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...

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Veröffentlicht in:Experimental and therapeutic medicine 2019-11, Vol.18 (5), p.3631
Hauptverfasser: Zang, Huiling, Shen, Xiaohui, Wang, Shengchi, He, Zhihong, Cheng, Hui
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container_title Experimental and therapeutic medicine
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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
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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] &gt;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 &gt;70% were significantly decreased in group A compared with those in group B (all P&lt;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&lt;0.001; 48/52 vs. 36/56; P&lt;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] &gt;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 &gt;70% were significantly decreased in group A compared with those in group B (all P&lt;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&lt;0.001; 48/52 vs. 36/56; P&lt;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. 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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] &gt;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 &gt;70% were significantly decreased in group A compared with those in group B (all P&lt;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&lt;0.001; 48/52 vs. 36/56; P&lt;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>
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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]
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