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Table 1 Demographic and clinical characteristics of the cohort

From: Effects of preoperative high-oral protein loading on short- and long-term renal outcomes following cardiac surgery: a cohort study

 

Control group

(n = 214)

Protein-loading group

(n = 110)

p-value

Demographics

   

 Age, years

63 (54 – 71)

62 (54 – 71)

0.693

 Male sex, n (%)

151 (71%)

78 (71%)

0.948

 Race/ethnicity, n (%)

  

0.856

  White

210 (98.1%)

108 (98.2%)

 

  Black

4 (1.9%)

3 (1.8%)

 

  Weight, kg

76 (65 – 85)

77 (68 – 84)

0.431

Body mass index, kg/m2

24.6 (22.2 – 28.3)

25.5 (23.5 – 28.2)

0.134

Comorbidities, n (%)

   

 Hypertension

142 (66.4%)

72 (65.5%)

0.871

 Atrial fibrillation

29 (13.6%)

24 (21.8%)

0.057

 Peripheral vasculopathy

19 (8.5%)

8 (7.3%)

0.620

 Type 2 diabetes mellitus

15 (7.0%)

7 (6.4%)

0.827

 Smoking status (former smoker or current smoker)

76 (35.5%)

40 (36.4%)

0.745

 Dyslipidemia

65 (30.4%)

25 (22.7%)

0.146

Medication, n (%)

   

 Antiplatelet

38 (17.8%)

18 (16.4%)

0.753

 Beta-blocker

108 (50.5%)

41 (37.3%)

0.024

 ACEi or ARB

99 (46.3%)

50 (45.5%)

0.890

 Statin

50 (23.4%)

39 (35.5%)

0.021

 Diuretica

57 (26.6%)

27 (24.5%)

0.684

Baseline clinical data

   

 Leucocytes, × 109/L

6.40 (5.30 – 7.40)

6.35 (5.43 – 7.62)

0.727

 Hemoglobin, g/dL

14.2 (13.2 – 15.2)

14.0 (13.1 – 14.8)

0.198

 Platelets, × 109/L

204 (176 – 241)

212 (184 – 246)

0.186

 Albumin, g/dL

4.0 (3.8 – 4.1)

3.9 (3.8 – 4.1)

0.445

 eGFR, mL/min/1.73 m2 b

90 (80 − 98)

91 (82 − 100)

0.886

 Urea, mg/dLc

35.0 (30.0 – 41.3)

36.0 (29.0 – 43.0)

0.392

 Troponin I, μg/L

0.01 (0.01 – 0.01)

0.01 (0.01 – 0.01)

0.328

 NYHA classification, n (%)

  

0.697

  1

75 (35.4%)

43 (39.1%)

 

  2

133 (62.1%)

65 (59.1%)

 

  3

6 (2.8%)

2 (1.8%)

 

 Left ventricular ejection fraction, %

62.9 (58.0 – 68.0)

61.0 (58.0 – 66.0)

0.449

 Systolic pulmonary arterial pressure, mm Hg

30.0 (28.0 − 37.0)

30.0 (22.3 − 38.0)

0.334

 EuroSCORE II for operative risk, %d

1.17 (0.85 − 1.99)

1.03 (0.69 − 1.83)

0.294

 STS risk score, %e

   

  Risk of mortality

0.64 (0.34 – 1.13)

0.60 (0.41 – 1.36)

0.423

  Risk of morbidity or mortality

8.55 (6.50 − 10.87)

8.47 (6.66 − 12.25)

0.389

  Risk of renal failure

1.34 (0.90 − 2.22)

1.29 (0.90 − 2.07)

0.847

 Thakar scoref

  

0.326

  0.4

165 (77.1%)

90 (81.8%)

 

  1.8

49 (22.9%)

20 (18.2%)

 

Operative data

   

 Aortic cross-clamp, min

79.5 (59.0 − 97.0)

79.5 (60.0 − 104.5)

0.445

 Cardiopulmonary bypass time, min

112.5 (90.0 − 138.0)

115.0 (98.0 − 149.8)

0.182

 Procedure, n (%)

   

  Coronary artery bypass graft only

8 (3.8%)

4 (3.6%)

0.507

   Valve only

107 (50.5%)

58 (52.7%)

0.457

   Combined or other

97 (45.8%)

48 (43.6%)

0.142

  Minimally invasive

141 (66%)

72 (65%)

0.468

  Intraoperative diuresis, mL

1000 (550 − 1377)

800 (552 − 1200)

0.252

  Surgery fluid balance, mL

3650 (2880 − 4327)

3815 (2892 − 4537)

0.378

  Lowest mean arterial pressure, mmHg

66.7 (63.3 − 66.7)

66.7 (63.3 − 73.3)

0.007

  Lowest hemoglobin, g/dL

10.5 (8.9 − 10.9)

9.6 (8.7 − 10.8)

0.329

  Red blood cell transfusion, n (%)

6 (2.8%)

11 (10.0%)a

0.012

ICU data

   

 Mechanical ventilation, days

1.0 (1.0 − 1.0)

1.0 (1.0 − 1.0)

0.445

 Intra-aortic balloon pump, n (%)

5 (2.3%)

3 (2.7%)

0.830

 Extra-corporeal membrane oxygenation, n (%)

2 (0.9%)

1 (0.9%)

0.982

 Myocardial infarction, n (%)

0 (0%)

1 (0.9%)

0.501

 Stroke, n (%)

1 (0.5%)

3 (2.7%)

0.081

 Re-intervention, n (%)

6 (2.8%)

2 (1.8%)

0.588

 Day 1 fluid balance, mL

 − 718 (− 1274 to − 117)

 − 150 (− 640 to 301)

0.305

 Day 2 fluid balance, mL

 − 150 (− 640 to 301)

 − 270 (− 1020 to 115)

0.022

 Weight difference, kgg

 − 1.50 (− 3.00 to − 0.10)

- 2.05 (− 3.40 to − 0.02)

0.170

 ACEi or ARB use, n (%)

53 (24.8%)

22 (20.0%)

0.335

 Aminoglycoside use, n (%)

2 (0.9%)

0 (0%)

0.309

 Vancomycin use, n (%)

3 (1.4%)

0 (0%)

0.212

 NSAID drug use, n (%)

4 (1.9%)

0 (0%)

0.149

 Mean arterial pressure < 65 mmHg

within the first 24 h, n (%)

83 (38.8%)

35 (31.8%)

0.217

 Inotropes, n (%)

67 (31.3%)

41 (37.3%)

0.281

 ICU stay, h

57 (41 − 87)

51 (41 − 71)

0.569

 Hospital stay, days

6 (6 − 8)

5 (4 − 6)

 < 0.001

3-month follow-up data

   

 ACEi or ARB

125 (58.4%)

65 (59.6%)

0.435

 Readmission, n (%)

4 (1.9%)

5 (4.5%)

0.165

 3-month mortality, n (%)

0 (0%)

1 (0.9%)

0.162

1-year follow-up data

   

 ACEi or ARB

112 (52.8%)

59 (54.1%)

0.392

 1-year mortality, n (%)

2 (0.9%)

1 (0.9%)

0.982

  1. Covariates used in the propensity score analysis (age, gender, race, cardiac disease, baseline eGFR) did not show significant differences between the protein loading and control groups
  2. ACEi angiotensin-converting enzyme inhibitor, ARB angiotensin II receptor blocker, ICU intensive care unit, IQR interquartile range, NSAID non-steroidal anti-inflammatory drug; NYHA New York Heart Association, STS Society of Thoracic Surgeons
  3. Summaries of quantitative variables are presented as median and interquartile range (in parentheses). For categorical variables, the absolute and relative frequencies (as %, in parentheses) for the categories are presented
  4. aDiuretics include loop diuretics and thiazides
  5. bThe eGFR was calculated using the Chronic Kidney Disease Epidemiology Collaboration equation [15]
  6. cTo convert the value for urea to blood urea nitrogen, it was multiplied by 0.467
  7. dThe European System for Cardiac Operative Risk Evaluation (EuroSCORE) score is calculated using a logistic-regression equation and ranges from 0 to 100%, with higher scores indicating greater risk
  8. eThe STS risk score is calculated using a logistic-regression equation; it estimates the risk of morbidity and mortality and the risk of renal failure, and ranges from 0 to 100% (higher scores indicate greater risk)
  9. fThe Thakar score is calculated using a logistic-regression equation; it estimates the risk of dialysis for patients undergoing cardiac surgery, and ranges from 0% to 21.5% (higher scores indicate greater risk)
  10. gICU discharge − hospital admission