Significance of P(cv-a)CO2 combined with fluid load status in assessing prognosis of patients with septic shock
GUO Zhi-qiang
WANG En-yan
DAI Kun-peng
WANG Bin
KONG Ji-chang
LI Zhi-yun
YIN Ming
HU Kun
DONG Lan-hua
WANG Feng
Abstract：Objective To evaluate the value of P(cv-a)CO2 combined with fluid load status in assessing prognosis of patients with septic shock.Methods The data of 95 patients with septic shock were collected from October 2015 to March 2017, and the included patients were divided into 4 groups according to the presence of fluid overload and P(cv-a)CO2 threshold of 6 mmHg (1 mmHg=0.133 kPa) 72 hours after treatment. Group A: fluid overload + P(cv-a)CO2≥6 mmHg; Group B: non-fluid overload + P(cv-a) CO2≥6 mmHg; Group C: fluid overload + P(cv-a)CO2<6 mmHg; Group D: non-fluid overload + P(cv-a)CO2<6 mmHg. The differences in the mortality rate on 28 and 90 days, mechanical ventilation time, ICU time, and hospital stay time were compared among the four groups.Results There were statistically significant differences in mechanical ventilation time, ICU time, hospital stay, 28-day mortality and 90-day mortality among the 4 groups (P<0.05).Conclusions The combination of P(cv-a)CO2 and fluid overload condition can evaluate the prognosis of patients with septic shock.
Keywords：septic shockcentral venous-arterial carbon dioxide partial differencefluid overload
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 358-360,364 )