Before Matching (n = 95) | After Matching (n = 62) | ||||||||
---|---|---|---|---|---|---|---|---|---|
Overall (n = 95) | Remifentanil Group (n = 32) | Non remifentanil Group (n = 63) | P-value | SMD | Remifentanil Group (n = 31) | Non remifentanil Group (n = 31) | P-value | SMD | |
Age (years), median [IQR] | 71.5 [59.5–77.3] | 70.5 [57–77] | 72 [61.3–79.5] | 0.085 | - -0.13 | 71 [76–77] | 73 [61–81] | 0.451 | 0.10 |
Male, n (%) | 52 (54.7) | 17 (53.1) | 33 (52.4) | 0.831 | -0.04 | 17 (53.1) | 15 (48.4) | 0.800 | 0.09 |
BMI, median [IQR] | 23.1 [20.4–27.1] | 22.5 [20.6–26.7] | 23.2 [19.9–27.2] | 0.093 | -0.02 | 22.7 [20.5–27.1] | 22.3 [19.6–25.3] | 0.464 | -0.09 |
Reasons for ICU admission | |||||||||
Respiratory failure, n (%) | 34 (35.8) | 15 (46.9) | 19 (14.3) | 0.119 | 0.35 | 14 (45.1) | 13 (41.9) | 1.000 | 0.07 |
Sepsis, n (%) | 22 (23.2) | 8 (25.0) | 14 (22.2) | 0.800 | 0.07 | 7 (22.6) | 7 (22.6) | 1.000 | 0.07 |
Circulatory failure, n (%) | 12 (12.6) | 4 (12.5) | 8 (12.7) | 0.800 | -0.01 | 4 (12.9) | 4 (12.9) | 1.000 | 0.05 |
Cerebrovascular disease, n (%) | 15 (15.8) | 3 (9.3) | 12 (19.0) | 0.150 | -0.37 | 3 (9.3) | 5 (16.1) | 0.707 | -0.27 |
Acute pancreatitis, n (%) | 5 (5.3) | 4 (12.5) | 1 (1.6) | 0.043 | 0.49 | 4 (12.5) | 1 (3.2) | 0.354 | 0.5 |
Acute kidney injury, n (%) | 3 (3.2) | 2 (6.3) | 1 (1.6) | 0.262 | 0.27 | 2 (6.4) | 1 (3.2) | 1.000 | 0.15 |
Endocrine disease, n (%) | 2 (2.1) | 1 (3.1) | 1(1.6) | 1.000 | 0.11 | 1 (3.2) | 0(0.0) | 0.492 | 0.25 |
Metabolic disorder, n (%) | 2 (2.1) | 1 (3.1) | 1 (1.6) | 1.000 | 0.11 | 1 (3.2) | 0 (0.0) | 0.492 | 0.01 |
Past medical history | |||||||||
Alcohol dependence, n (%) | 1 (0.01) | 0 (0) | 1 (0.02) | 1.000 | - | 0 (0) | 0 (0) | 1.000 | - |
Cognitive dysfunction, n (%) | 7 (7.4) | 0 (0) | 7 (11.1) | 0.09 | - | 0 (0) | 0 (0) | 1.000 | - |
APACHE II at ICU admission, median [IQR] | 17 [13–22] | 17 [13–24] | 17 [13–22] | 0.309 | 0.27 | 18 [14–25] | 17 [5–10] | 0.938 | 0.07 |
SOFA at ICU admission, median [IQR] | 7 [5–9] | 7 [5–10] | 7 [4–9] | 0.944 | 0.16 | 7 [5–10] | 7 [4–12] | 0.972 | 0.06 |
ICU length of stay (days), median [IQR] | 6 [4–10] | 8.5 [6–11.8] | 6.5 [3–12] | 0.041 | 0.58 | 8.5 [6–12] | 7 [4–12] | 0.203 | 0.15 |
ICU mortality, n (%) | 8 (8.4) | 3 (9.4) | 5 (7.9) | 0.831 | 0.05 | 3 (9.7) | 2 (6.5) | 1.000 | 0.1 |
28-day mortality, n (%) | 19 (20.0) | 5 (15.6) | 14 (22.2) | 0.590 | -0.16 | 5 (15.6) | 7 (22.6) | 0.749 | -0.1 |
Prone position, n (%) | 7 (7.4) | 5 (15.6) | 2 (3.2) | 0.041 | 0.48 | 5 (16.1) | 1 (3.2) | 0.195 | 0.31 |
Tracheotomy, n (%) | 22 (23.2) | 6 (18.8) | 5 (20.0) | 0.609 | 0.34 | 6 (19.4) | 7 (22.6) | 1.000 | 0.12 |
CRRT, n (%) | 27 (28.4) | 12 (37.5) | 15 (23.8) | 0.228 | 0.30 | 11 (35.5) | 8 (25.8) | 0.416 | 0.10 |
Drug use and dose | |||||||||
Remifentanil | |||||||||
Use of remifentanil, n (%) | 32 (33.7) | - | - | - | - | 31 (100) | - | - | - |
Infusion total dose (ug) | 965 [491–2652] | - | - | - | - | 981[474–2700] | - | - | - |
Dosing duration (h) | 73 [47–149] | - | - | - | - | 78 [49–158] | - | - | - |
Infusion rate-mean (ug/kg/min) | 0.029 [0.02–0.06] | - | - | - | - | 0.029 [0.02–0.06] | - | - | - |
Fentanyl | |||||||||
Use of fentanyl, n (%) | 88 (92.6) | 20 (62.5) | 63 (100.0) | < .001 | - | 20 (64.5) | 31 (100) | < .001 | - |
Infusion total dose (ug) | 829 [533–2235] | 766 [101.7–947.9] | 1523 [520–2780] | < .001 | - | 765 [101.9–992.1] | 1678 [926–3620] | < .001 | - |
Dosing duration (h) | 90 [41–163] | 90 [42–209] | 92 [45–178] | 0.698 | - | 90 [42–207] | 100 [48–192] | 0.188 | |
Infusion rate-mean (ug/kg/h) | 0.16[0.14–0.20] | 0.15 [0.14–0.19] | 0.17 [0.14–0.20] | 0.265 | - | 0.15 [0.14–0.19) | 0.17 [0.15–0.19] | 0.597 | |
Use of noradrenaline, n (%) | 56 (58.9) | 21 (65.6) | 34 (54.0) | 0.379 | - | 21 (67.7) | 20 (64.5) | 0.786 | - |
Use of dexmedetomidine, n (%) | 75 (78.9) | 30 (93.8) | 45 (71.4) | 0.031 | 0.55 | 29 (93.5) | 28 (90.3) | 1.000 | 0.10 |
Use of midazolam, n (%) | 35 (36.8) | 14 (48.3) | 21 (33.3) | 0.371 | 0.15 | 13 (41.9) | 12 (38.7) | 1.000 | 0.07 |
Use of propofol, n (%) | 68 (72.3) | 23 (74.2) | 45 (71.4) | 1.000 | 0.01 | 22 (73.3) | 24 (77.4) | 0.772 | -0.09 |
Sedation and analgesic status | |||||||||
Number of days for RASS-4 and -5 | 0 [0–3] | 0 [0–6] | 2 [0–7.5] | < .001 | - | 0 [0–7] | 0 [0–8] | 0.121 | - |
Dairy mean RASS Score | -1 [0—-2] | -1 [0- -2] | -2 [0—-2] | 0.42 | - | -1 [0- -2] | -2 [0—-2] | 0.489 | - |
Number of days for RASS 0 to 4 | 0 [0–0] | 0 [0–0] | 2 [0–2] | 0.187 | - | 0 [0–0] | 0 [0–0] | 0.687 | - |
Maximum CPOT, median [IQR] | 1 [0–2] | 0 [0–1] | 1 [0–2] | 0.848 | - | 0 [0–2] | 0 [0–2] | 0.832 | - |
Inflammation response data | |||||||||
IL-6 at ICU admission (pg/ml) | 226 [80.6–1252.5] | 258 [105–1723] | 175 [58.6–1195] | 0.335 | - | 256 [104–1990] | 291 [30.5–753.8] | 0.404 | - |
CRP at ICU admission (mg/dL) | 8.8 [2–17.5] | 12.1 [7.7–22.2] | 7.0 [1.7–15.3] | 0.01 | - | 12.1 [7.7–22.2] | 6.8 [2.0–17.6] | 0.061 | - |
CRP at ICU days 3 (mg/dL) | 11.7 [4.9–17] | 12.1 [6.5–18.9] | 11.2 [4.1–16.8] | 0.292 | - | 11.7 [6.0–17.0] | 12.6 [3.2–16.1] | 0.508 | - |
CRP at ICU discharge (mg/dL) | 7.1 [2.5–11.6] | 4.6 [1.8–11.5] | 7.2 [3.7–12] | 0.122 | - | 4.5 [1.8–11.1] | 8.8 [4.8–15.9] | 0.039 | - |