The effect of specialized team in the treatment of septic shock in children with continuous blood purification / 中国小儿急救医学

ABSTRACT

Objective:To investigate the effect of specialized continuous blood purification team (SCT) in the treatment of septic shock in children.Methods:The clinical data of 68 children with septic shock treated with continuous blood purification (CBP) from January 2012 to June 2019 were retrospectively analyzed.Choosing the date of SCT established(January 1, 2017) as the bound, the children were divided into the control group (before the establishment of SCT) and the observation group (after the establishment of SCT) according to whether the CBP was implemented by SCT.The CBP implementation rate, CBP time to get on the machine, the incidence of CBP-related adverse events and the prognosis of the two groups were compared.Results:There were no significant differences between two groups about baseline data such as gender, age and pediatric critical illness score( P>0.05). The CBP implementation rate of the observation group was higher than that in control group (96.7% vs.73.7%, P<0.05), and the CBP time to get on the machine was shorter than that in control group[(1.93±0.65)h vs.(6.25±2.38) h, P<0.01]. The overall incidence of CBP-related adverse events was lower than that in control group (18.7% vs.66.2%, P<0.01), and the 28 d survival was higher than that in control group(83.3% vs.60.5%, P<0.05). Conclusion:SCT can significantly improve the implementation rate and efficiency of CBP treatment in children with septic shock, reducing the incidence of CBP-related adverse events, and improving the survival rate.