Diagnostic and Prognostic Evaluation of Vasorin During Septic Shock

N/ARecruitingNCT07203833

Centre Hospitalier Universitaire, Amiens144 enrolled

Overview

Septic shock is the most severe form of infection. Currently, an early specific biomarker for septic shock is needed. Remember that shock situations are numerous, not only septic (eg hemorrhagic, cardiogenic...), and also accompanied by a severe pro-inflammatory state that it is sometimes difficult to distinguish from a septic state. Procalcitonin (PCT) is the most studied biomarker but still lacks sensitivity (77%) and specificity (79%). The investigators hypothesize that the Vasn could become this potential new biomarker and would allow a better diagnosis and thus the need or not to treat patients with antibiotics. The laboratory studies suggest a link between Vasn and septic shock. The goal of this project is to measure and compare plasma Vasn concentrations in 2 groups of patients = group 1: septic shock versus group 2: non-septic shock. Briefly, shock is defined as low blood pressure requiring vasopressor agents with confirmed infection (group 1) or without suspected infection such as patients admitted in intensive care unit post cardiac surgery with CBP (group 2). The investigators will also assess patient 28-day mortality to identify Vasn as a potential prognostic biomarker.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

OTHER

Masking

NONE

Enrollment

144

Conditions

Vasorin Septic Shock

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Adults over 18 years. * Patients admitted for less than 24 hours in intensive care unit of the CHU Amiens Picardie. * Group 1: patients with septic shock defined by sepsis with 2 mmol/l Lactates, requiring vasopressors to maintain mean blood pressure at 65 mmHg (despite adequate vascular filling) in the presence of fever (T°\>38.3) with a documented or suspected infection * Group 2: patients with a shock defined by arterial hypotension requiring the use of vasopressors with 2 mmol/l Lactates but without suspected infection and apyrexie (T°\<38°). For example: vasoplegia post cardiac surgery with CBP or cardiogenic shock or hemorrhagic shock Exclusion Criteria: * Pregnant women * Group 1 : No evidence of suspected or documented infection * Group 2 : Presence of fever and/or suspected infection

Outcomes

Primary Outcomes

Vasn plasma concentration at D0 for each group

Time frame: day 0

Vasn plasma concentration in each group

Time frame: day 1

Vasn plasma concentration in each group

Time frame: day 3

Correlation between Vasn plasma concentration and noradrenaline dose peak in each group

Time frame: day 0

Correlation between Vasn plasma concentration and noradrenaline dose peak in each group

Time frame: day 1

Correlation between Vasn plasma concentration and noradrenaline dose peak in each group

Time frame: day 3

Correlation between Vasn plasma concentration and occurrence of an IRA (KDIGO score) in each group

Time frame: day 0

Correlation between Vasn plasma concentration and occurrence of an IRA (KDIGO score) in each group

Time frame: day 1

Correlation between Vasn plasma concentration and occurrence of an IRA (KDIGO score) in each group

Time frame: day 3

Correlation between Vasn plasma concentration and coagulation marker concentration in each group

coagulation marker are TF, platelet count, TP, TCA, Factor V, fibrinogen, D-dimers

Time frame: day 0

Correlation between Vasn plasma concentration and coagulation marker concentration in each group

coagulation marker are TF, platelet count, TP, TCA, Factor V, fibrinogen, D-dimers

Time frame: day 1

Correlation between Vasn plasma concentration and coagulation marker concentration in each group

coagulation marker are TF, platelet count, TP, TCA, Factor V, fibrinogen, D-dimers

Time frame: day 3

Correlation between Vasn plasma concentration and SOFA score at admission in each group

Time frame: day 0

Correlation between Vasn plasma concentration and SOFA score at admission in each group

Time frame: day 1

Correlation between Vasn plasma concentration and mortality in each group

Time frame: day 3

Correlation between Vasn plasma concentration and SOFA score at admission in each group

Time frame: day 3

Correlation between Vasn plasma concentration and mortality in each group

Time frame: day 0

Correlation between Vasn plasma concentration and mortality in each group

Time frame: day 1

Correlation between Vasn plasma concentration and length of hospitalization in each group

Time frame: day 1

Correlation between Vasn plasma concentration and length of hospitalization in each group

Time frame: day 0

Correlation between Vasn plasma concentration and length of hospitalization in each group

Time frame: day 3

Correlation between Vasn plasma concentration and plasma level of procalcitonin in each group

Time frame: day 0

Correlation between Vasn plasma concentration and plasma level of procalcitonin in each group

Time frame: day 1

Correlation between Vasn plasma concentration and plasma level of procalcitonin in each group

Time frame: day 3

Diagnostic and Prognostic Evaluation of Vasorin During Septic Shock

Overview

Conditions

Interventions

Eligibility

Locations (1)

Outcomes

Primary Outcomes

Central Contacts