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Table 1 Comparison between patients with and without ARDS

From: High-frequency power of heart rate variability can predict the outcome of thoracic surgical patients with acute respiratory distress syndrome on admission to the intensive care unit: a prospective, single-centric, case-controlled study

 

Non-ARDS

ARDS

p value

(n = 11)

(n = 21)

 

Clinical data

 Age (year)

62 (57–67)

63 (50–71)

0.889

 Body height (cm)

154 (151–171)

167 (163–170)

0.176

 Body weight (kg)

65 (57–76)

63 (58–72)

0.953

 APACHE II

9 (6–12)

16 (11–19)

0.002

Pre-operation

 Lung cancer/Esophageal cancer

6/5

9/5

0.697

 Hypertension (Yes/No)

3/8

4/17

0.667

 ASA

1 (1–2)

2 (2–3)

0.005

 VATS/open surgery

11/0

12/3

0.667

 Blood transfusion (Yes/No)

5/6

5/10

0.457

 Airway management

9/2

10/5

0.540

(double-lumen tube/bronchus blocker)

 Anesthesia (volatile/intravenous)

11/0

15/0

1.000

 Surgery time (minute)

255 (245–450)

250 (165–375)

0.474

 Intraoperative I/O (ml)

2000 (1500–2400)

1300 (650–1800)

0.015

 ICU stay days (day)

4 (2–4)

25 (13–42)

< 0.001

 RASS

0 (0–0)

-1 (− 1–0)

0.001

 Ventilator free hours

0 (0–0)

48 (24–68)

NA

Medications

 Midazolam (Yes/No)

4/7

20/1

< 0.001

 Fentanyl (Yes/No)

11/0

21/0

1.000

 Norepinephrine (Yes/No)

0/11

8/13

0.021

 Dopamine (Yes/No)

0/11

3/17

0.531

Ventilator settings

 FIO2

0.40 (0.40–0.40)

0.70 (0.60–0.93)

< 0.001

 PEEP (cmH2O)

5.0 (5.0–7.6)

10.0 (9.7–12.0)

< 0.001

 RR (bpm)

12 (12–13)

17 (16–27)

< 0.001

 Pinsp (cmH2O)

20 (20–20)

20 (17–22)

1.000

 Tinsp (sec)

0.9 (0.9–1.0)

0.9 (0.8–1.0)

0.546

 VT (ml)

490 (470–617)

420 (380–540)

0.004

 MV (l/min)

6.0 (5.6–8.3)

9.0 (6.6–10.6)

0.142

 Cdyn (ml/cmH2O)

25.0 (23.5–32.0)

21.1 (18.0–26.7)

0.010

Arterial gas analysis

 pH

7.42 (7.37–7.46)

7.44 (7.39–7.47)

0.524

 PaO2 (mmHg)

171 (133–230)

79 (67–97)

< 0.001

 PaCO2 (mmHg)

32 (27–39)

39 (32–42)

0.043

 HCO3− (mmol/l)

20 (19–22)

26 (21–28)

0.017

 PaO2/FIO2 (mmHg)

477 (343–559)

106 (86–171)

< 0.001

 AaDO2 (mmHg)

47 (34–104)

368 (266–531)

< 0.001

Time domain HRV measures

 mRRI (ms)

684 (589–874)

604 (524–649)

0.017

 SDRR (ms)

32 (28–43)

29 (25–36)

0.132

 CVRR (%)

4.7 (4.5–4.9)

4.5 (4.5–5.0)

0.284

 RMSSD (ms)

31 (28–41)

29 (25–37)

0.204

Frequency domain HRV measures

 TP (ms2)

267 (206–614)

212 (134–316)

0.068

 VLFP (ms2)

29 (22–92)

21 (11–47)

0.068

 LFP (ms2)

73 (48–168)

54 (39–78)

0.052

 HFP (ms2)

171 (131–387)

122 (83–176)

0.043

 HFP/VT (ms2/ml)

0.35 (0.22–0.81)

0.31 (0.21–0.44)

0.383

 nVLFP (nu)

11.0 (8.6–14.2)

9.3 (7.9–14.1)

0.341

 nLFP (nu)

27.4 (24.5–27.8)

27.9 (26.9–28.5)

0.361

 nHFP (nu)

62.0 (60.0–64.0)

62.9 (59.4–63.6)

0.890

 nHFP/VT (nu/ml)

0.11 (0.10–0.13)

0.15 (0.12–0.18)

0.011

 LHR

0.45 (0.43–0.47)

0.45 (0.44–0.48)

0.937

 LHR*VT (1/ml)

228 (209–282)

186 (149–238)

0.010

  1. Data are presented as medians (25% - 75% interquartile range). APACHE II: Acute Physiology and Chronic Health Evaluation II; ASA: American Society of Anesthesiologists; VATS: Video-Assisted Thoracic Surgery; I/O: intake/output; RASS: Richmond Agitation-Sedation Scale; FIO2: fraction of inspired oxygen; PEEP: positive end-expiratory pressure; RR: respiratory rate; Pinsp: inspiratory pressure; Tinsp: inspiration time; VT: tidal volume; MV: minute ventilation; Cdyn: dynamic compliance; PaO2: partial pressure of arterial oxygen; PaCO2: partial pressure of arterial carbon dioxide; HCO3: bicarbonate; AaDO2: alveolo-arterial oxygen difference; ALI score: acute lung injury score; RASS: Richmond Agitation-Sedation Scale; mRRI: mean RR interval; SDRR: standard deviation of RR intervals; CVRR: coefficient of variation of RR intervals; RMSSD: root mean squared successive difference; TP: total power; VLFP: very low-frequency power; LFP: low-frequency power; HFP: high-frequency power; nVLFP: normalized VLFP; nLFP: normalized LFP; nHFP: normalized HFP; body weight; LHR: 4 low-/high- frequency power ratio; ml: milliliter; bpm: beats per minute; ms: milliseconds; nu: normalized unit; NA: not assessed. The "*" in "LHR*VT" denotes multiplication