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Table 2 Study treatments, outcomes, and hemodynamic measurements

From: Hemodynamic goals in randomized clinical trials in patients with sepsis: a systematic review of the literature

Reference

Treatment

n

Control group mortality

Study group mortality

Blood pressure goal

Other hemodynamic goals

Tuchsmidt and colleagues [12]

Elevation of cardiac output with dobutamine and fluids

51

18/25 (72%)

13/26 (50%)

SBP > 90 mmHg

Treatment group: PAOP ≥ 15 mmHg and CI ≥ 6 l/min/m2; control group: CI ≥ 3 l/min/m2

Peake and colleagues [10]

N-acetyl-cysteine

20

5/10 (50%)

9/10 (90%)

SBP > 90 mmHg

CI ≥ 4 l/min/m2; PAOP 15–18 mmHg

Bollaert and colleagues [11]

Supraphysiologic hydrocortisone

40

12/19 (63%)

7/21 (32%)

SBP > 90 mmHg

 

Spapen and colleagues [19]

N-acetyl-cysteine

22

4/10 (40%)

5/12 (41.6%)

MAP > 65 mmHg

CI > 4 l/min/m2

Alia and colleagues [18]

Maximizing of oxygen delivery with dobutamine

63

21/32 (65.6%)

23/31 (74.5%)

MAP > 60 mmHg

PAOP 12–15 mmHg; treatment group: DO2I > 600 ml/min/m2; control group: DO2I > 330 ml/min/m2

Boldt and colleagues [15]

Heparin

56

11/28 (39.2%)

10/28 (35.7%)

MAP > 65 mmHg

CVP 12–15 mmHg

Clark and colleagues [23]

TNF-α antibody

28

3/14 (21.4%)

3/14 (21.4%)

MAP 90–110 mmHg

 

Briegel and colleagues [17]

Stress dose hydrocortisone

40

6/20 (30%)

5/20 (25%)

MAP > 70 mmHg

PAOP 12–15 mmHg

Rivers and colleagues [14]

Multifaceted early goal-directed therapy protocol

263

70/133 (52.6)

50/130 (38.4)

MAP ≥ 65 mmHg

CVP 8–12 mmHg, EGDT SVO2 ≥ 70%

Cole and colleagues [13]

Continuous hemofiltration

24

4/12 (33.3%)

4/12 (33.3%)

MAP ≥ 70 mmHg

 

Emet and colleagues [16]

N-acetyl-cysteine

53

8/26 (30.7%)

7/27 (25.9%)

 

CVP 4–8 mmHg

Bakker and colleagues [20]

Nitric oxide synthase inhibitor

312

75/155 (48.3%)

72/155 (46.2%)

MAP ≥ 70 mmHg

CI ≥ 3 l/min/m2

Lopez and colleagues [21]

Nitric oxide synthase inhibitor

797

174/358 (48.6%)

259/439 (59%)

MAP 70–90 mmHg

CI ≥ 3 l/min/m2

  1. CI, cardiac index; CVP, central venous pressure; DO2I, Oxygen Delivery Index; EGDT early goal-directed therapy SVO2, venous oxygen saturation; MAP, mean arterial pressure; PAOP, pulmonary artery occlusion pressure; SBP, systolic blood pressure.