Severe septic shock
Conditions
Interventions
None listed
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1) Patients 18 years of age or older admitted to the intensive care unit after July 2019 2) Septic shock patients: need a vasopressor to maintain blood pressure >=65 mmHg after infusion, and sustained high lactate >2 mmol/L 3) Noradrenaline (dose >=0.2 gamma) administered within 24 hours after diagnosis of sepsis
Exclusion criteria
Exclusion criteria: 1) Cases of ICU discharge and death within 48 hours of enrollment 2) Patients with a limited long-term prognosis due to coexisting malignancy 3) Cases in which new organ damage had already preceded the onset of sepsis 4) Acute myocardial infarction, heart disease (New York Heart Association[NYHA]4) 5) Severe chronic liver disease (Child-Pugh C) 6) Attending physician's decision 7) Opt-out applicant by patient or proxy consenter
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 28-day mortality | — |
Secondary
| Measure | Time frame |
|---|---|
| ICU mortality 90-day mortality Duration of mechanical ventilation Length of stay in the ICU 90-day reintegration 90-day degree of care(Barthel Index) 90-day short-term memory score(Short Memory Questionnaire) PTSD associated with ICU treatment(Impact of Event Scale-reviced) etc. | — |
Countries
Japan
Contacts
Tohoku University Graduate School of Medicine Division of Emergency and Critical Care Medicine