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Early Albumin Resuscitation During Septic Shock

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Laboratoire français de Fractionnement et de Biotechnologies

关键词

抽象

Objective: To determine whether the early administration of albumin as an expander and antioxidant would improve survival on the 28th day for septic shock patients.
Design: Prospective, multicenter, randomized, controlled versus saline, stratified on nosocomial infection and center.
Setting: 27 Intensive Care Units (ICU) in France
Coordinator: Pr J.P. Mira and Dr J. Charpentier - Cochin Hospital- Paris
Patients: 800 patients could be included during the first 6 hours of their septic shock.

描述

The primary outcome: Mortality during the 28 day period after randomization. The secondary outcomes: Evaluation of SOFA score, ventilator-free days, dialysis free days, catecholamine free days, days of hospitalisation, incidence of nosocomial infections.

The albuminemia of all patients is requested before the treatment until Day 4 post treatment.

The treatment is: Vialebex 20% 100ml every 8 hours during 3 days versus saline 100ml every 8 hours during 3 days.

The first patient will be in July 2006, the last patient expected is on July 2009.

日期

最后验证: 03/31/2011
首次提交: 05/16/2006
提交的预估入学人数: 05/16/2006
首次发布: 05/17/2006
上次提交的更新: 04/04/2011
最近更新发布: 04/05/2011
实际学习开始日期: 06/30/2006
预计主要完成日期: 05/31/2010
预计完成日期: 12/31/2010

状况或疾病

Septic Shock

干预/治疗

Drug: Albumin

Drug: Saline

相 4

手臂组

干预/治疗
Active Comparator: Albumin
Drug: Albumin
albumin 20% 100 ml/8 hours for 3 days
Placebo Comparator: Saline
Drug: Saline
saline 100 ml/8hours for 3 days

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Over 18 years old

- Septic shock < 6 hours

- Agreement of patients

Exclusion Criteria:

- Allergy to albumin

- Weight > 120 kg

- Non septic shock

- Burned

- Cirrhosis

- Albumin perfusion 48 hours before randomization

- Pregnant women

- Cardiac dysfunction New York Heart Association (NYHA) 3 or 4

- Patients with therapeutic limitation

结果

主要结果指标

1. Mortality, any cause, during the 28 day period after randomization [day 28]

次要成果指标

1. Evaluation of sequential organ failure assessment (SOFA) score [ICU period]

2. catecholamine free days [day 28]

3. incidence of nosocomial infection [ICU period]

4. mortality at 90 days [day 90]

5. length of ICU hospitalisation [ICU discharge]

6. length of total hospitalisation [hospital discharge]

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