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February 22, 2022ChildrenOpen Access

Cutoff Values of Hemodynamic Parameters in Pediatric Refractory Septic Shock

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Key result

Lower serial systemic vascular resistance index and higher vasoactive-inotropic score were associated with fatality in children with refractory septic shock (both p < 0.05).

Why the study?

Refractory septic shock causes severe morbidity and mortality in children, and hemodynamic-based resuscitation is important to identify poor prognosis early for timely interventions.

What are the hemodynamic predictors of mortality in children with refractory septic shock?

Design

Observational hemodynamic monitoring study

Follow-up

first 72 h after PICU admission

Authors

ELEn‐Pei LeeChang Gung UniversityJLJainn‐Jim LinChang Gung UniversitySHShao‐Hsuan HsiaChang Gung University

Discussion

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Member takes

Implication

May aid risk stratification in pediatric refractory septic shock; hypothesis-generating and requires prospective validation.

Study Design

Type

Observational (n=33)

Structured PICO

What are the hemodynamic predictors of mortality in children with refractory septic shock?

P
Population
33 children with refractory septic shock admitted to a pediatric intensive care unit and monitored for 72 hours.
E
Exposure
Hemodynamic monitoring using a pulse index continuous cardiac output (PiCCO) system (evaluating serial cardiac index, systemic vascular resistance index, and vasoactive-inotropic score)
O
Outcome
Fatality/mortality from septic shockhard clinical

Main Result

p-value: p=< 0.05

In pediatric refractory septic shock, lower systemic vascular resistance index (SVRI) and higher vasoactive-inotropic score (VIS) are early predictors of mortality.

Cite This Study

Lee et al. (2022) conducted an observational in Pediatric refractory septic shock (n=33). Hemodynamic parameters (SVRI and VIS) was evaluated on Fatality from septic shock (p=< 0.05). Lower serial systemic vascular resistance index and higher vasoactive-inotropic score were associated with fatality in children with refractory septic shock (both p < 0.05).

synapsesocial.com/papers/6a7722d66789de8d0af708aehttps://doi.org/10.3390/children9030303
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Hemodynamic Support in Fluid-refractory Pediatric Septic Shock1998 · 373 citations
  2. 2Central extracorporeal membrane oxygenation for refractory pediatric septic shock2010 · 180 citations
  3. 3Definitions and pathophysiology of vasoplegic shock2018 · 255 citations
  4. 4Clinical practice parameters for hemodynamic support of pediatric and neonatal septic shock: 2007 update from the American College of Critical Care Medicine*2009 · 1,072 citations
  5. 5Early Recognition and Management of Septic Shock in Children2012 · 31 citations