Journal article
The effects of early restrictive fluid resuscitation on the clinical outcomes in sepsis patients
American journal of translational research, Vol.13(10), pp.11482-11490
01/01/2021
PMCID: PMC8581844
PMID: 34786074
Abstract
Objective: To investigate the effects of early restrictive fluid resuscitation (RFR) on the clinical outcomes in sepsis patients. Methods: A total of 122 sepsis patients admitted to our hospital were recruited for this study and divided into a study group (the SG, n=56) and a control group (the CG, n=66) according to the treatment method each patient was administered. The SG was administered early RFR, and the CG was administered adequate fluid resuscitation. The clinical data were analyzed retrospectively in both groups. The total infusion volumes, the hemorrhage amounts, the urine outputs, and the Acute Physiology and Chronic Health Evaluation (APACHE II) scores were compared between the two groups. In addition, the heart rates, the mean arterial pressure levels, the central venous pressure levels, and the cardiac function indices were compared between the two groups at 1-7 days after the procedures. The survival and the complication incidence rates were followed up. Results: The SG showed significantly lower heart rates and mean arterial pressure levels and higher central venous pressure levels than the CG at 1-7 days after the procedures (
P
<0.05). The cardiac troponin, N-terminal brain pro-natriuretic peptide, and C-reactive protein levels at 3-7 days after the procedures in the SG were significantly lower than the levels in the CG (
P
<0.05). The cardiac output, stroke volume, and left ventricular ejection fraction scores in the SG were significantly higher than they were in the CG (
P
<0.05). The survival rate in the SG was significantly higher than it was in the CG at 16, 32, and 64 days after the procedures (
P
<0.05). The incidence of complications in the SG was lower than it was in the CG (
P
<0.05). Conclusion: Early RFR can remarkably improve the clinical outcomes, the myocardial injury and survival rates, and the multiple complications incidence rate in sepsis patients.
Details
- Title: Subtitle
- The effects of early restrictive fluid resuscitation on the clinical outcomes in sepsis patients
- Creators
- Yuhua Zhou - Shanghai Jiao Tong UniversityYihui Wang - Shanghai Jiao Tong UniversityQingtian Li - Shanghai Jiao Tong UniversityHuiqiu Sheng - Shanghai Jiao Tong UniversityEnqiang Mao - Shanghai Jiao Tong UniversityWeisong Jiang - Shanghai Jiao Tong University
- Resource Type
- Journal article
- Publication Details
- American journal of translational research, Vol.13(10), pp.11482-11490
- Publisher
- e-Century Publishing Corporation
- PMID
- 34786074
- PMCID
- PMC8581844
- ISSN
- 1943-8141
- eISSN
- 1943-8141
- Language
- English
- Date published
- 01/01/2021
- Academic Unit
- Internal Medicine
- Record Identifier
- 9984696754802771
Metrics
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