In:
PLOS ONE, Public Library of Science (PLoS), Vol. 18, No. 2 ( 2023-2-8), p. e0281549-
Abstract:
It is unclear whether the magnitude and duration of elevated central venous pressure (ECVP) greater than ten mmHg has the same impact on mortality in sepsis patients. Methods Critically ill patients with sepsis were identified from the Medical Information Mart for Intensive Care (MIMIC)-IV database. The duration and the magnitude of ECVP were calculated. Normalized ECVP load was defined as the ECVP load (the sum of ECVP value times its duration) divided by the total duration of ECVP. The primary endpoint was 28-day mortality. Kaplan-Meier survival analysis was used to compare survival between patients with high or low normalized ECVP load. Results A total of 1071 sepsis patients were included. Higher normalized ECVP load was associated with higher mortality rate; in contrast, the duration of ECVP was not associated with mortality. A linear relationship between normalized ECVP load and mortality was identified. Patients with higher normalized ECVP load had less urine output and more positive fluid balance. Conclusion The magnitude, but not the duration of ECVP, is associated with mortality in sepsis patients. ECVP should be considered as a valuable and easily accessible safety parameter during fluid resuscitation.
Type of Medium:
Online Resource
ISSN:
1932-6203
DOI:
10.1371/journal.pone.0281549
DOI:
10.1371/journal.pone.0281549.g001
DOI:
10.1371/journal.pone.0281549.g002
DOI:
10.1371/journal.pone.0281549.g003
DOI:
10.1371/journal.pone.0281549.g004
DOI:
10.1371/journal.pone.0281549.g005
DOI:
10.1371/journal.pone.0281549.g006
DOI:
10.1371/journal.pone.0281549.t001
DOI:
10.1371/journal.pone.0281549.t002
DOI:
10.1371/journal.pone.0281549.t003
DOI:
10.1371/journal.pone.0281549.s001
DOI:
10.1371/journal.pone.0281549.s002
DOI:
10.1371/journal.pone.0281549.s003
DOI:
10.1371/journal.pone.0281549.s004
Language:
English
Publisher:
Public Library of Science (PLoS)
Publication Date:
2023
detail.hit.zdb_id:
2267670-3
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