Research Article

Serum NT-Pro-BNP versus Noninvasive Bedside Inotropic Index in Paediatric Shock: A Contest of Myocardial Performance in Response to Fluid Loading

Table 1

Subject characteristics.

Subject characteristicsFluid nonresponders (n = 26)Fluid responders (n = 42) value
n%n%

Age in months (median, IQR)27.00 (8.75–75.50)51.00 (12.00–126.00)0.180
Gender (male)1453.842047.620.334
Shock category
Septic shock934.62614.290.026
Dengue shock623.082354.76
Others (hypovolemia and hemorrhagic)1142.311330.95

Nutritional status (BW/ideal BW)
Malnutrition (z < −3SD)415.38614.290.383c
Undernourished (−3SD < z < −2SD)519.23716.67
Normal (−2SD < z < +2SD)1142.312150.00
Overweight (+2SD < z < +3SD)27.6900.00
Obese (z > +3SD)415.38819.05

Total fluid loading
<20 ml/kg BW623.081126.190.972c
20–<40 ml/kg BW1350.002047.62
40–<60 ml/kg BW519.23819.05
>60 ml/kg BW27.6937.14

Inotropic use, yes1038.462252.380.534
Preloading MAP percentile (median, IQR)30.00 (7.50–65.00)50.00 (20.00–72.50)0.567
Preloading NT-pro-BNP, normalb726.922969.050.001
Preloading SMII, normal1973.081433.330.004
Preloading LVEDVIb (median, IQR)70.75 (57.05–78.25)67.20 (56.78–76.20)0.757

BW: body weight; MAP: mean arterial pressure; SMII: Smith–Madigan inotropic index; LVEDVI: left ventricular end-diastolic volume. Categorical data were analysed using chi-square unless stated otherwise, numerical data were analysed using independent Kruskal–Wallis test, and value <0.05; apreloading MAP percentage from 64 subjects; bpreloading NT-pro-BNP percentage from 64 subjects; cFisher’s exact test; dindependent sample T-test.