Low lactate (n = 131) | Middle lactate (n = 113) | High lactate (n = 152) | |||||||
---|---|---|---|---|---|---|---|---|---|
Restrictive (n = 67) | Liberal (n = 64) | P value | Restrictive (n = 65) | Liberal (n = 48) | P value | Restrictive (n = 71) | Liberal (n = 81) | P value | |
28-day survival, n (%) | 65 (97) | 60 (94) | 0.37 | 62 (95) | 44 (92) | 0.42 | 60 (85) | 72 (89) | 0.43 |
Length of ICU stay, median (IQR), days | 4 (3–8) | 6 (3–15) | 0.05 | 6 (3–14) | 6 (3–15) | 0.60 | 9 (3–17) | 6 (3–12) | 0.55 |
Event-free days during the first 28 days, median (IQR) | |||||||||
ICU-free days | 23 (18–24) | 21 (9–24) | 0.06 | 18 (12–24) | 19 (9–23) | 0.27 | 15 (2–21) | 17 (3–24) | 0.29 |
Ventilator-free days | 28 (26–28) | 26 (20–28) | 0.003 | 25 (20–28) | 23 (16–28) | 0.42 | 21 (5–26) | 23 (17–26) | 0.38 |
Catecholamine-free days | 28 (28–28) | 28 (28–28) | 0.74 | 28 (28–28) | 28 (26–28) | 0.77 | 28 (24–28) | 28 (26–28) | 0.2 |
Organ failure during the first 7 days, n (%) | 5 (7) | 4 (6) | 0.78 | 10 (15) | 3 (6) | 0.13 | 12 (17) | 15 (19) | 0.30 |
Renal failure | 2 (3) | 1 (2) | 0.59 | 3 (5) | 1 (2) | 0.47 | 2 (3) | 8 (10) | 0.08 |
Respiratory failure | 4 (6) | 4 (6) | 0.95 | 9 (14) | 3 (6) | 0.2 | 10 (14) | 10 (12) | 0.8 |
Liver failure | 0 | 0 | N/A | 1 (2) | 1 (2) | 0.83 | 1 (1) | 2 (2) | 0.64 |
Any complications during the first 28 days, n (%) | 11 (16) | 7 (11) | 0.36 | 12 (18) | 9 (19) | 0.97 | 13 (18) | 15 (19) | 0.97 |
Deep venous thrombosis | 9 (13) | 5 (8) | 0.30 | 9 (14) | 6 (13) | 0.84 | 6 (8) | 5 (6) | 0.59 |
Pulmonary embolism | 1 (1) | 0 | 0.33 | 0 (0) | 2 (4) | 0.1 | 4 (6) | 0 | 0.03 |
Cerebral infarction | 1 (1) | 0 | 0.33 | 2 (3) | 0 | 0.22 | 2 (3) | 2 (2) | 0.89 |
Acute myocardial infarction | 0 | 0 | N/A | 0 | 0 | N/A | 0 | 0 | N/A |
Bowel ischemia | 0 | 0 | N/A | 0 | 0 | N/A | 1 (1) | 1 (1) | 0.93 |
Transfusion-related acute lung injury | 0 | 0 | N/A | 0 | 0 | N/A | 0 | 0 | N/A |
Sepsis | 1 (1) | 2 (3) | 0.53 | 1 (2) | 2 (4) | 0.39 | 3 (4) | 8 (10) | 0.18 |