Health Condition 1: R652- Severe sepsis
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children aged 2 months to 18 years with early septic shock, defined as children with suspect or confirmed sepsis and unresolved shock/hypoperfusion after the initial 20ml/kg fluid bolus.
Exclusion criteria
Exclusion criteria: 1. Children with fulminant myocarditis 2. Children with unrepaired congenital heart disease 3. Post-arrest cardiac dysfunction and shock 4. Children with severe acute malnutrition 5. Children with chronic kidney disease 6. Moribund patients with anticipated survival 7. Not willing to participate in the study
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in the fluid volume requirement in the first 6 hours (0-6 hours) between the two groupsTimepoint: Difference in the fluid volume requirement in the first 6 hours (0-6 hours) between the two groups | — |
Secondary
| Measure | Time frame |
|---|---|
| MortalityTimepoint: 28 days;o Length of PICU stay and hospital stayTimepoint: length of stay;o Organ dysfunction scores (pSOFA and PELOD-2) at 24, 48 and 72 hoursTimepoint: 24, 48 and 72 hours;o Proportion of children achieving shock resolution at 6, 12, 24, 48 and 72 hours of resuscitation.Timepoint: 6, 12, 24, 48 and 72 hours | — |
Countries
India
Contacts
St Johns Medical College and Hospital