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01 December 2021: Clinical Research

A Retrospective Observational Study of the Association Between Plasma Levels of Interleukin 8 in 42 Patients with Sepsis-Induced Myocardial Dysfunction at a Single Center Between 2017 and 2020

XiaoYing Chen 1ABC , Xian Liu 1BE , RuiAn Dong 1BE , Dan Zhang 1AG** , Shu Qin 2AG**

DOI: 10.12659/MSM.933065

Med Sci Monit 2021; 27:e933065

Table 1 Comparison of basic information and clinical characteristics between the 2 groups.

Characteristics on admissionTotal (n=256)SIMD (n=42)NO-SIMD (n=214)P
Age, years66.00 (53.00, 74.00)67.50 (60.00, 77.25)66.00 (51.75, 74.00)0.105
Male, n (%)158 (61.72%)21 (50.00%)137 (64.02%)0.087 χ
Need for vasoactive agents, n (%)48 (18.75%)17 (40.48%)31 (14.48%)
Need for ventilation, n (%)86 (33.59%)17 (40.48%)69 (32.24%)0.302 χ
Arrhythmic complications, n (%)107 (41.80%)22 (52.38%)85 (39.72%)0.128 χ
Vital signs
 Temperature, °C37.22±0.9837.28±1.1837.20±0.940.645
 Pulse, beats/min103.64±24.74102.64±21.34103.84±25.400.775
 Respiratory rate, breaths/min25.17±7.5121.54±7.5625.17±7.520.981
 Mean arterial pressure, mm Hg96.63±22.4591.64±17.3297.37±24.950.588
 Glasgow Coma Scale14 (12,15)14 (13, 15)14 (12, 15)0.454
Arterial blood gas analysis
 pH7.37±0.107.38±0.117.38±0.100.848
 PaO/FiO, mm Hg243.46±123.53220.38±143.67253.28±117.420.873
 PaCO, mm Hg40.00 (30.00,57.00)36.50 (29.08, 50.43)40.95 (30.00, 57.13)0.577
 Lactate, mmol/L1.82 (1.10, 3.23)2.45 (1.96, 4.78)1.58 (1.05, 2.75)0.001
Blood routine
 White blood cell count, ×10/L12.55±7.7912.28±5.9812.60±8.100.807
 Neutrophil, %87.10 (82.20, 91.57)86.00 (82.75, 91.55)87.20 (81.80, 91.60)0.995
 Red blood cell count, ×10/L3.69±1.113.85±1.043.66±1.120.317
 Hemoglobin, g/L107.14±32.73109.88±27.19106.60±33.740.554
 Hematocrit,%33.66±10.0434.25±10.0433.55±10.060.677
Biochemical indices
 Total bilirubin, μmol/L23.20 (15.58, 38.20)26.25 (15.75, 55.73)23.20 (15.45, 35.50)0.070
 Direct bilirubin, μmol/L12.30 (6.73, 21.43)16.40 (7.48, 29.30)11.95 (6.53, 18.30)0.127
 AST, U/L44.00 (25.00, 77.75)43.00 (28.00, 120.00)44.00 (24.00, 76.00)0.291
 ALT, U/L64.00 (30.00. 131.25)65.50 (41.75, 140.25)63.00 (27.50, 126.00)0.300
 BUN, mmol/L9.80 (6.23, 15.30)15.00 (11.10, 19.18)9.20 (5.98, 14.45)
 Creatinine, μmol/L97.00 (65.00, 151.00)134.50 (87.50, 236.75)91.00 (60.00, 135.00)
 Serum sodium, mmol/L142.26±8.62143.95±8.06141.93±8.710.164
 Serum potassium, mmol/L4.2 (3.8, 4.9)4.25 (3.875,4.925)4.20 (3.80, 4.90)0.354
 Procalcitonin, mmol/L1.34 (0.18, 8.71)4.40 (2.50, 23.67)0.84 (0.15, 5.66)0.001
Cardiac biomarkers
 cTnT, ug/L0.0420 (0.0193, 0.1040)0.0945 (0.0405, 0.2133)0.0360 (0.0155, 0.0795)
 NT-proBNP, ng/L1828 (470, 5472)7782.00 (2601.50, 28415.50)1553.50 (422.00, 4228.00)
APACHE II score17.03±7.1718.06±6.7416.31±9.160.251
SOFA score8.0 (6.0, 12.0)8.0 (6.0, 12.0)8.0 (7.0, 12.0)0.647
Length of stay, days10 (7, 22)10 (4, 17.50)10 (7, 22)0.331
Mortality,%38 (14.84%)10 (23.81%)28 (13.08%)0.074 χ
SIMD – sepsis-induced myocardial dysfunction; NO-SIMD – without sepsis-induced myocardial dysfunction; APACHE II – Acute Physiology and Chronic Health Evaluation II; SOFA Score – Sepsis-related Organ Failure Assessment; AST – glutamic-oxaloacetic transaminase; ALT – glutamic-pyruvic transaminase; BUN – blood urea nitrogen; NT-proBNP – N terminal pro B type natriuretic peptide; cTnT – cardiac troponin T; χ – chi-squared analysis was used for the comparison between SIMD and NO-SIMD groups; – test was used for comparison between SIMD group and NO-SIMD group; – Mann-Whitney U test was used for comparison between SIMD group and NO-SIMD group.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750