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Table 3 Unadjusted and adjusted effect of PEEP on ICP and CPP

From: The effect of positive end-expiratory pressure on intracranial pressure in obese and non-obese severe brain injury patients: a retrospective observational study

Variables

Unadjusted Analyses

Adjusted Analyses

PEEP beta estimate (95% CI)

P value

PEEP beta estimate (95% CI)

P value

ICP

  obese

0.2 (0.06, 0.34)

0.004

0.19 (0.05, 0.33)

0.007

  non-obese

0.02 (-0.03, 0.06)

0.423

0.02 (-0.03, 0.06)

0.445

  no LI

0.04 (-0.02, 0.1)

0.168

0.04 (-0.02, 0.1)

0.165

  mild LI

0.17 (0.01, 0.33)

0.035

0.16 (0.01, 0.32)

0.038

  moderate LI

0 (-0.24, 0.23)

0.974

-0.02 (-0.24, 0.19)

0.832

  severe LI

0.02 (-0.05, 0.09)

0.586

0.02 (-0.05, 0.09)

0.614

  TBI

-0.03 (-0.09, 0.04)

0.637

-0.03 (-0.08, 0.03)

0.529

  non-TBI

0.01 (-0.07, 0.09)

0.539

0.01 (-0.06, 0.08)

0.458

  obese + no LI

0.17 (0.02, 0.32)

0.029

0.17 (0.01, 0.33)

0.036

  obese + mild LI

0.1 (-0.14, 0.34)

0.414

0.1 (-0.14, 0.35)

0.421

  obese + moderate LI

0.29 (-0.11, 0.69)

0.162

0.23 (-0.14, 0.61)

0.216

  obese + severe LI

0.23 (-0.11, 0.57)

0.179

-0.02 (-0.64, 0.6)

0.950

  non-obese + no LI

0.03 (-0.03, 0.08)

0.354

0.03 (-0.03, 0.08)

0.335

  non-obese + mild LI

0.21 (-0.01, 0.44)

0.063

0.18 (-0.03, 0.39)

0.093

  non-obese + moderate LI

-0.17 (-0.43, 0.1)

0.213

-0.16 (-0.39, 0.07)

0.183

  non-obese + severe LI

0.01 (-0.07, 0.09)

0.758

0 (-0.07, 0.08)

0.919

  total

0.04 (-0.003, 0.09)

0.064

0.04 (-0.004, 0.09)

0.071

CPP

  obese

-0.12 (-0.44, 0.2)

0.452

-0.15 (-0.29, -0.01)

0.036

  non-obese

-0.09 (-0.21, 0.04)

0.193

-0.01 (-0.07, 0.05)

0.717

  no LI

-0.01 (-0.13, 0.1)

0.827

0 (-0.07, 0.07)

0.997

  mild LI

-0.22 (-0.57, 0.12)

0.208

-0.08 (-0.26, 0.1)

0.393

  moderate LI

-0.26 (-0.84, 0.33)

0.391

0 (-0.22, 0.21)

0.988

  severe LI

-0.18 (-0.28, -0.08)

< 0.001

-0.07 (-0.18, 0.03)

0.182

  TBI

-0.11 (-0.32, 0.09)

0.193

-0.12 (-0.36, 0.12)

0.407

  non-TBI

-0.29 (-0.72, 0.14)

0.262

-0.17 (-0.59, 0.25)

0.522

  obese + no LI

0.05 (-0.36, 0.45)

0.819

-0.11 (-0.28, 0.06)

0.199

  obese + mild LI

-0.49 (-1.03, 0.06)

0.080

-0.16 (-0.46, 0.13)

0.280

  obese + moderate LI

-0.31 (-1.07, 0.45)

0.422

-0.13 (-0.49, 0.24)

0.508

  obese + severe LI

-0.49 (-1.34, 0.36)

0.259

-0.18 (-0.76, 0.4)

0.542

  non-obese + no LI

-0.02 (-0.15, 0.1)

0.741

0.02 (-0.06, 0.09)

0.675

  non-obese + mild LI

-0.07 (-0.53, 0.39)

0.767

-0.1 (-0.33, 0.12)

0.358

  non-obese + moderate LI

-0.22 (-1.03, 0.6)

0.602

0 (-0.23, 0.23)

0.983

  non-obese + severe LI

-0.17 (-0.25, -0.08)

< 0.001

-0.06 (-0.16, 0.05)

0.274

  total

-0.09 (-0.21, 0.03)

0.140

-0.03 (-0.09, 0.02)

0.257

  1. Models are adjusted for age, GCS on admission, APACHE IV score, tidal volume, respiratory rate, plateau pressure, mean arterial blood pressure, PaCO2, receiving vasopressors, and mannitol or hypertonic saline
  2. CI confidence interval, CPP cerebral perfusion pressure, ICP intracranial pressure, LI lung injury, PEEP positive end-expiratory pressure, TBI traumatic brain injury