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Original Article

패혈증 및 패혈성 쇼크로 진단 받은 소아 중환자에서 vitamin protocol의 효과 비교

원문정보

The Effect of the Vitamin Protocol for Treating Sepsis or Septic Shock in Pediatric Intensive Care Unit

고현정, 정민재, 김재송, 손은선, 유윤미

피인용수 : 0(자료제공 : 네이버학술정보)

초록

영어

Background: Recently, a study comprising adult patients with sepsis admitted in the intensive care unit (ICU) was conducted. The patients were treated with high doses of intravenous ascorbic acid, thiamine, and hydrocortisone; the clinical outcomes demonstrated significant therapeutic benefits. The mortality rate in children with sepsis is approximately 25%. However, the effects of additional treatment with ascorbic acid and thiamine (“vitamin protocol”) in children are rarely investigated. Methods: A retrospective analysis was performed using medical records of patients diagnosed with sepsis and admitted to the pediatric ICU (PICU) between September 2016 and June 2019. The control group received treatment only as per sepsis protocol, whereas the treated group received both sepsis protocol and the vitamin protocol. The primary endpoint was change in Vasoactive-Inotropic Score (VIS) for 5 days. The secondary endpoints included the length of stay in the PICU, duration of using mechanical ventilators and vasopressors, and mortality rate. Results: The number of patients in the treated and control groups was 33 and 24, respectively. The treated group showed greater decrease in their VIS for 5 days than the control group (44.4 vs 18.6); however, the difference was not statistically significant. The length of stay in the PICU was significantly longer for the treated group than for the control group [10.0 days (Interquartile range (IQR), 6-18) vs 4.5 days (IQR, 4-10.3); p=0.004]. Conclusions: No significant treatment benefits were observed following vitamin protocol administration to the pediatric patients with sepsis. Further studies are necessary for improving the efficacy and safety of the vitamin protocol.

목차

ABSTRACT
연구 방법
연구대상
연구설계
데이터 수집 항목
평가 지표
통계분석
연구 결과
환자 특성
치료 효과
고찰
이해상충
참고문헌

저자정보

  • 고현정 Hyun Jung Ko. 연세대학교 의과대학 세브란스병원 약무국
  • 정민재 Min Jae Jung. 연세대학교 의과대학 세브란스병원 약무국
  • 김재송 Jae Song Kim. 연세대학교 의과대학 세브란스병원 약무국
  • 손은선 Eun Sun Son. 연세대학교 의과대학 세브란스병원 약무국
  • 유윤미 Yun Mi Yu. 연세대학교 약학대학

참고문헌

자료제공 : 네이버학술정보

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