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Respiratory syncytial virus infection in adult and paediatric patients admitted to intensive care in Australia: A nation-wide comparison with COVID-19 澳大利亚重症监护成人和儿科患者呼吸道合胞病毒感染:与COVID-19的全国比较
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-06-01 DOI: 10.1016/j.ccrj.2025.100113
Yaodong Tang PhD , Peinan Zhao PhD , Allen C. Cheng MBBS, PhD , Aaliya Ibrahim MClinEpid , Jenna Hassall MPhil , Edward Litton MBChB, PhD , Christopher R. Andersen MBBS, FCICM , Cindy Liang RN, GradCertN , Elissa M. Milford MBBS, PhD , Morgan Rose MBBS, PhD , Mark Plummer FCICM, PhD , Jing Kong RN, GradCertN , Kerry Johnson RN, GradCertN , Shailesh Bihari FCICM, PhD , Anis Chaba MBBS, MMSBR , Husna Begum PhD , Sherene Magana Cruz DipLH , Sze Ng MBBS , Tony Trapani B.Ed , Lewis Campbell MBChB, MSc Epi, FCICM , Aidan Burrell MBBS, PhD, FCICM

Objective

To assess the characteristics, treatments and outcomes of paediatric and adult intensive care unit (ICU) patients with respiratory syncytial virus (RSV) infection, and compare these with coronavirus disease (COVID-19) during the same period.

Design, setting, and participants

We conducted a multicenter, prospective, observational study using data from the short period incidence study of severe acute respiratory infection (SPRINT SARI) Australia, in 38 Australian ICUs from 1 June 2022 to 1 September 2024. Demographic, treatment, and outcome data were analysed for patients with confirmed RSV or COVID-19. The primary outcome was in-hospital mortality.

Results

Of 4693 patients were recorded in the SPRINT-SARI database, 2540 met inclusion criteria. RSV was more common in paediatric patients (410/620, 62%) than in adults (249/1920, 13%). Adult with RSV had more chronic pulmonary conditions than those with COVID-19. Paediatric patients with RSV had fewer comorbidities and less invasive mechanical ventilation (IMV) compared to those with COVID-19 (P < 0.05), but required longer duration of IMV once intubated. In-hospital mortality was similar for both adult RSV and COVID-19 (36/249, 14.5%) vs (260/1671, 15.6%), and paediatric RSV(3/410 [0.7%] vs 7/210 [3.3%] P = 0.07). Mortality in adults was associated with male sex, older age, comorbidities, and IMV. Mortality in children was associated with IMV only.

Conclusions

RSV infection can result in an attributable number of ICU admission in Australia, especially in specific populations including young children and older adults with respiratory comorbidities. Mortality in patients admitted to ICU is similar to COVID-19.
目的探讨呼吸道合胞病毒(RSV)感染的儿科和成人重症监护病房(ICU)患者的特点、治疗方法和预后,并与同期的冠状病毒病(COVID-19)进行比较。设计、环境和参与者我们进行了一项多中心、前瞻性、观察性研究,使用来自澳大利亚严重急性呼吸道感染短期发病率研究(SPRINT SARI)的数据,从2022年6月1日至2024年9月1日在38个澳大利亚icu中进行。分析确诊RSV或COVID-19患者的人口统计学、治疗和结局数据。主要终点是住院死亡率。结果在SPRINT-SARI数据库中记录的4693例患者中,2540例符合纳入标准。RSV在儿科患者(410/620,62%)中比在成人(249/1920,13%)中更常见。患有RSV的成人比患有COVID-19的成人有更多的慢性肺部疾病。与COVID-19患者相比,RSV患儿的合并症和侵入性机械通气(IMV)较少(P <;0.05),但需要较长的IMV插管时间。成人RSV和COVID-19的住院死亡率相似(36/249,14.5%)vs(260/1671, 15.6%),儿科RSV(3/410 [0.7%] vs 7/210 [3.3%] P = 0.07)。成人死亡率与男性、年龄、合并症和IMV有关。儿童死亡率仅与IMV有关。结论srsv感染可导致澳大利亚ICU住院人数的归因,特别是在特定人群中,包括患有呼吸道合并症的幼儿和老年人。ICU住院患者的死亡率与COVID-19相似。
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引用次数: 0
Fludrocortisone to treat patients with aneurysmal subarachnoid haemorrhage: Protocol for an international, phase 3, randomised, placebo-controlled, multicentre trial 氟化可的松治疗动脉瘤性蛛网膜下腔出血患者:一项国际3期、随机、安慰剂对照、多中心试验方案
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-06-01 DOI: 10.1016/j.ccrj.2025.100116
Jeremy Cohen FCICM, PhD , Anthony Delaney FCICM, FACEM, PhD , Andrew Udy FCICM, PhD , Christopher Andersen FCICM, PhD , Craig S. Anderson PhD , Judith Bellapart FCICM, PhD , Louise M. Burrell MBChB, MD , Anthony Devaux PhD , David M. Evans PhD , Emily Fitzgerald RN, MN , Tessa Garside FCICM, PhD , Naomi Hammond RN, PhD , Miranda Hardie BN, GradCertCritCare , Rosalind L. Jeffree M.Sc, FRACS , Serena Knowles RN, PhD , Melissa Lassig-Smith RN , Qiang Li AStat MBiostat , Gladness Nethathe FCA (SA), Cert Crit Care (SA) , Dorrilyn Rajbhandari PGDip Clin Nurs , Mahesh Ramanan FCICM, PhD , Balasubramanian Venkatesh FCICM, MD

Background and rationale

Hyponatraemia is a common complication after aneurysmal subarachnoid haemorrhage (aSAH) and is associated with worse outcomes. Fludrocortisone, a synthetic mineralocorticoid, may be an effective treatment for hyponatraemia, but its effect on clinical outcomes is unknown.

Objectives

The objective of this study was to describe the study protocol for the Fludrocortisone in Aneurysmal Subarachnoid Haemorrhage (FLASH) trial.

Design setting and participants

The FLASH trial is a phase three randomised, blinded, placebo-controlled, multicentre trial comparing 14 days of treatment with fludrocortisone to matching placebo in adult patients with acute aSAH at hospitals in Australia, New Zealand, and the United Kingdom. The planned sample size is 524 patients.

Main outcome measures

The primary outcome measure is the Modified Rankin Scale score assessed at 6 months after randomisation. The secondary outcome is the Subarachnoid Haemorrhage Outcome Tool score assessed at the same time point. Tertiary outcomes are based on international guidelines for core outcome sets and include economic and quality-of-life analyses. Prespecified subgroups for analysis will comprise aSAH severity and the presence of hyponatraemia at randomisation.

Results and conclusions

The FLASH trial aims to commence recruitment in May 2025.

Trial registration

NCT06409364.
背景和原因低钠血症是动脉瘤性蛛网膜下腔出血(aSAH)后常见的并发症,且与较差的预后相关。氟化可的松是一种合成的矿物皮质激素,可能是治疗低钠血症的有效方法,但其对临床结果的影响尚不清楚。目的本研究的目的是描述氟化可的松在动脉瘤性蛛网膜下腔出血(FLASH)试验中的研究方案。FLASH试验是一项三期随机、盲法、安慰剂对照、多中心试验,比较了澳大利亚、新西兰和英国医院的成年急性aSAH患者接受14天氟化可的松治疗和匹配安慰剂治疗。计划样本量为524例。主要结局指标:主要结局指标为随机化后6个月的修正兰金量表评分。次要终点是在同一时间点评估的蛛网膜下腔出血结局工具评分。第三阶段结果以核心结果集的国际准则为基础,并包括经济和生活质量分析。预先指定的亚组分析将包括aSAH严重程度和随机低钠血症的存在。结果和结论:FLASH试验计划于2025年5月开始招募。registrationNCT06409364审判。
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引用次数: 0
Expanding the critical care collaboration between Australia, New Zealand, and Brazil: The role of journals 扩大澳大利亚、新西兰和巴西之间的重症监护合作:期刊的作用
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-06-01 DOI: 10.1016/j.ccrj.2025.100114
Rinaldo Bellomo PhD , Jorge Salluh PhD, Antonio Paulo Nassar Jr. PhD, Elisa Estenssoro PhD, Ary Serpa Neto PhD
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引用次数: 0
A gene expression-based approach for the precision use of hydrocortisone in septic shock patients; a secondary analysis of the ADRENAL trial 基于基因表达的氢化可的松在感染性休克患者中的精准应用肾上腺试验的二次分析
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-06-01 DOI: 10.1016/j.ccrj.2025.100109
Balasubramanian Venkatesh MD , Diego Ariel Rey PhD , David M. Evans PhD , Lijing Yao PhD , Simon Finfer MD , Rinaldo Bellomo PhD , Tiago Chedraoui Silva PhD , Jeremy Cohen PhD , Yu Qiu PhD , Wellington dos Reis Lucena PhD , Naomi Hammond PhD , John Myburgh PhD , Qiang Li PhD , Lucas Petri Damiani PhD , Anthony Devaux PhD , Rodrigo Octavio Deliberato PhD

Background

Small observational studies suggest the effect of corticosteroids in patients with vasodilatory shock vary depending on endotypes determined by gene expression. We sought to replicate these findings in a larger cohort from a randomised clinical trial.

Methods

In a cross-sectional substudy of the Adjunctive Glucocorticoid Therapy In Septic Shock (ADRENAL) trial, patients were classified as one of two immune endotypes using predefined gene expression signatures: immune adaptive-prevalent (IA-P) or immune innate-prevalent (IN-P). We compared the outcomes of the two endotypes using a Bayesian analysis. The primary outcome was Day-28 mortality.

Findings

Of 540 patients, 267 (49.4%) were classified as IA-P and 273 (50.6%) as IN-P. In a Bayesian analysis using noninformative priors, there was no difference in the effect of hydrocortisone on 28-day mortality (odds ratio [OR] 1.43, 95% credible intervals [CrI] 0.72–2.87) and OR 1.39, 95% CrI 0.74–2.61, between the IA-P and IN-P groups, respectively. In the subgroup of patients with more severe shock (n = 215/540, 40%), the corresponding figures for IA-P and IN-P were 1.21, 95% CrI (0.31–4.74) and OR 0.72 (95% CrI 0.30–1.67), respectively. In the subgroup of patients with pulmonary sepsis (232/540, 43%), IA-P patients treated with hydrocortisone had increased mortality (OR 5.55, 95% CrI 1.81–21.2).

Interpretation

Gene expression data from patients with septic shock reveal distinct immune endotypes. There was no evidence of a heterogeneity of treatment effect of hydrocortisone on mortality in the 2 endotypes or in the subgroup with severe shock. Patients with the IA-P endotype and pulmonary sepsis appear to be harmed by corticosteroids.
背景:小型观察性研究表明,皮质类固醇对血管扩张性休克患者的影响取决于基因表达决定的内源性类型。我们试图在一个更大的随机临床试验队列中重复这些发现。方法在一项脓毒性休克辅助糖皮质激素治疗(ADRENAL)试验的横断面亚研究中,使用预先定义的基因表达特征将患者分为两种免疫内型:免疫适应性流行型(IA-P)或免疫先天流行型(In -p)。我们使用贝叶斯分析比较了两种内型的结果。主要终点为第28天死亡率。540例患者中,267例(49.4%)为IA-P, 273例(50.6%)为IN-P。在使用非信息先验的贝叶斯分析中,氢化可的松对28天死亡率的影响在IA-P组和In - p组之间分别没有差异(比值比[OR] 1.43, 95%可信区间[CrI] 0.72-2.87)和OR 1.39, 95%可信区间[CrI] 0.74-2.61)。在较重度休克患者亚组(n = 215/540, 40%), IA-P和In - p对应的数值分别为1.21、95% CrI(0.31-4.74)和OR 0.72 (95% CrI 0.30-1.67)。在肺脓毒症患者亚组中(232/540,43%),接受氢化可的松治疗的IA-P患者死亡率增加(OR 5.55, 95% CrI 1.81-21.2)。感染性休克患者的基因表达数据显示不同的免疫内型。没有证据表明氢化可的松对两种内源性或严重休克亚组死亡率的治疗效果存在异质性。IA-P内型和肺脓毒症患者似乎受到皮质类固醇的伤害。
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引用次数: 0
Siloed thinking: The case for integrating economic and environmental analysis in critical care 孤立思维:在重症监护中整合经济和环境分析的案例
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-06-01 DOI: 10.1016/j.ccrj.2025.100111
Mark Collins FCICM , Lisa Higgins PhD , Scott McAlister PhD , Forbes McGain FCICM, PhD
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引用次数: 0
In memory of professor Rinaldo Bellomo: A giant of intensive care medicine 为了纪念里纳尔多·贝洛莫教授:重症监护医学的巨人
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-05-23 DOI: 10.1016/j.ccrj.2025.100110
Ary Serpa Neto MD, MSc, PhD, FCICM , Paul Young PhD, FCICM
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引用次数: 0
Protocol summary and statistical analysis plan for the sodium bicarbonate for metabolic acidosis in the intensive care unit (SODa-BIC) trial 碳酸氢钠治疗重症监护室代谢性酸中毒(SODa-BIC)试验的方案总结和统计分析计划
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-05-15 DOI: 10.1016/j.ccrj.2025.100108
Ary Serpa Neto MD, MSc, PhD , Mairead McNamara BAppSc, MDietPrac , Jamie Cooper MD , Tomoko Fujii MD, PhD , Alisa Higgins PhD , Carol Hodgson PhD , Leanlove Navarra BSN , Alistair Nichol MD, PhD , Sandra Peake MD, PhD , Alvaro Rea-Neto MD, MSc, PhD , Paul Secombe BMBS(hons) MClinSc, FCICM , Emily See MD , Pam Taylor , Meredith Young MPH , Fernando G. Zampieri MD, PhD , Paul Young PhD, FCICM , Rinaldo Bellomo MD, PhD , Andrew Udy MBChB, PhD , SODa-BIC investigators

Background

Metabolic acidosis is common in critically ill patients and is associated with increased risk of organ dysfunction, need for renal replacement therapy, and death. Despite its frequency and clinical relevance, the optimal treatment approach remains uncertain. Sodium bicarbonate is often used to correct acidosis, but its risk–benefit profile in this setting is unclear.

Objective

To describe the study protocol and statistical analysis plan for the sodium bicarbonate for metabolic acidosis in the intensive care unit (SODa-BIC) trial.

Design, setting and participants

Protocol for an international, multicentre, randomised, double-blind, parallel-group, superiority adaptive clinical trial. Five hundred (n = 500) adults with metabolic acidosis and receiving a continuous infusion of a vasopressor will be randomly assigned to sodium bicarbonate or placebo in a 1:1 ratio. SODa-BIC started recruiting in April 2023. It is anticipated that recruitment will be completed in 2026.

Main outcome measures

The primary outcome will be major adverse kidney events within 30 days (MAKE30). Secondary and tertiary outcomes include 30- and 90-day mortality, receipt of renal replacement therapy, and vasopressor-free and ICU-free days at day 30. All analyses will be conducted on an intention-to-treat basis.

Results and conclusions

SODa-BIC will evaluate whether sodium bicarbonate improves clinically meaningful outcomes in critically ill patients with metabolic acidosis. The trial has the potential to inform international practice guidelines and provide robust evidence to guide the treatment of a common and severe condition in the intensive care unit.

Registration

Clinicaltrials.gov (NCT05697770).
背景:代谢性酸中毒在危重患者中很常见,并与器官功能障碍的风险增加、肾脏替代治疗的需要和死亡相关。尽管其频率和临床相关性,最佳治疗方法仍不确定。碳酸氢钠常用于纠正酸中毒,但其在这种情况下的风险-收益情况尚不清楚。目的介绍碳酸氢钠治疗重症监护病房代谢性酸中毒(SODa-BIC)试验的研究方案和统计分析方案。设计、环境和参与者一项国际、多中心、随机、双盲、平行组、优势适应性临床试验的方案。500名(n = 500)接受持续输注血管加压剂的代谢性酸中毒成人将按1:1的比例随机分配到碳酸氢钠组或安慰剂组。可口可乐bic于2023年4月开始招聘。预计招聘工作将于2026年完成。主要结局指标主要结局指标为30天内主要肾脏不良事件(MAKE30)。二级和三级结局包括30天和90天死亡率、接受肾脏替代治疗、第30天无血管加压剂和无icu天数。所有分析将在意向治疗的基础上进行。结果和结论soda - bic将评估碳酸氢钠是否能改善代谢性酸中毒危重患者的临床有意义的结局。该试验有可能为国际实践指南提供信息,并提供强有力的证据,以指导重症监护病房中常见和严重疾病的治疗。
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引用次数: 0
Study protocol and statistical plan for the ICRAKI trial: Intermittent haemodialysis versus continuous renal replacement therapy for severe acute kidney injury in critically ill patients ICRAKI试验的研究方案和统计计划:间歇血液透析与持续肾脏替代疗法治疗危重患者严重急性肾损伤
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-05-06 DOI: 10.1016/j.ccrj.2025.100107
Stéphane Gaudry MD, PhD , Marouane Boubaya MD , Guillaume Louis MD , Khalil Chaïbi MD, PhD , Bruno Mégarbane MD, PhD , Julien Bohe MD, PhD , Maxime Desgrouas MD , Guillaume Gele-Decaudin MD , Adrien Joseph MD, PhD , Etienne de Montmollin MD, PhD , Christophe Camus MD, PhD , Nicolas De Prost MD, PhD , Pierre Bailly MD , Samir Jaber MD, PhD , Nicolas Chudeau MD , Alexis Lambour MD , Adrien Robine MD , Béatrice La Combe MD, PhD , Antoine Kimmoun MD, PhD , Guillaume Chevrel MD , Didier Dreyfuss MD

Background

The effect of intermittent haemodialysis (IHD) vs continuous renal replacement therapy (CRRT) on mortality and/or renal function recovery in adults with acute kidney injury (AKI) and a recognised indication for renal replacement therapy (RRT) remains controversial.

Objective

To summarise the protocol and statistical analysis plan for the ICRAKI trial.

Design, settings and participants

ICRAKI is a non-inferiority multicentre randomised controlled trial comparing IHD and CRRT. We will include 1000 patients with AKI receiving (or who have received) invasive mechanical ventilation and/or catecholamine infusion and who have at least one recognised criterion for initiating RRT.

Intervention

The study compares IHD with CRRT.

Main outcomes measures

The primary endpoint is the proportion of patients who will meet one or more criteria for a major adverse kidney event (composite of death, RRT dependence and/or more than a 25 % increase in serum creatinine from baseline value) 90 days after randomisation. Secondary endpoints are time to death; mortality at day (D)28, D60 and D90; number of patients with RRT dependency at D28, D60 and D90; number of patients with more than a 25 % increase in serum creatinine from baseline value at D28, D60 and D90; intensive care unit (ICU) and hospital length of stay; time until cessation of RRT; catecholamine-free days, ventilator-free days and RRT-free days through day 28; estimated glomerular filtration rate at hospital discharge; the number of episodes of adverse events.

Conclusion

The ICRAKI trial will inform the choice of RRT modalities in critically ill patients with severe AKI. More than 300 patients were already included.

Trial registration

ClinicalTrials.gov: NCT06032884. Date of registration, 2023-09-04.
背景:间歇性血液透析(IHD)与持续肾替代治疗(CRRT)对急性肾损伤(AKI)成人患者死亡率和/或肾功能恢复的影响以及肾替代治疗(RRT)的公认适应症仍存在争议。目的总结ICRAKI试验的方案和统计分析方案。raki是一项比较IHD和CRRT的非劣效性多中心随机对照试验。我们将纳入1000名接受(或已经接受)有创机械通气和/或儿茶酚胺输注的AKI患者,这些患者至少有一个公认的启动RRT的标准。该研究比较了IHD和CRRT。主要结局指标:主要终点是随机分组后90天满足一个或多个主要肾脏不良事件(死亡、RRT依赖和/或血清肌酐较基线值增加25%以上)标准的患者比例。次要终点是死亡时间;第28天、第60天和第90天死亡率;D28、D60、D90时RRT依赖患者数量;在D28、D60和D90时血清肌酐较基线值增加超过25%的患者人数;重症监护病房(ICU)和住院时间;直至RRT停止的时间;无儿茶酚胺天数、无呼吸机天数和无rrt天数;估计出院时肾小球滤过率;不良事件的发作次数。ICRAKI试验将为重症AKI患者的RRT模式选择提供信息。已有300多名患者被纳入研究。临床试验注册:NCT06032884。注册日期:2023-09-04。
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引用次数: 0
A randomised, controlled, feasibility trial comparing vasopressors infused via peripheral cannula versus central venous access for critically ill adults: The VIPCA trial 一项随机、对照、可行性试验,比较危重成人患者外周静脉输注血管加压剂与中心静脉输注血管加压剂:VIPCA试验
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-04-17 DOI: 10.1016/j.ccrj.2025.100106
Mahesh Ramanan FCICM PhD , Yogesh Apte FCICM MDS , Stacey Watts RN GradCert (Crit Care) , Thomas Holland FACEM MBBS , April Hatt RNA , Alison Craswell RN PhD , Frances Lin RN PhD , Alexis Tabah FCICM MDR , Robert S. Ware PhD , Joshua Byrnes PhD , Christopher Anstey FCICM PhD , Gerben Keijzers FACEM PhD

Objective

To determine the feasibility of conducting a definitive randomised trial to determine whether, in critically ill patients requiring intensive care unit admission, early CVC insertion compared with late CVC insertion leads to increased days-alive-and-out-of-hospital at 30 days (DAH-30) post-treatment.

Design, settings and participants

We conducted a single-centre, parallel-group, feasibility randomised controlled trial with critically ill patients receiving vasopressor infusions randomised in a 1:1 ratio to receive early CVC insertion (within 4 h) or late CVC insertion (after 12 h). All patients received vasopressor infusions via a peripheral intravenous cannula (PIVC) while awaiting CVC insertion. The primary clinical outcome was DAH-30 and the primary feasibility outcome was assessed by evaluating protocol adherence, rates of recruitment, randomisation of eligible patients, retention, follow-up and missing data.

Results

We enrolled 40 patients, 20 patients per group between January 2023 and May 2024. Protocol adherence was significantly lower in the early CVC group (55 %) compared to the late CVC group (100 %, p < 0.001). The early CVC group had a median time to CVC insertion of 3.3 h (interquartile range (IQR) 1.2–3.7 h), within the 4-h target. The early and late CVC groups had a median (IQR) of 13.5 (0.0–23.5) and 19.0 (5.0–23.0) DAH-30 respectively (P = 0.18). PIVC complications were similar between the two groups with no severe complications. There were no complications among the 18 CVCs inserted during the trial.

Conclusions

Protocol adherence in the early CVC was much lower than the late CVC. Some protocol modifications will be required to enable the conduct of a larger-scale definitive trial.

Trial Registration

ACTRN12621000721808 (Australia New Zealand Clinical Trials Registry).
目的:确定开展一项明确的随机试验的可行性,以确定在需要重症监护病房住院的危重患者中,与晚期CVC插入相比,早期CVC插入是否会导致治疗后30天(DAH-30)存活天数和院外天数增加。设计、环境和参与者我们进行了一项单中心、平行组、可行性随机对照试验,接受血管加压剂输注的危重患者按1:1的比例随机分为早期(4小时内)或晚期(12小时后)接受血管加压剂输注。所有患者在等待血管加压剂输注的同时,均通过外周静脉插管(PIVC)接受血管加压剂输注。主要临床结果为DAH-30,主要可行性结果通过评估方案依从性、招募率、符合条件患者的随机化、保留、随访和缺失数据来评估。结果2023年1月至2024年5月共入组患者40例,每组20例。早期CVC组的方案依从性(55%)明显低于晚期CVC组(100%,p <;0.001)。早期CVC组到CVC插入的中位时间为3.3 h(四分位间距(IQR) 1.2-3.7 h),在4小时的目标范围内。早期和晚期CVC组的中位数(IQR)分别为13.5(0.0 ~ 23.5)和19.0 (5.0 ~ 23.0)DAH-30 (P = 0.18)。两组间PIVC并发症相似,均无严重并发症。试验期间插入的18例cvc无并发症发生。结论早期CVC的治疗方案依从性明显低于晚期CVC。为了能够进行更大规模的确定试验,将需要对方案进行一些修改。试验注册actrn12621000721808(澳大利亚新西兰临床试验注册)。
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引用次数: 0
Trends in pulmonary artery catheter use for cardiac surgery, 2013–2023: Analysis of Australian medicare data 2013-2023年心脏手术肺动脉导管使用趋势:澳大利亚医疗保险数据分析
IF 1.4 4区 医学 Q3 CRITICAL CARE MEDICINE Pub Date : 2025-03-28 DOI: 10.1016/j.ccrj.2025.100100
Luke A. Perry MBBS(Hons), BSc, Andrew Silvers FANZCA, Jayme Bennetts FRACS, Julian Smith FRACS, Lisa Q. Rong MD, MSCE, FASE, FACC, Mario Gaudino MD, PhD, MSCE, FEBCTS, FACC, FAHA, Lachlan F. Miles MBBS (Hons), PGCertCU, PhD, GChPOM, FANZCA
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引用次数: 0
期刊
Critical Care and Resuscitation
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