Research Article

Value of Central Venous Pressure Monitoring in the Patients with Sepsis-Associated Acute Kidney Injury

Table 1

Comparisons of baseline characteristics between the original cohort and matched cohort.

VariablesOriginal cohortMatched cohort
No CVP group
CVP group
SMDNo CVP group
CVP group
SMD

Age (year, mean (SD))61.2 (16.7)63.2 (14.7)0.12359.8 (16.2)60.7 (16.2)0.057
Male (%)3888 (57.8)1570 (64.2)0.131578 (60.5)573 (59.9)0.011
Ethnicity, (%)
 American Indian or Alaska Native10 (0.1)1 (0.0)0.2006 (0.6)0 (0.0)0.225
 Asian181 (2.7)55 (2.2)25 (2.6)31 (3.2)
 Black/African American475 (7.1)98 (4.0)52 (5.4)52 (5.4)
 Hispanic/Latino232 (3.5)51 (2.1)38 (4.0)20 (2.1)
 White4307 (64.1)1744 (71.3)552 (57.7)625 (65.4)
 Other325 (4.8)134 (5.5)49 (5.1)48 (5.0)
 Unknown1194 (17.8)363 (14.8)234 (24.5)180 (18.8)
First care unit, (%)
 CVICU796 (11.8)1392 (56.9)1.122242 (25.3)266 (27.8)0.256
 CCU285 (4.2)83 (3.4)53 (5.5)61 (6.4)
 MICU1479 (22.0)327 (13.4)284 (29.7)243 (25.4)
 MICU/SICU1215 (18.1)213 (8.7)124 (13.0)144 (15.1)
 Neuro intermediate67 (1.0)0 (0.0)3 (0.3)0 (0.0)
 Neuro SICU303 (4.5)5 (0.2)30 (3.1)5 (0.5)
 SICU1300 (19.3)233 (9.5)103 (10.8)130 (13.6)
 TSICU1279 (19.0)193 (7.9)117 (12.2)107 (11.2)
Severity of illness (mean (SD))
 SOFA score6.6 (3.8)7.5 (4.1)0.2268.7 (4.6)9.0 (4.4)0.063
 APS-III score46.3 (11.5)43.4 (13.0)0.24047.6 (11.5)48.4 (11.2)0.064
 Charlson comorbidity index4.9 (2.7)4.5 (2.1)0.1734.6 (2.7)4.5 (2.4)0.057
Hemodynamic variables measured in the first 24 hours of admission to ICU (mean (SD))
 MAP (mmHg)107.8 (26.6)104.8 (30.6)0.107107.0 (30.9)108.3 (34.9)0.038
 HR (bpm)108.8 (21.1)105.1 (20.2)0.179109.9 (22.1)111.1 (22.8)0.052
 CI (L/min/m2)3.2 (0.9)3.1 (0.9)0.1813.2 (0.9)3.1 (0.9)0.094
 SV (mL)63.6 (23.3)65.6 (26.8)0.08358.1 (25.1)63.4 (27.6)0.201
 Lac (mmol/L)3.2 (3.3)3.6 (2.7)0.1293.9 (3.9)3.9 (3.2)0.009
Inflammatory indicators measured in the first 24 hours of admission to ICU (mean (SD))
 WBC (×109/L)15.9 (12.9)16.9 (9.1)0.09017.5 (18.0)17.9 (11.3)0.023
 NLR3.9 (2.7)3.6 (2.4)0.0873.8 (1.2)3.5 (1.4)0.029
Renal function index measured in the first 24 hours of admission to ICU (mean (SD))
 BUN (mg/dL)25.2 (20.4)23.8 (16.9)0.07229.0 (26.2)28.9 (20.7)0.002
 SCr (mg/dL)1.3 (1.2)1.3 (1.0)0.0081.6 (1.5)1.6 (1.4)0.030
 AKI stage, (%)
  I5113 (76.0)2086 (85.3)0.238771 (80.6)757 (79.2)0.066
  II1470 (21.9)337 (13.8)169 (17.7)188 (19.7)
  III141 (2.1)23 (0.9)16 (1.7)11 (1.2)
Interventions in the first 24 hours of admission to ICU, (%)
 MV use2734 (40.7)1709 (69.9)0.615657 (68.7)613 (64.1)0.098
 Vasopressor use306 (4.6)298 (12.2)0.278155 (16.2)185 (19.4)0.082
 RRT use196 (2.9)78 (3.2)0.01659 (6.2)58 (6.1)0.004

CVP = central venous pressure; SMD = standard mean difference; CVICU = cardiovascular intensive care unit; CCU = coronary care unit; MICU = medical intensive care; SICU = surgical intensive care unit; TSICU = trauma surgical intensive care unit; SOFA = sequential organ failure assessment; APS-III = acute physiology score III; MAP = mean arterial pressure; HR = heart rate; CI = cardiac index; SV = stroke volume; Lac = lactic acid; WBC = white blood cell; NLR = neutrophil-to-lymphocyte ratio; BUN = blood urea nitrogen; SCr = serum creatinine; AKI = acute kidney injury; MV = mechanical ventilation; RRT = renal replacement therapy.