Evaluation and prognostic value of Cv-aC[O.sub.2]/Da-v[O.sub.2] in patients with septic shock receiving fluid resuscitation Cv-aC[O.sub.2]/Ca-v[O.sub.2]
The present study aimed to evaluate the prognostic value of venous-arterial C[O.sub.2] to arterial-venous [O.sub.2] (Cv-aC[O.sub.2]/Da-v[O.sub.2]) for patients with septic shock treated by fluid resuscitation. A total of 108 cases who received fluid resuscitation for septic shock at the Intensive Ca...
Gespeichert in:
Veröffentlicht in: | Experimental and therapeutic medicine 2019-11, Vol.18 (5), p.3631 |
---|---|
Hauptverfasser: | , , , , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
container_end_page | |
---|---|
container_issue | 5 |
container_start_page | 3631 |
container_title | Experimental and therapeutic medicine |
container_volume | 18 |
creator | Zang, Huiling Shen, Xiaohui Wang, Shengchi He, Zhihong Cheng, Hui |
description | The present study aimed to evaluate the prognostic value of venous-arterial C[O.sub.2] to arterial-venous [O.sub.2] (Cv-aC[O.sub.2]/Da-v[O.sub.2]) for patients with septic shock treated by fluid resuscitation. A total of 108 cases who received fluid resuscitation for septic shock at the Intensive Care Unit were retrospectively screened according to the 2012 surviving sepsis campaign guidelines. Patients were divided into 2 groups according to the Cv-aC[O.sub.2]/Da-v[O.sub.2] ratio at 6 h after fluid resuscitation: Group A, Cv-aC[O.sub.2]/Da-v[O.sub.2] >1; group B, Cv-aC[O.sub.2]/Da-v[O.sub.2] [less than or equal to] 1. The resuscitation target rate and transfused resuscitation volume at 6 h exhibited no significant difference between the 2 groups. The cardiac output at 6 and 24 h, as well as the ratio of patients who reached the target of resuscitation within 24 h, the 24-h lactic acid clearance rate and the number of cases with central venous oxygen saturation >70% were significantly decreased in group A compared with those in group B (all P |
doi_str_mv | 10.3892/etm.2019.7956 |
format | Article |
fullrecord | <record><control><sourceid>gale</sourceid><recordid>TN_cdi_gale_infotracmisc_A607937288</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A607937288</galeid><sourcerecordid>A607937288</sourcerecordid><originalsourceid>FETCH-LOGICAL-g678-c3f3ae8ccefac6f42348a02262eaf1f60e40749d986dbba5a17c778276fb60773</originalsourceid><addsrcrecordid>eNptjctqwzAQRbVooSHNsntB13Yk2dZjGdz0AYFssislyLLkqHWkEMnur_Rzq5BSQunMYrgz99wB4A6jvOCCzHXc5wRhkTNR0SswwUyQDAmOb8AshHeUqqKY82oCvpaj7AcZrXdQuhYejr5zPkSr4OmgoTewHjNZv67zMDQ5eZs_yGz8VdA6eEi4djHATxt3MOjDiQ47rz7gUSttR-s6aPrBtkmHISgbzw__BNeXwbfg2sg-6NnPnILN43JTP2er9dNLvVhlHWU8U4UppOZKaSMVNSUpSi4RIZRoabChSJeIlaIVnLZNIyuJmWKME0ZNQxFjxRTcn2M72eutdcbHo1R7G9R2kQyiYITz5Mr_caVu9d4q77SxaX8BfANo-neS</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype></control><display><type>article</type><title>Evaluation and prognostic value of Cv-aC[O.sub.2]/Da-v[O.sub.2] in patients with septic shock receiving fluid resuscitation Cv-aC[O.sub.2]/Ca-v[O.sub.2]</title><source>PubMed Central</source><creator>Zang, Huiling ; Shen, Xiaohui ; Wang, Shengchi ; He, Zhihong ; Cheng, Hui</creator><creatorcontrib>Zang, Huiling ; Shen, Xiaohui ; Wang, Shengchi ; He, Zhihong ; Cheng, Hui</creatorcontrib><description>The present study aimed to evaluate the prognostic value of venous-arterial C[O.sub.2] to arterial-venous [O.sub.2] (Cv-aC[O.sub.2]/Da-v[O.sub.2]) for patients with septic shock treated by fluid resuscitation. A total of 108 cases who received fluid resuscitation for septic shock at the Intensive Care Unit were retrospectively screened according to the 2012 surviving sepsis campaign guidelines. Patients were divided into 2 groups according to the Cv-aC[O.sub.2]/Da-v[O.sub.2] ratio at 6 h after fluid resuscitation: Group A, Cv-aC[O.sub.2]/Da-v[O.sub.2] >1; group B, Cv-aC[O.sub.2]/Da-v[O.sub.2] [less than or equal to] 1. The resuscitation target rate and transfused resuscitation volume at 6 h exhibited no significant difference between the 2 groups. The cardiac output at 6 and 24 h, as well as the ratio of patients who reached the target of resuscitation within 24 h, the 24-h lactic acid clearance rate and the number of cases with central venous oxygen saturation >70% were significantly decreased in group A compared with those in group B (all P<0.05). The Sequential Organ Failure Assessment score at day 3 in group A was higher compared with that in group B (7.94[+ or -]1.6 vs. 6.82[+ or -]1.9; P=0.0013). The mortality rate at day 7 and 35 was higher in group A compared with that in group B (29/52 vs. 6/56, P<0.001; 48/52 vs. 36/56; P<0.001). In conclusion, the Cv-aC[O.sub.2]/Da-v[O.sub.2] was able to effectively evaluate the success rate of resuscitation and, regarding prognosis, it was able to identify patients at high risk of adverse outcomes. Key words: Cv-aC[O.sub.2]/Da-v[O.sub.2], septic shock, curative effect, Prognosis</description><identifier>ISSN: 1792-0981</identifier><identifier>DOI: 10.3892/etm.2019.7956</identifier><language>eng</language><publisher>Spandidos Publications</publisher><subject>Care and treatment ; Infection ; Lactic acid ; Mortality ; Prognosis ; Septic shock ; Shock</subject><ispartof>Experimental and therapeutic medicine, 2019-11, Vol.18 (5), p.3631</ispartof><rights>COPYRIGHT 2019 Spandidos Publications</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Zang, Huiling</creatorcontrib><creatorcontrib>Shen, Xiaohui</creatorcontrib><creatorcontrib>Wang, Shengchi</creatorcontrib><creatorcontrib>He, Zhihong</creatorcontrib><creatorcontrib>Cheng, Hui</creatorcontrib><title>Evaluation and prognostic value of Cv-aC[O.sub.2]/Da-v[O.sub.2] in patients with septic shock receiving fluid resuscitation Cv-aC[O.sub.2]/Ca-v[O.sub.2]</title><title>Experimental and therapeutic medicine</title><description>The present study aimed to evaluate the prognostic value of venous-arterial C[O.sub.2] to arterial-venous [O.sub.2] (Cv-aC[O.sub.2]/Da-v[O.sub.2]) for patients with septic shock treated by fluid resuscitation. A total of 108 cases who received fluid resuscitation for septic shock at the Intensive Care Unit were retrospectively screened according to the 2012 surviving sepsis campaign guidelines. Patients were divided into 2 groups according to the Cv-aC[O.sub.2]/Da-v[O.sub.2] ratio at 6 h after fluid resuscitation: Group A, Cv-aC[O.sub.2]/Da-v[O.sub.2] >1; group B, Cv-aC[O.sub.2]/Da-v[O.sub.2] [less than or equal to] 1. The resuscitation target rate and transfused resuscitation volume at 6 h exhibited no significant difference between the 2 groups. The cardiac output at 6 and 24 h, as well as the ratio of patients who reached the target of resuscitation within 24 h, the 24-h lactic acid clearance rate and the number of cases with central venous oxygen saturation >70% were significantly decreased in group A compared with those in group B (all P<0.05). The Sequential Organ Failure Assessment score at day 3 in group A was higher compared with that in group B (7.94[+ or -]1.6 vs. 6.82[+ or -]1.9; P=0.0013). The mortality rate at day 7 and 35 was higher in group A compared with that in group B (29/52 vs. 6/56, P<0.001; 48/52 vs. 36/56; P<0.001). In conclusion, the Cv-aC[O.sub.2]/Da-v[O.sub.2] was able to effectively evaluate the success rate of resuscitation and, regarding prognosis, it was able to identify patients at high risk of adverse outcomes. Key words: Cv-aC[O.sub.2]/Da-v[O.sub.2], septic shock, curative effect, Prognosis</description><subject>Care and treatment</subject><subject>Infection</subject><subject>Lactic acid</subject><subject>Mortality</subject><subject>Prognosis</subject><subject>Septic shock</subject><subject>Shock</subject><issn>1792-0981</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid/><recordid>eNptjctqwzAQRbVooSHNsntB13Yk2dZjGdz0AYFssislyLLkqHWkEMnur_Rzq5BSQunMYrgz99wB4A6jvOCCzHXc5wRhkTNR0SswwUyQDAmOb8AshHeUqqKY82oCvpaj7AcZrXdQuhYejr5zPkSr4OmgoTewHjNZv67zMDQ5eZs_yGz8VdA6eEi4djHATxt3MOjDiQ47rz7gUSttR-s6aPrBtkmHISgbzw__BNeXwbfg2sg-6NnPnILN43JTP2er9dNLvVhlHWU8U4UppOZKaSMVNSUpSi4RIZRoabChSJeIlaIVnLZNIyuJmWKME0ZNQxFjxRTcn2M72eutdcbHo1R7G9R2kQyiYITz5Mr_caVu9d4q77SxaX8BfANo-neS</recordid><startdate>20191101</startdate><enddate>20191101</enddate><creator>Zang, Huiling</creator><creator>Shen, Xiaohui</creator><creator>Wang, Shengchi</creator><creator>He, Zhihong</creator><creator>Cheng, Hui</creator><general>Spandidos Publications</general><scope/></search><sort><creationdate>20191101</creationdate><title>Evaluation and prognostic value of Cv-aC[O.sub.2]/Da-v[O.sub.2] in patients with septic shock receiving fluid resuscitation Cv-aC[O.sub.2]/Ca-v[O.sub.2]</title><author>Zang, Huiling ; Shen, Xiaohui ; Wang, Shengchi ; He, Zhihong ; Cheng, Hui</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-g678-c3f3ae8ccefac6f42348a02262eaf1f60e40749d986dbba5a17c778276fb60773</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Care and treatment</topic><topic>Infection</topic><topic>Lactic acid</topic><topic>Mortality</topic><topic>Prognosis</topic><topic>Septic shock</topic><topic>Shock</topic><toplevel>online_resources</toplevel><creatorcontrib>Zang, Huiling</creatorcontrib><creatorcontrib>Shen, Xiaohui</creatorcontrib><creatorcontrib>Wang, Shengchi</creatorcontrib><creatorcontrib>He, Zhihong</creatorcontrib><creatorcontrib>Cheng, Hui</creatorcontrib><jtitle>Experimental and therapeutic medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zang, Huiling</au><au>Shen, Xiaohui</au><au>Wang, Shengchi</au><au>He, Zhihong</au><au>Cheng, Hui</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Evaluation and prognostic value of Cv-aC[O.sub.2]/Da-v[O.sub.2] in patients with septic shock receiving fluid resuscitation Cv-aC[O.sub.2]/Ca-v[O.sub.2]</atitle><jtitle>Experimental and therapeutic medicine</jtitle><date>2019-11-01</date><risdate>2019</risdate><volume>18</volume><issue>5</issue><spage>3631</spage><pages>3631-</pages><issn>1792-0981</issn><abstract>The present study aimed to evaluate the prognostic value of venous-arterial C[O.sub.2] to arterial-venous [O.sub.2] (Cv-aC[O.sub.2]/Da-v[O.sub.2]) for patients with septic shock treated by fluid resuscitation. A total of 108 cases who received fluid resuscitation for septic shock at the Intensive Care Unit were retrospectively screened according to the 2012 surviving sepsis campaign guidelines. Patients were divided into 2 groups according to the Cv-aC[O.sub.2]/Da-v[O.sub.2] ratio at 6 h after fluid resuscitation: Group A, Cv-aC[O.sub.2]/Da-v[O.sub.2] >1; group B, Cv-aC[O.sub.2]/Da-v[O.sub.2] [less than or equal to] 1. The resuscitation target rate and transfused resuscitation volume at 6 h exhibited no significant difference between the 2 groups. The cardiac output at 6 and 24 h, as well as the ratio of patients who reached the target of resuscitation within 24 h, the 24-h lactic acid clearance rate and the number of cases with central venous oxygen saturation >70% were significantly decreased in group A compared with those in group B (all P<0.05). The Sequential Organ Failure Assessment score at day 3 in group A was higher compared with that in group B (7.94[+ or -]1.6 vs. 6.82[+ or -]1.9; P=0.0013). The mortality rate at day 7 and 35 was higher in group A compared with that in group B (29/52 vs. 6/56, P<0.001; 48/52 vs. 36/56; P<0.001). In conclusion, the Cv-aC[O.sub.2]/Da-v[O.sub.2] was able to effectively evaluate the success rate of resuscitation and, regarding prognosis, it was able to identify patients at high risk of adverse outcomes. Key words: Cv-aC[O.sub.2]/Da-v[O.sub.2], septic shock, curative effect, Prognosis</abstract><pub>Spandidos Publications</pub><doi>10.3892/etm.2019.7956</doi></addata></record> |
fulltext | fulltext |
identifier | ISSN: 1792-0981 |
ispartof | Experimental and therapeutic medicine, 2019-11, Vol.18 (5), p.3631 |
issn | 1792-0981 |
language | eng |
recordid | cdi_gale_infotracmisc_A607937288 |
source | PubMed Central |
subjects | Care and treatment Infection Lactic acid Mortality Prognosis Septic shock Shock |
title | Evaluation and prognostic value of Cv-aC[O.sub.2]/Da-v[O.sub.2] in patients with septic shock receiving fluid resuscitation Cv-aC[O.sub.2]/Ca-v[O.sub.2] |
url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T21%3A49%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Evaluation%20and%20prognostic%20value%20of%20Cv-aC%5BO.sub.2%5D/Da-v%5BO.sub.2%5D%20in%20patients%20with%20septic%20shock%20receiving%20fluid%20resuscitation%20Cv-aC%5BO.sub.2%5D/Ca-v%5BO.sub.2%5D&rft.jtitle=Experimental%20and%20therapeutic%20medicine&rft.au=Zang,%20Huiling&rft.date=2019-11-01&rft.volume=18&rft.issue=5&rft.spage=3631&rft.pages=3631-&rft.issn=1792-0981&rft_id=info:doi/10.3892/etm.2019.7956&rft_dat=%3Cgale%3EA607937288%3C/gale%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_id=info:pmid/&rft_galeid=A607937288&rfr_iscdi=true |