Efficacy of Hydrocortisone in Treatment of Severe Sepsis/Septic Shock Patients With Acute Lung Injury/Acute Respiratory Distress Syndrome (ARDS)
NCT01284452 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 197
Last updated 2015-04-20
Summary
Severe sepsis/septic shock is a serious condition associated with high mortality rate. Hydrocortisone has been recommended as a useful treatment to decrease mortality in hemodynamically unstable septic shock patients, not response to fluid and moderate dose of vasopressor. During the progression of severe sepsis/septic shock, multi-organ dysfunction can develop. Acute lung injury (ALI) and its more severe form, acute respiratory syndrome (ARDS) is one of the common organ dysfunction associated with septic shock. Information from a meta-analysis suggested that moderate dose of hydrocortisone may improve the ARDS patients' outcome. Whether hydrocortisone can effectively prevent disease progression and death in severe sepsis/septic shock patients who complicated with ALI/ARDS has not been proven.
Conditions
- Septic Shock
- Severe Sepsis
- Acute Lung Injury
- Acute Respiratory Distress Syndrome
Interventions
- DRUG
-
Normal saline 50 ml intravenous every 6 hours for 7 days
- DRUG
-
Hydrocortisone
Hydrocortisone 50 mg intravenous every 6 hours for 7 days
Sponsors & Collaborators
-
Mahidol University
lead OTHER
Principal Investigators
-
Surat Tongyoo, MD · Department of Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 80 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2010-12-31
- Primary Completion
- 2014-12-31
- Completion
- 2015-03-31
Countries
- Thailand
Study Locations
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