Septic Shock
Conditions
Keywords
Septic Shock
Brief summary
Objective: To determine whether the early administration of albumin as an expander and antioxidant would improve survival on the 28th day for septic shock patients. Design: Prospective, multicenter, randomized, controlled versus saline, stratified on nosocomial infection and center. Setting: 27 Intensive Care Units (ICU) in France Coordinator: Pr J.P. Mira and Dr J. Charpentier - Cochin Hospital- Paris Patients: 800 patients could be included during the first 6 hours of their septic shock.
Detailed description
The primary outcome: Mortality during the 28 day period after randomization. The secondary outcomes: Evaluation of SOFA score, ventilator-free days, dialysis free days, catecholamine free days, days of hospitalisation, incidence of nosocomial infections. The albuminemia of all patients is requested before the treatment until Day 4 post treatment. The treatment is: Vialebex 20% 100ml every 8 hours during 3 days versus saline 100ml every 8 hours during 3 days. The first patient will be in July 2006, the last patient expected is on July 2009.
Interventions
albumin 20% 100 ml/8 hours for 3 days
saline 100 ml/8hours for 3 days
Sponsors
Study design
Eligibility
Inclusion criteria
* Over 18 years old * Septic shock \< 6 hours * Agreement of patients
Exclusion criteria
* Allergy to albumin * Weight \> 120 kg * Non septic shock * Burned * Cirrhosis * Albumin perfusion 48 hours before randomization * Pregnant women * Cardiac dysfunction New York Heart Association (NYHA) 3 or 4 * Patients with therapeutic limitation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality, any cause, during the 28 day period after randomization | day 28 |
Secondary
| Measure | Time frame |
|---|---|
| catecholamine free days | day 28 |
| incidence of nosocomial infection | ICU period |
| Evaluation of sequential organ failure assessment (SOFA) score | ICU period |
| length of ICU hospitalisation | ICU discharge |
| length of total hospitalisation | hospital discharge |
| mortality at 90 days | day 90 |
Countries
France