
0.00
Lactate (mmol/L)
0.35
Base excess (mmol/L)
−0.7 (−3.0–0.6)
−1.6 (−3.4–0.7)
−0.5 (−2.4–0.6)
0.35
ScvO2 (%)
0.03
Ventricular dysfunction (%)
77.3
54.5
88.6
0.002
Ejection fraction (%)
0.93
Hemoglobin (g/dL)
0.70
Glucose (mg/dL)
0.98
ScvO2-central venous oxygen saturation; ASA: American Society of Anesthesiologists; values between brackets represent the median and percentile 25–75%.