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 |