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Comparison of Predictive Powers for Mortality between Systemic Vascular Resistance Index and Serum Lactate in Children with Persistent Catecholamine-Resistant Shock
Joint Authors
Lee, En-Pei
Chu, Sheng-Chih
Hsia, Shao-Hsuan
Chen, Kuan-Fu
Chan, Oi-Wa
Lin, Chia-Ying
Su, Ya-Ting
Lin, Jainn-Jim
Wu, Han P.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-10, 10 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-06-20
Country of Publication
Egypt
No. of Pages
10
Main Subjects
Abstract EN
Persistent catecholamine-resistant shock in children causes severe morbidity and mortality.
We aimed to analyze the association between hemodynamics and serum lactate at different time points and 28-day mortality in children with persistent catecholamine-resistant shock.
Methods.
Twenty-six children with persistent catecholamine-resistant shock were enrolled, and their hemodynamics were monitored using the pulse index continuous cardiac output.
Serial cardiac index (CI), systemic vascular resistant index (SVRI), and vasoactive-inotropic score (VIS) were analyzed for the first 24 hours.
Associations between hemodynamics, serum lactate, and 28-day mortality were analyzed.
Results.
The 28-day mortality rate was 53.8%.
SVRI and VIS were independent predictors of 28-day mortality.
The mortality group had lower serial SVRI and higher VIS than the survival group (p<0.05).
Serial SVRI had the highest area under the receiver operating characteristic curve (AUC) for predicting mortality during the first 24 hours of persistent catecholamine-resistant shock.
Three important hemodynamic parameters, CI, SVRI and perfusion pressure (MAP-CVP), were significantly correlated with lactate, of which SVRI had the best correlation (r=−0.711, p<0.001).
According to the AUC, SVRI was a more powerful predictor of mortality than lactate in persistent catecholamine-resistant shock.
After 24 hours of treatment for persistent catecholamine-resistant shock, an SVRI lower than 1284 dyn·s·cm-5·m2 was associated with 28-day mortality.
Conclusions.
SVRI was an early factor associated with mortality in the pediatric patients with persistent catecholamine-resistant shock potentially and had the good correlation with serum lactate.
An SVRI more than 1284 dyn·s·cm-5·m2 during the first 24 hours of persistent catecholamine-resistant shock was associated with favorable outcomes.
The result should be used with caution due to the small sample size.
American Psychological Association (APA)
Lee, En-Pei& Chu, Sheng-Chih& Hsia, Shao-Hsuan& Chen, Kuan-Fu& Chan, Oi-Wa& Lin, Chia-Ying…[et al.]. 2020. Comparison of Predictive Powers for Mortality between Systemic Vascular Resistance Index and Serum Lactate in Children with Persistent Catecholamine-Resistant Shock. BioMed Research International،Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1131568
Modern Language Association (MLA)
Lee, En-Pei…[et al.]. Comparison of Predictive Powers for Mortality between Systemic Vascular Resistance Index and Serum Lactate in Children with Persistent Catecholamine-Resistant Shock. BioMed Research International No. 2020 (2020), pp.1-10.
https://search.emarefa.net/detail/BIM-1131568
American Medical Association (AMA)
Lee, En-Pei& Chu, Sheng-Chih& Hsia, Shao-Hsuan& Chen, Kuan-Fu& Chan, Oi-Wa& Lin, Chia-Ying…[et al.]. Comparison of Predictive Powers for Mortality between Systemic Vascular Resistance Index and Serum Lactate in Children with Persistent Catecholamine-Resistant Shock. BioMed Research International. 2020. Vol. 2020, no. 2020, pp.1-10.
https://search.emarefa.net/detail/BIM-1131568
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1131568