The objectives of this study are to determine whether Continuous Renal Replacement Therapy (CRRT) with oXiris in patients with septic shock would improve clinical outcomes such as the sepsis-related organ failure assessment (SOFA) , hemodynamic, mortality compared CRRT with conventional membrane.
Sepsis is the leading cause of death in ICU, resulting in multi-organ failure in critically ill patients. Patients with septic shock combined sepsis-associated Acute kidney injury (AKI)have even poorer outcome. Endotoxin activity, inflammation and immune dysfunction, have been consider relevant to their pathogenesis of sepsis. High levels of Inflammation are associated with worse clinical outcomes. However, all studies of anti-inflammation treatment in sepsis patient are failed and anti-inflammation treatment of sepsis still remains controversial. oXiris is a new filter with adsorptive membrane, which removes endotoxin and inflammatory mediator from plasma. But current evidence of oXiris is limited, and only some small sample studies have proved that it can improve the haemodynamics and the sepsis-related organ failure assessment(SOFA) score. Our hypothesis was that oXiris would be associated with better clinical outcomes, such as decreased SOFA score, improved survival rate, better hemodynamic, and improved of organ function.
Study Type
OBSERVATIONAL
Enrollment
590
Continuous renal replacement therapy with oXiris in patient with septic shock
Zhongda Hospital, Southeast University
Nanjing, Jiangsu, China
Department of Nephrology, Sichuan University West ChinaHospital
Chengdu, Sichuan, China
28-day mortality
28-day mortality
Time frame: 28 days
The Sepsis-related Organ Failure Assessment(SOFA) cardiovascular Scores at 72 hours
The Sepsis-related Organ Failure Assessment(SOFA) cardiovascular Scores at 72 hours(Scores Range 0-4, higher values represent a worse outcome)
Time frame: 72 hours after Continuous Renal Replacement Therapy initiation
Changes of Sepsis-related Organ Failure Assessment(SOFA) Score
Changes from baseline to 72 hours in Sepsis-related Organ Failure Assessment(SOFA) Score
Time frame: 72 hours after Continuous Renal Replacement Therapy initiation
VIS-Norepinephrine dose or equivalent
Norepinephrine dose or equivalent at 72 hours after Continuous Renal Replacement Therapy initiation
Time frame: 72 hours after Continuous Renal Replacement Therapy initiation
Change of Norepinephrine dose Over Time
Difference of Norepinephrine dose at 72 hours compared with Continuous Renal Replacement Therapy initiation
Time frame: 72 hours after Continuous Renal Replacement Therapy initiation
Vasopressor-free days
Vasopressor-free days to day 28
Time frame: Day 28
Lactate concentration at 72 hours
Lactate concentration level at 72 hours after Continuous Renal Replacement Therapy initiation initiation
Time frame: 72 hours after Continuous Renal Replacement Therapy initiation
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ICU mortality
All cause mortality in ICU
Time frame: through study completion, an average of 1 month
mechanical ventilation free days
Total length of mechanical ventilation free days up to to day 28
Time frame: Day 28
Total length of Continuous Renal Replacement Therapy
Total length of Continuous Renal Replacement Therapy to day 28
Time frame: Day 28