Sepsis-induced disseminated intravascular coagulation
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: The patients 18years old or more who need hospitalization to treat sepsis-induced DIC. We use the Japanese Association for Acute Medicine (JAAM) DIC diagnostic criteria. DIC is diagnosed when the JAAM DIC score is four points or more. We consider that they recover from DIC when the JAAM DIC score is three points or less.
Exclusion criteria
Exclusion criteria: We exclude the following patients who may have conditions affecting prognosis other than infection, or affecting protein C activity. 1) Patients with hematopoietic malignancy such as leukemia, or solid cancer. 2) Patients having immunodeficiency disorder, such as myelodysplastic syndrome, myeloproliferative disorder, and acquired immunodeficiency syndrome. 3) Patients having severe liver cirrhosis (Child-Pugh B or C). 4) Patients having exogenous disease such as severe injury, severe burn,or heat stroke. Severe injury is defined as conditions having 3 points or more in at least one body part of AIS90 Update98. Severe burn is defined as conditions having 3 points or more in at least one body part of AIS90 Update98. Heat stroke is defined as grade III in Yasuoka classification. 5) Patients having protein C deficiency disease. 6) Patients or legal representative refuse written informed consent. 7) Patients receiving anti-DIC therapy at the time of entry, such as heparin (unfractionated heparin, low molecular weight heparin), heparinoid, antithrombin, recombinant human thrombomodulin, serine protease inhibitor (gabexate mesilate, nafamostat mesilete).
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality on day 30 | — |
Secondary
| Measure | Time frame |
|---|---|
| Recovery from DIC on day 3 and day6 ARDS | — |
Countries
Japan
Contacts
National Hospital Organization Kumamoto Medical Center Department of Emergency and Critical Care Medicine