Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis

Xin Wang,1,* Shikui Li2,* 1Intensive Care Unit, 2Cardiothoracic Surgery, Daqing Oilfield General Hospital, Daqing, Heilongjiang, People’s Republic of China *These authors contributed equally to this work Aim: As a primary cause of death not only in Western countries but also in the Peop...

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Autores principales:	Wang X, Li S
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	Chinese elderly levosimendan mortality rate organ function sepsis small-dose. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/08af5f579e2747eca5780a5fa7da77f8
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spelling	oai:doaj.org-article:08af5f579e2747eca5780a5fa7da77f82021-12-02T07:59:35ZEffect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis1178-1998https://doaj.org/article/08af5f579e2747eca5780a5fa7da77f82017-05-01T00:00:00Zhttps://www.dovepress.com/effect-of-small-dose-levosimendan-on-mortality-rates-and-organ-functio-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Xin Wang,1,* Shikui Li2,* 1Intensive Care Unit, 2Cardiothoracic Surgery, Daqing Oilfield General Hospital, Daqing, Heilongjiang, People’s Republic of China *These authors contributed equally to this work Aim: As a primary cause of death not only in Western countries but also in the People’s Republic of China, sepsis is diagnosed as abnormal organ functions as a result of a disordered response to a severe infection. This study was designed to assess the effect of small-dose levosimendan without a loading dose on mortality rates and organ functions in Chinese elderly patients with sepsis.Methods: Following a prospective, randomized, and double-blinded design, 240 Chinese elderly patients with sepsis shock were admitted to the intensive care unit (ICU). All patients were randomly and evenly assigned into a levosimendan group (number of patients =120) and a control group (number of patients =120). The control group underwent standard care, and the levosimendan group was administered levosimendan in addition to standard care.Results: All participants, comprising 134 males (55.8%) and 106 females (44.2%), were 70 (67–73) years old. Baseline characteristics, preexisting illnesses, initial infections, organ failures, and additional agents and therapies showed no significant difference between the two groups (P>0.05 for all). There were no significant differences in mortality rates at 28 days, at ICU discharge, and at hospital discharge between the two groups (P>0.05 for all). The number of days of ICU and hospital stay in the levosimendan group was significantly less than for those in the control group (P<0.05 for all). Mean daily total sequential organ failure assessment score and all organ scores except the cardiovascular scores showed no significant difference between the two groups (P>0.05 for all). Cardiovascular scores in the levosimendan group were significantly higher than those in the control group (P<0.05 for all).Conclusion: Small-dose levosimendan could not reduce the mortality rates or enhance the respiratory, liver, renal, and coagulation functions, but could shorten the days of ICU and hospital stay, and improve the cardiovascular function, which suggests that small-dose levosimendan is valuable for Chinese elderly patients with sepsis. Keywords: Chinese elderly, levosimendan, mortality rate, organ function, sepsis, small-doseWang XLi SDove Medical PressarticleChinese elderlylevosimendanmortality rateorgan functionsepsissmall-dose.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 917-921 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	Chinese elderly levosimendan mortality rate organ function sepsis small-dose. Geriatrics RC952-954.6
spellingShingle	Chinese elderly levosimendan mortality rate organ function sepsis small-dose. Geriatrics RC952-954.6 Wang X Li S Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis
description	Xin Wang,1,* Shikui Li2,* 1Intensive Care Unit, 2Cardiothoracic Surgery, Daqing Oilfield General Hospital, Daqing, Heilongjiang, People’s Republic of China *These authors contributed equally to this work Aim: As a primary cause of death not only in Western countries but also in the People’s Republic of China, sepsis is diagnosed as abnormal organ functions as a result of a disordered response to a severe infection. This study was designed to assess the effect of small-dose levosimendan without a loading dose on mortality rates and organ functions in Chinese elderly patients with sepsis.Methods: Following a prospective, randomized, and double-blinded design, 240 Chinese elderly patients with sepsis shock were admitted to the intensive care unit (ICU). All patients were randomly and evenly assigned into a levosimendan group (number of patients =120) and a control group (number of patients =120). The control group underwent standard care, and the levosimendan group was administered levosimendan in addition to standard care.Results: All participants, comprising 134 males (55.8%) and 106 females (44.2%), were 70 (67–73) years old. Baseline characteristics, preexisting illnesses, initial infections, organ failures, and additional agents and therapies showed no significant difference between the two groups (P>0.05 for all). There were no significant differences in mortality rates at 28 days, at ICU discharge, and at hospital discharge between the two groups (P>0.05 for all). The number of days of ICU and hospital stay in the levosimendan group was significantly less than for those in the control group (P<0.05 for all). Mean daily total sequential organ failure assessment score and all organ scores except the cardiovascular scores showed no significant difference between the two groups (P>0.05 for all). Cardiovascular scores in the levosimendan group were significantly higher than those in the control group (P<0.05 for all).Conclusion: Small-dose levosimendan could not reduce the mortality rates or enhance the respiratory, liver, renal, and coagulation functions, but could shorten the days of ICU and hospital stay, and improve the cardiovascular function, which suggests that small-dose levosimendan is valuable for Chinese elderly patients with sepsis. Keywords: Chinese elderly, levosimendan, mortality rate, organ function, sepsis, small-dose
format	article
author	Wang X Li S
author_facet	Wang X Li S
author_sort	Wang X
title	Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis
title_short	Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis
title_full	Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis
title_fullStr	Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis
title_full_unstemmed	Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis
title_sort	effect of small-dose levosimendan on mortality rates and organ functions in chinese elderly patients with sepsis
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/08af5f579e2747eca5780a5fa7da77f8
work_keys_str_mv	AT wangx effectofsmalldoselevosimendanonmortalityratesandorganfunctionsinchineseelderlypatientswithsepsis AT lis effectofsmalldoselevosimendanonmortalityratesandorganfunctionsinchineseelderlypatientswithsepsis
_version_	1718398704402038784

Effect of small-dose levosimendan on mortality rates and organ functions in Chinese elderly patients with sepsis

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