Zhonghua wei zhong bing ji jiu yi xue
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
Meta Analysis[Effect of early goal-directed therapy on mortality in patients with severe sepsis or septic shock: a Meta analysis].
To investigate whether early goal-directed therapy (EGDT) could improve the mortality rate in patients with severe sepsis or septic shock. ⋯ EGDT was associated with significant improvement in short-term mortality but not with long-term mortality in patients with severe sepsis or septic shock. Grade C was recommended by our study.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
Meta Analysis[Accuracy of procalcitonin for diagnosis of sepsis in adults: a Meta-analysis].
To assess the clinical value of procalcitonin (PCT ) in the diagnosis of sepsis in adults. ⋯ Our results indicate a moderate degree of value of PCT for diagnosis of sepsis in adult patients. The diagnostic accuracy in medical patients is higher than that in surgical patients. PCT is a good auxiliary biomarker for diagnosis of sepsis.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
Randomized Controlled Trial[Esmolol improves clinical outcome and tissue oxygen metabolism in patients with septic shock through controlling heart rate].
To investigate whether esmolol could improve clinical outcome and tissue oxygen metabolism by controlling heart rate (HR) in patients with septic shock. ⋯ The results demonstrate that HR controlled by a titrated esmolol infusion given to septic shock patients was associated with an improvement in tissue metabolism, reduction in the length of ICU stay and lowering of 28-day mortality.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
[The value of passive leg raising test in predicting fluid responsiveness in patients with sepsis-induced cardiac dysfunction].
To assess the value of passive leg raising (PLR) test in predicting fluid responsiveness in patients with sepsis-induced cardiac dysfunction. ⋯ In patients with sepsis-induced cardiac dysfunction, changes in SV and CO induced by PLR are accurate indices for predicting fluid responsiveness, but the changes in HR, MAP, SBP and PP cannot predict the fluid responsiveness.
-
Zhonghua Wei Zhong Bing Ji Jiu Yi Xue · Sep 2015
[Microbial characteristics in culture-positive sepsis and risk factors of polymicrobial infection in ICU].
To investigate the clinical characteristics and pathogenic microorganisms in culture-positive sepsis, to identify its risk factors, and evaluate the prognosis on polymicrobial infection in intensive care unit (ICU). ⋯ The most common pathogen of ICU sepsis is gram-positive cocci. Independent risk factors for polymicrobial infections were found to be advanced age, occurrence of cerebrovascular disease, prolonged mechanical ventilation, and recent hospitalization. Polymicrobial infection is associated with longer length of ICU and hospital stay, as well as higher mortality.