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EFFECTS OF EXTRACORPOREAL CYTOKINE ELIMINATION ON HEMODYNAMIA AND MORTALITY IN CRITICAL PATIENTS

Conditions
Cytokine Hemadsorption Therapy in Critically Ill Patients Who Have no Microbiological Findings and Develop Vasoplegic Shock
Registration Number
NCT05984407
Lead Sponsor
Hakan Küçükkepeci
Brief Summary

Observation of the effects of cytokine adsorbent hemadsorption therapy on hemodynamics and mortality in critically ill patients who developed vasoplegic shock due to hyperinflammation without microbiological findings in the intensive care unit.

Detailed Description

Observation of the effects of cytokine adsorbent hemadsorption therapy on hemodynamics and mortality in critically ill patients who developed vasoplegic shock due to hyperinflammation without microbiological findings and met the inclusion criteria in the Intensive Care Unit between 01.08.2023 and 01.02.2024

Recruitment & Eligibility

Status
ENROLLING_BY_INVITATION
Sex
All
Target Recruitment
30
Inclusion Criteria
  • C-reactive protein (CRP) ≥ 100 mg/l
  • Procalcitonin (PCT) < 2 ng/l
  • Patients aged 18-80 years who were treated with cytokine adsorption due to vasoplegic shock
Exclusion Criteria
  • Patients under 18 years of age
  • Patients with suspected or proven bacterial cause of vasoplegic shock.
  • Those who did not approve to participate in the study
  • Patients without vasoplegic shock
  • Patients with CRP < 100 mg/l, PCT ≥ 2 μg/L

Study & Design

Study Type
OBSERVATIONAL
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The time to resolution of vasoplegic shock within days.From enrollment to the end of treatment at 12 weeks
Secondary Outcome Measures
NameTimeMethod
7-day mortality7 days
mortality until discharge from hospitalFrom enrollment to the end of treatment at 12 weeks
mechanical ventilation need and durationFrom enrollment to the end of treatment at 12 weeks
duration of treatment in the intensive care unitFrom enrollment to the end of treatment at 12 weeks
Interleukin 10 level on day 1one day
Interleukin 6 level on day 1one day
TNF - α level on day 1one day
Interleukin 1 beta level on day 33 days
Interleukin 10 level on day 33 days
Interleukin 6 level on day 33 days
TNF - α level on day 33 days
dose of catecholamineFrom enrollment to the end of treatment at 12 weeks
Interleukin 1 beta level on day 1one day

Trial Locations

Locations (1)

Prof. Dr. Cemil Taşcıoğlu City Hospital

🇹🇷

İstanbul, Şişli, Turkey

Prof. Dr. Cemil Taşcıoğlu City Hospital
🇹🇷İstanbul, Şişli, Turkey

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