Research Article

Early Driving Pressure Changes Predict Outcomes during Venovenous Extracorporeal Membrane Oxygenation for Acute Respiratory Distress Syndrome

Table 2

ICU patient variables.

Nonsurvivors (n = 28)Survivors (n = 28) values

Median hours of mechanical ventilation (h)442 (188–800)523 (327–765)0.4891
SAPS II (mean ± SD)44.8 ± 10.744.9 ± 16.00.7727
APACHE II (mean ± SD)25.3 ± 7.726.8 ± 13.40.9529
SOFA11.9 ± 2.810.7 ± 2.70.1262
Renal replacement therapy in ICU17 (60.7%)15 (53.6%)0.7875
Median days length of ICU stay (interquartile range)18.5 (9–36.75)24 (15.5–32.00)0.2515
Median days duration of ECMO (interquartile range)16 (7–28.75)18 (8.5–24.0)0.9838

Variables before ECMO implantation
Median days of invasive ventilation (interquartile range)1.0 (1–5)1 (0–3)0.2701
Median pO2/FiO2 ratio (interquartile range) (mmHg)62 (48–89)67 (61–90)0.2223
Median pCO2 (interquartile range) (mmHg)51 (47–60)51 (47–57)0.5896

Fluid balance 24 hours after ICU admission
Median fluid balance (interquartile range) (ml)2125 (0–4017)1375 (131–3334)0.9795

Hemodynamic, respiratory, and biochemical variables
Median norepinephrine (interquartile range) (µg/kg/min)
 Before ECMO0.14 (0.00–0.33)0.1 (0–0.33)0.8553
 12 h after ECMO0.08 (0.00–0.24)0.09 (0.02–0.20)0.8827
Median serum lactate (interquartile range) (mmol/l)
 Before ECMO2.0 (1.2–3.6)1.4 (0.9–3.0)0.2758
 12 h after ECMO1.9 (1.2–3.4)1.5 (1.0–2.6)0.2127
Heart rate (beats/minute)
 Before ECMO106 ± 2198 ± 200.3419
 12 h after ECMO91 ± 2188 ± 180.7402
Mean arterial pressure (mmHg)
 Before ECMO78 ± 1380 ± 150.4051
 12 h after ECMO74 ± 1172 ± 90.3815