Title of article :
Comparative, double-blind, retrospective study for the role of heparin in septic shock
Author/Authors :
Ewees, Bahaa Ain Shams University - Faculty of Medicine - Department of Anesthesia and Intensive Care, Egypt , Wadie, Sherif Ain Shams University - Faculty of Medicine - Department of Anesthesia and Intensive Care, Egypt , Magdi, Hadil Ain Shams University - Faculty of Medicine - Department of Anesthesia and Intensive Care, Egypt , Hasan, Mayar Ain Shams University - Faculty of Medicine - Department of Anesthesia and Intensive Care, Egypt , Ahmed, Sondos Ain Shams University - Faculty of Medicine - Department of Anesthesia and Intensive Care, Egypt
Abstract :
Background Sepsis and septic shock represent a systemic inflammatory state with considerableprocoagulant elements. Unfractionated heparin (UFH) is a known anticoagulant, which also has anti-inflammatory properties. Objective To evaluate the impact of an intravenous low dose of UFH in a cohort of patients diagnosed with septic shock. Design Retrospective, propensity matched, cohort study. Setting Ain Shams hospitals ICU units. Patients One hundred and forty-six of 270 patients diagnosed with septic shock. Intervention Patients were assigned randomly to receive placebo or a low dose of UFH 500 IU/h for 7 days after ICU admission. Measurement and main results The primary outcome was the effect of UFH on mortality over 28 days and the secondary outcome was the safety of heparin assessed by comparing the activated partial thromboplastin time values and the need for allogenic transfusion. The systemic administration of low-dose UFH in septic shock is associated with a decrease in mortality over the 28 days [eight of 60 (13%) vs. 18 of 64 (28%), P 0.05]. The activated partial thromboplastin time throughout the course of the therapy showedcomparable results in both groups (P 0.05). Moreover, there was no significant difference in the rate of allogenic transfusion between the placebo group and the UFH group (P 0.05). Conclusion Early administration of intravenous low-dose UFH may be associated with a decrease in 28-day mortality when administered to patients diagnosed with septic shock.
Keywords :
low dose heparin , morbidity , mortality , septic shock
Journal title :
Ain Shams Journal of Anesthesiology(ASJA)
Journal title :
Ain Shams Journal of Anesthesiology(ASJA)