Hemodynamic effects of intravenous calcium administration on septic shock patients: a retrospective study.
We evaluated the hemodynamics and outcomes of septic shock (SS) patients who did not respond to fluid resuscitation, after treatment with or without intravenous calcium. We retrospectively collected information on 154 eligible SS patients who were admitted to Fukuyama City Hospital Emergency Medical Center and did not respond to fluid resuscitation. To compare their degree of hemodynamic impairment, we compared the changes in the vasoactive-inotropic score (VIS) in the calcium-treated group (n＝112) and the noncalcium-treated group (n＝42). We compared the length of stay in the intensive care unit (ICU) and hospital, in-hospital deaths, 28-day deaths, and changes in the Sequential Organ Failure Assessment score within 72h of ICU admission between the 2 groups. Changes in the VIS at 1h after the baseline time were significantly greater in the calcium-treated group than in the noncalcium-treated group (1.41 vs. －1.25, respectively;p＜0.001). However, the changes in the VIS at 3, 6, 24, 48, and 72h did not differ between the 2 groups. The secondary outcomes also did not differ between the groups. Our findings indicate that calcium administered to SS patients might reduce their hemodynamic stabilization, but only for a short time after its administration.
Fukuyama City Hospital Emergency Medical Center, Fukuyama, Hiroshima 721-8511, Japan.
Naoki
N
Ishibashi
Koji
K
Miyasho
Tetsuhisa
T
Kitamura
Takaaki
T
Ookuma
Nobuhiro
N
Kashitani
Nobuhiko
N
Beika
Takahiro
T
Yamashita
Yoshihito
Y
Ujike
D061605:Administration, Intravenous; D000368:Aged; D002118:Calcium / Q000008:administration & dosage* / Q000627:therapeutic use; D005260:Female; D005440:Fluid Therapy / Q000379:methods*; D006439:Hemodynamics / Q000502:physiology*; D017052:Hospital Mortality; D006801:Humans; D007362:Intensive Care Units; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012772:Shock, Septic / Q000628:therapy*
D002118:Calcium