Children, Only, Sepsis
Conditions
Keywords
Continuous renal replacement therapy, sepsis, timing
Brief summary
The effect of continuous blood purification (CBP) in children is unclear. Also, the timing of early application is still being explored. In this study, we need to explore the efficacy and the timing of application of CBP in children with sepsis or septic shock.
Detailed description
Early intervention of CBP can remove inflammatory factors in patients with sepsis and reduce the damage of inflammatory factors to organs; at the same time, it can also promote the body's immune response, significantly improve immune dysfunction, and restore the body's immune balance. However, the timing of early application of CBP in childhood sepsis is still unclear. Therefore, it is necessary to further explore the treatment and prognosis of this technology in the early treatment of sepsis.
Interventions
continuous blood purification can prevent or treat fluid overload in children with septic shock or other sepsis-associated organ dysfunction who are unresponsive to fluid restriction and diuretic therapy management of septic AKI patients, particularly those with hemodynamic instability or fluid overload. Also, it can remove cytokines
Sponsors
Study design
Eligibility
Inclusion criteria
* Age of 29d to 18 years old; * Children diagnosed with sepsis requiring blood purification.
Exclusion criteria
* with a history of a duration of PICU stay \<24 h * active bleeding, including cerebral hemorrhage
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| survival rate | 28 days after hospital discharge | The survival rate of children in 28 days after hospital discharge |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The creatinine level of non-survival children with sepsis | 28 days after hospital discharge | The creatinine level of non-survival children with sepsis in 28 days after hospital discharge |
Countries
China
Contacts
Children's Hospital of Fudan University