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Polymyxin-B hemoperfusion in septic patients: analysis of a multicenter registry
- Source :
- Annals of Intensive Care
- Publication Year :
- 2016
- Publisher :
- Springer Science and Business Media LLC, 2016.
-
Abstract
- Background: In 2010, the EUPHAS 2 collaborative group created a registry with the purpose of recording data from critically ill patients suffering from severe sepsis and septic shock treated with polymyxin-B hemoperfusion (PMX-HP) for endotoxin removal. The aim of the registry was to verify the application of PMX-HP in the daily clinical practice. Methods: The EUPHAS 2 registry involved 57 centers between January 2010 and December 2014, collecting retrospective data of 357 patients (297 in Europe and 60 in Asia) suffering from severe sepsis and septic shock caused by proved or suspected infection related to Gram negative bacteria. All patients received atleast one cycle of extracorporeal endotoxin removal by PMX-HP. Results: Septic shock was diagnosed in 305 (85.4%) patients. The most common source of infection was abdominal (44.0%) followed by pulmonary (17.6%). Gram negative bacteria represented 60.6% of the pathogens responsible of infection. After 72h from the first cycle of PMX-HP, some of the SOFA score components significantly improved with respect to baseline: cardiovascular (2.16±1.77 from 3.32±1.29, p&nbsp
- Subjects :
- hypotension
retrospective study
030232 urology & nephrology
race difference
polymyxin B, abdominal infection
tachycardia
Critical Care and Intensive Care Medicine
0302 clinical medicine
respiratory function
Septic shock
antibiotic therapy
EAA
Medicine
Respiratory function
randomized controlled trial (topic)
Gram negative sepsi
kidney function
Extracorporeal endotoxin removal
intensive care
lung infection
endotoxemia
adult
continuous infusion
clinical practice
aged
female
priority journal
liver function
multicenter study (topic)
disease severity
SOFA score
Infection
survival rate
medicine.medical_specialty
Polymyxin-B hemoperfusion
Sepsis
Sepsi
cardiovascular response
European
blood clotting
Article
03 medical and health sciences
length of stay
male
blood clotting disorder
Intensive care
Internal medicine
Settore MED/41 - ANESTESIOLOGIA
Sequential Organ Failure Assessment Score
human
MED/41 - ANESTESIOLOGIA
survival time
Survival rate
hospital mortality
Asian
business.industry
Research
Abdominal Infection
030208 emergency & critical care medicine
bleeding
medicine.disease
major clinical study
Surgery
hospital admission
multicenter study
treatment outcome
Liver function
business
Subjects
Details
- ISSN :
- 21105820
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Annals of Intensive Care
- Accession number :
- edsair.doi.dedup.....fc6fe60b2b09251ea255db0292fee15b