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J Korean Soc Emerg Med > Volume 31(2); 2020 > Article
Journal of The Korean Society of Emergency Medicine 2020;31(2): 146-151.
패혈증 쇼크에서 바소프레신 투여 시기가 예후에 미치는 영향
김성은1 , 이강호1 , 민문기1 , 류지호1 , 이대섭1 , 이민지1 , 왕일재2
1양산부산대학교병원 응급의학과
2부산대학교병원 응급의학과
Effect of vasopressin on prognosis in sepsis shock
Sungeun Kim1 , Kang Ho Lee1 , Mun Ki Min1 , Ji Ho Ryu1 , Dae Sup Lee1 , Min Jee Lee1 , Il Jae Wang2
1Department of Emergency Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea
2Department of Emergency Medicine, Pusan National University Hospital, Busan, Korea
Correspondence  Kang Ho Lee ,Tel: 055-360-2143, Fax: 055-360-2173, Email: lkh0930@naver.com,
Received: July 11, 2019; Revised: September 23, 2019   Accepted: September 29, 2019.  Published online: April 30, 2020.
ABSTRACT
Objective:
This study analyzed the relationship between the timing of vasopressin treatment and the prognosis of patients with septic shock.
Method:
Patients who were admitted to a university hospital for one year using vasopressin were studied retrospectively. All records were collected through the medical records; several factors were studied to determine the prognosis of the patient. The 24-hour, 48-hour mortality, and hospital mortality were examined. The difference in the timing of vasopressin administration between death and survival patients was analyzed to determine the effect of the vasopressor on the survival rate using the receiver operating characteristic (ROC) curve.
Results:
The general characteristics of the patients in the hospital and survivors were similar. Vasopressin infusion was faster in the surviving patients than in the death patients, but there was no significant difference (survival, 187.0 minutes; interquartile range [IQR], 95.0-548.0 minutes vs. death, 285.5 minutes; IQR, 92.7-739.2). To determine the effect of vasopressor injection on the survival rate, the ROC curve was drawn, and the area under curve was not affected significantly by norepinephrine (NE) 0.416 and vasopressin 0.529. In addition, the duration of the ventilator application was found to increase with increasing NE injection period in survivors (period of application of ventilator: NE injection time, r=0.460, P=0.048; vasopressin, r=0.369, P=0.120).
Conclusion:
The prognosis was similar regardless of the timing of vasopressin in patients with septic shock.
Key words: Vasopressin; Septic shock; Norepinephrine; Mortality
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