From: REmoval of cytokines during CArdiac surgery (RECCAS): a randomised controlled trial
Total | Control | Treatment | p-Value; MD [CI] | |
---|---|---|---|---|
Number (n) | 38 | 19 | 19 | |
Male, n (%) | 24 (63.2) | 13 (68.4) | 11 (57.9) | 0.501 |
Age, years, mean ± SD (IQR) | 74.6 ± 5.5 (70.3–79.8) | 75.1 ± 5.4 (71.5–79.5) | 74.1 ± 5.9 (70–78) | 0.587; 1 [− 2.7;4.7] |
Height, cm, mean ± SD (IQR) | 168.7 ± 10 (161.8–176.8) | 170.1 ± 9.1 (164–178) | 167.4 ± 11.2 (158–176) | 0.422; 2.68 [− 4.02;9.39] |
Weight, kg, mean ± SD (IQR) | 84.5 ± 19.3 (74–94.3) | 84 ± 18.8 (75–91) | 85.1 ± 20.7 (68–97.5) | 0.871; − 1.05 [− 14.08;11.98] |
BMI, mean ± SD(IQR) | 29.5 ± 5.5 (21.3–50.8) | 29 ± 6.2 (21.3–50.8) | 29.9 ± 4.9 (23–40.4) | 0.595; − 0.97 [− 4.64;2.7] |
Euro-Score, %, mean ± SD (IQR) | 9 ± 2.8 (7–10.8) | 8.9 ± 2.9 (8–10) | 9.1 ± 2.9 (6.5–11.5) | 0.867; − 0.16 [− 2.06;1.74] |
ASA, n (%) | 0.547 | |||
3 | 3 (7.9) | 1 (5.3) | 2 (10.5) | |
4 | 35 (92.1) | 18 (94.7) | 17 (89.5) | |
NYHA, n (%) | 0.335 | |||
NYHA 1 | 2 (5.3) | 1 (5.3) | 1 (5.3) | |
NYHA 2 | 13 (34.2) | 4 (21.1) | 9 (47.4) | |
NYHA 3 | 17 (44.7) | 11 (57.9) | 6 (31.6) | |
NYHA 4 | 6 (15.8) | 3 (15.8) | 3 (15.8) | |
EF (ejection fraction) < 35%, n (%) | 6 (15.8) | 3 (15.8) | 3 (15.8) | 1.000 |
Type of surgery, n (%) | 0.723 | |||
Bypass | 5 (13.2) | 2 (10.5) | 3 (15.8) | |
Heart valves replacement/reconstruction | 6 (15.8) | 2 (10.5) | 4 (21.1) | |
Combination | 10 (26.3) | 6 (31.6) | 4 (21.1) | |
Other | 17 (44.7) | 9 (47.4) | 8 (42.1) | |
Duration of surgery, min, mean ± SD(IQR) | 323.8 ± 108.2 (170–722) | 331.2 ± 93 (193–722) | 316.4 ± 121 (170–522) | 0.682 14.84 [− 58.13;87.82] |
Duration of cardiopulmonary bypass, min, mean ± SD (IQR) | 162.6 ± 87.6 (70–559) | 163.4 ± 61.7 (85–559) | 161.8 ± 107.4 (70–329) | 0.957 1.58 [− 57.62;60.78] |
Comorbidities, n (%) | ||||
Diabetes mellitus (insulin-dependent) | 7 (18.4) | 2 (10.5) | 5 (26.3) | 0.219 |
Stroke | 2 (5.3) | (0) | 2 (10.5) | 0.292 |
Liver dysfunction | 4 (10.5) | 2 (10.5) | 2 (10.5) | 0.703 |
Renal insufficiency | 37 (97.4) | 19 (100) | 18 (94.7) | 0.468 |
Stage 1 (GFR > 89 ml/min) | 1 (2.6) | (0) | 1 (5.3) | 0.772 |
Stage 2 (GFR 60–89 ml/min) | 13 (34.2) | 7 (36.8) | 6 (31.6) | |
Stage 3 (GFR 30–59 ml/min) | 23 (60.5) | 12 (63.2) | 11 (57.9) | |
Coagulopathy | 9 (23.7) | 5 (26.3) | 4 (21.1) | 0.703 |
Cardiovascular diseases | ||||
Congestive heart failure | 15 (39.5) | 6 (31.6) | 9 (47.4) | 0.319 |
Cardiac arrhythmias | 19 (50) | 11 (57.9) | 8 (42.1) | 0.33 |
Previous cardiac surgery | 6 (15.8) | 3 (15.8) | 3 (15.8) | 1.000 |
SOFA Score at ICU admission, mean ± SD (IQR) | 7.8 ± 1.9 (7–9) | 7.5 ± 1.9 (7–8.5) | 8.2 ± 2 (7–10) | 0.287; − 0.68 [0.6;− 1.97] |
ARF Score, mean ± SD (IQR) | 4.1 ± 1.6 (3–5.8) | 3.7 ± 1.7 (2.5–5) | 4.4 ± 1.6 (4–6) | 0.246; − 0.63 [0.45;− 1.72] |
NuDesc Score, mean ± SD (IQR) | 0 ± 0 (0–0) | 0 ± 0 (0–0) | 0 ± 0 (0–0) | |
Cytokine levels and plasmaproteins | ||||
IL-6, pg/ml, mean ± SD (IQR) | 13.8 ± 8.2 (9.2–15.7) | 13.7 ± 6.9 (9.2–16) | 13.8 ± 9.8 (8.9–15.7) | 0.715# − 0.15 [5.42;− 5.72] |
IL-2, pg/ml, mean ± SD (IQR) | 10 ± 3 (7.6–13) | 8.6 ± 2 (7.6–8.3) | 11.4 ± 3.2 (7.9–14.2) | 0.026#; − 2.87 [− 1.11;− 4.62] |
IL-8, pg/ml, mean ± SD (IQR) | 13 ± 4.9 (9.8–15.2) | 13.5 ± 4.4 (10.6–15.5) | 12.6 ± 5.5 (9.6–14.7) | 0.457#; 0.86 [4.15;− 2.43] |
IL-10, pg/ml, mean ± SD (IQR) | 10.4 ± 7.6 (5.6–13.1) | 9.3 ± 4.6 (5.8–11.9) | 11.5 ± 10 (5.5–13.2) | 0.456#; − 2.23 [2.88;− 7.35] |
TNF-alpha, pg/ml, mean ± SD (IQR) | 7.5 ± 0.9 (6.9–8.2) | 7.6 ± 0.9 (7.2–8.2) | 7.5 ± 1 (6.6–8.2) | 0.838#; 0.13 [0.75;− 0.49] |
C3, ng/ml, mean ± SD (IQR) | 3626.8 ± 2322.6 (1757.7–5748.6) | 3503.6 ± 2355.2 (1621–5835.8) | 3750.1 ± 2410.3 (2021.9–5246.8) | 0.752; − 246.52 [1321.42;− 1814.47] |
Free haemoglobin, mg/ml, mean ± SD (IQR) | 5 ± 4.5 (1.8–6.4) | 3.8 ± 2.9 (1.9–4.6) | 6.2 ± 5.6 (1.8–9.5) | 0.280#; − 2.38 [0.56;− 5.32] |
Myoglobin, ng/ml, mean ± SD (IQR) | 45 ± 21.6 (24.9–59.8) | 50.1 ± 23.6 (24.9–65) | 40 ± 19.4 (24.9–48.5) | 0.206#; 10.06 [24.26;− 4.14] |
Haptoglobine, mg/dl, mean ± SD (IQR) | 131 ± 58.2 (87.3–170.8) | 116.8 ± 55.9 (74.5–158.5) | 145.2 ± 59.9 (103–177) | 0.139; − 28.43 [9.7;− 66.55] |
Fibrinogen, mg/dl, mean ± SD (IQR)a | 332.2 ± 77.8 (280–390) | 333.3 ± 69.7 (275–377.5) | 331.1 ± 88.7 (285–395) | 0.931; 2.28 [55.37;− 50.81] |
Syndecan-1, ng/ml, mean ± SD (IQR) | 52.7 ± 54.2 (19.1–56.8) | 63 ± 63.7 (20.4–62.4) | 42.4 ± 43.8 (17.2–53.6) | 0.313#; 0.36 [0.97;− 0.24] |
Hyaluronan, ng/ml, mean ± SD (IQR) | 132.6 ± 44.8 (107.7–142.8) | 128.4 ± 30.7 (107.7–142.7) | 136.7 ± 57.1 (108.7–147.9) | 0.988#; 20.7 [56.68;− 15.29] |