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Table 2 Clinical characteristics and outcome in patients with septic shock in the DCS and non-DCS groups

From: Study of damage control strategy for non-traumatic diseases: a single-center observational study

Characteristic

DCS (n = 26)

Non-DCS (n = 31)

P value

Age (years)

76 (47–88)

79 (57–96)

0.272

Male, n (%)

14 (53.8)

18 (58.1)

0.749

Disease

   

 Upper gastrointestinal perforation, n (%)

1 (3.8)

7 (22.6)

0.043

 Lower digestive tract perforation, n (%)

12 (46.2)

17 (54.8)

0.514

 Acute intestinal necrosis, n (%)

9 (34.6)

3 (9.7)

0.021

 Strangulation ileus, n (%)

3 (11.5)

1 (3.2)

0.221

 Others, n (%)

1 (3.8)

3 (9.7)

0.391

Dialysis history, n (%)

2 (7.7)

2 (6.5)

0.855

Diabetes history, n (%)

4 (15.4)

4 (12.9)

0.788

Taking steroid, n (%)

3 (11.5)

1 (3.2)

0.221

Preoperative SOFA score

7.5 (2–16)

4 (2–14)

0.008

 Respiration

2 (0–4)

1 (0–4)

0.039

 Coagulation

1 (0–3)

0 (0–2)

0.012

 Liver

0 (0–2)

0 (0–2)

0.752

 Cardiovascular

2 (0–4)

0 (0–4)

0.025

 Central nervous system

1 (0–4)

0 (0–4)

0.027

 Renal

1 (0–4)

1 (0–4)

0.733

Preoperative acute DIC scorea

3 (1–8)

2 (0–6)

0.482

Serum lactic acid level just before the end of surgery (mmol/L)

5.5 (2.3–15.6)

4.1 (2.2–7.8)

0.132

Operation time (min)

58.5 (23–158)

153 (66–289)

 < 0.001

Bleeding (mL)

128 (0–2130)

516 (0–3892)

 < 0.001

Fluid and blood transfusion volume during surgery (mL)

3473 (667–7844)

1928 (851–4582)

 < 0.001

Use norepinephrine ≥ 0.2 μg/kg/min during surgery, n (%)

20 (76.9)

14 (45.2)

0.015

MAP at the start of surgery (mmHg)

68 (33–107)

77 (41–136)

0.143

MAP at the end of source control (mmHg)

65 (51–101)

63 (42–88)

0.804

OAM complications

   

 No fascia closure, n (%)

0 (0)

  

 Hemorrhagic complications, n (%)

0 (0)

  

 Intestinal fistula, n (%)

0 (0)

  

 Days until closure

2 (1–9)

  

28-day mortality, n (%)

3 (11.5)

2 (6.5)

0.499

Discharge mortality, n (%)

6 (23.1)

5 (16.1)

0.508

  1. Categorical variables are expressed as median (interquartile range)
  2. DCS damage control surgery, SOFA Sepsis-related Organ Failure Assessment, DIC disseminated intravascular coagulation; MAP mean artery pressure, OAM open abdominal management
  3. aDiagnostic criteria for DIC established by the Japanese Association for Acute Medicine