The use of Vasoactive-Inotropic Score in Adult Patients with Septic Shock in Intensive Care

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dc.contributor.authorKara, Iskender
dc.contributor.authorSargin, Mehmet
dc.contributor.authorBayraktar, Yeim Erife
dc.contributor.authorEyiol, Hatice
dc.contributor.authorDuman, Ipek
dc.contributor.authorCelik, Jale Bengi
dc.date.accessioned2024-02-23T14:34:52Z
dc.date.available2024-02-23T14:34:52Z
dc.date.issued2019
dc.departmentNEÜen_US
dc.description.abstractObjective: Sepsis and septic shock are significant causes of mortality and morbidity. In septic shock, vasopressors and inotropic support are given for the treatment of hypotension. This study was designed to investigate the relationship between the vasoactive-inotropic score (VIS) and the results of sepsis patients in ICU. Methods: The data of 392 patients who were followed up with the diagnosis of septic shock in adult ICU were recorded retrospectively. Vasopressors and inotropic support of the patients during the first 48 hours after the diagnosis of septic shock were recorded. Mean and peak VIS values were calculated according to these values. The patients were divided into groups according to the mean VlS >= 10, peak VIS >= 10 and intensive care results and statistical analysis was performed. Results: The median ages of the patients were 68 (54.25-79) years and 239 (61%) were male. Dopamine 188 (47.9%), noradrenaline 365 (93.1%), adrenaline 53 (13.5%) and dobutamine 15 (3.8%) were used in the patients. The mean VIS was 9 (4-15), while the number of mean VIS >= 10 patients were 192 (49%). Peak VIS values were 11 (5-20), and the number of peak VIS >= 10 patients were 220 (56.1%). The mortality rate of the patients included in the study was 42.1%. The mean VIS score(13 vs 6, p=0.000), mean VIS >= 10 patient ratio (71.5% vs 32.6%, p=0.000), peak VIS score (16 vs 8, p=0.000), and peak VIS >= 10 patient ratio (73.3% vs 43.6%, p=0.000) were higher in non-survivors. The parameters such as mean VIS [OR 1.123, 95% CI 1.027-1.229, p=0.011], mean VIS >= 10 [OR 3.455, 95% CI 1.625-7.345, p=0.001] and peak VIS score [OR 0.917, 95% CI 0.851-0.989, p=0.024] were determined as independent risk factors for mortality. Conclusion: We conclude that vasoactive-inotropic score may be useful in predicting the outcome of septic shock patients in intensive care units.en_US
dc.identifier.doi10.33381/dcbybd.2019.2057
dc.identifier.endpage30en_US
dc.identifier.issn1309-1689
dc.identifier.issn1309-6222
dc.identifier.issue1en_US
dc.identifier.scopus2-s2.0-85068612616en_US
dc.identifier.startpage23en_US
dc.identifier.urihttps://doi.org/10.33381/dcbybd.2019.2057
dc.identifier.urihttps://hdl.handle.net/20.500.12452/15770
dc.identifier.volume10en_US
dc.identifier.wosWOS:000500542600005en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherTurkish Soc Medical & Surgical Intensive Care Medicineen_US
dc.relation.ispartofJournal Of Medical And Surgical Intensive Care Medicineen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectSepsisen_US
dc.subjectSeptic Shocken_US
dc.subjectMortalityen_US
dc.subjectMorbidityen_US
dc.titleThe use of Vasoactive-Inotropic Score in Adult Patients with Septic Shock in Intensive Careen_US
dc.typeArticleen_US

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