Diastolic Dysfunction, Septic Shock
Conditions
Brief summary
Objectives: To study the prognostic value of the evolution of diastolic function according to fluid balance in patients admitted to the ICU with a diagnosis of septic shock, in terms of mortality (ICU and hospital) and mortality at 90 days. 2.4. Secondary objectives: A) Incidence and reversibility of myocardial dysfunction (left ventricular systolic and diastolic) in septic shock. B) Incidence and reversibility of diastolic dysfunction according to the echocardiographic criterion used. C) Incidence and reversibility of right ventricular systolic dysfunction.
Interventions
Usual echocardiographic studies in patients suffering septic shock
Sponsors
Study design
Eligibility
Inclusion criteria
* Patients admitted to the ICU with diagnosis of septic shock, and stay longer than 48h
Exclusion criteria
* No echocardiographic window * Fatal prognosis with do not resuscitate orders at admission * Previous history of Ischemic cardiomyopathy * Valvular prosthesis * Advanced degree of valvular disorder * Advanced degree of pericardial effusion
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Mortality at 90 days | 90 days | Dead at 90 days |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| ICU mortality | 90 days | Dead in ICU |
| In hospital mortality | 90 days | Dead in hospital |
| Incidence of myocardial disfunction | During the first 24 hours of ICU admission | According to the criteria specified at groups section |
| Change in incidence of diastolic dysfunction | From first 24 hours of ICU admission until 48h, 72h and 7 days from admission | Change in incidence of diastolic dysfunction according to the different criteria used. |
Countries
Spain