• Wen-Feng Fang, Chi-Han Huang, Yu-Mu Chen, Kai-Yin Hung, Ya-Chun Chang, Chiung-Yu Lin, Ying-Tang Fang, Ya-Ting Chang, Hung-Cheng Chen, Kuo-Tung Huang, Huang-Chih Chang, Yun-Che Chen, Yi-Hsi Wang, Chin-Chou Wang, and Meng-Chih Lin.
• Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan; Department of Respiratory Therapy, Kaohsiung Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Kaohsiung, Taiwan; Department of Respiratory Care, Chang Gung University of Science and Technology, Chiayi, Taiwan. Electronic address: wenfengfang@yahoo.com.tw.
• J Crit Care. 2019 Aug 1; 52: 156-162.

PurposeWe aimed to determine whether the combination of dynamic pulse pressure and vasopressor (DPV) use is applicable for mortality risk stratification in patients with severe sepsis. We proposed the use of the DPV tool and compared it with traditional sepsis severity indices.Materials And MethodsAll adult patients who met the sepsis criteria of the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3) between August 2013 and January 2017 were eligible for the study. Patients who expired within 3 days of admission to the intensive care unit (ICU) were excluded. The primary outcomes were 7-day and 28-day mortality.ResultsThe study participants included 757 consecutive adult patients. A subpopulation of 155 patients underwent immune profiling assays on days 1, 3, and 7 of ICU admission. The DPV tool had a better performance for predicting 7-day mortality (area under curve, AUC: 0.70), followed by the Sequential Organ Failure Assessment (SOFA) (AUC: 0.64), the plus pulse pressure (AUC: 0.64). For predicting 28-day mortality, the DPV tool was not inferior to the SOFA (AUC: 0.61), DPV tool (AUC: 0.59).ConclusionsThe DPV tool can be applied for 7-day and 28-day mortality risk prediction in patients with sepsis.Copyright © 2019 The Authors. Published by Elsevier Inc. All rights reserved.

28 keywords...

hide…