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RECRUITINGINTERVENTIONAL

Effects of Intravenous Metabolic Recovery Agent in Elderly Septic Patients on Prognosis and Microcirculation.

Clinical Study of the Effect of Intravenous Hydrocortisone Combined With Vitamin C and Vitamin B1 Infusion on Prognosis and Sublingual Microcirculation in Elderly Patients With Sepsis or Septic Shock.

Important: This information is not medical advice. Talk to your doctor about whether a clinical trial is right for you.

About This Trial

This study intends to observe the effect of intravenous hydrocortisone combined with vitamin C and vitamin B1 infusion on the prognosis and sublingual microcirculation in patients with sepsis or septic shock through a prospective randomized controlled study method.

Who May Be Eligible (Plain English)

Who May Qualify: - Age ≥60 and ≤85 years old; - Diagnosis of sepsis or septic shock; - Clinical judgment for hydrocortisone treatment; - Signing willing to sign a consent form. Who Should NOT Join This Trial: - patients in palliative care; - uncontrolled malignancy with multiple metastases; - ineffective surgical intervention for the infectious agent; - estimated death within 24 hours; - glucocorticoids used in the last 7 days; - allergy to hydrocortisone, vitamin c or vitamin B1; - inability to measure sublingual microcirculation. Always talk to your doctor about whether this trial is right for you.

Original Eligibility Criteria

View original clinical language
Inclusion Criteria: * Age ≥60 and ≤85 years old; * Diagnosis of sepsis or septic shock; * Clinical judgment for hydrocortisone treatment; * Signing Informed Consent. Exclusion Criteria: * patients in palliative care; * uncontrolled malignancy with multiple metastases; * ineffective surgical intervention for the infectious agent; * estimated death within 24 hours; * glucocorticoids used in the last 7 days; * allergy to hydrocortisone, vitamin c or vitamin B1; * inability to measure sublingual microcirculation.

Treatments Being Tested

DRUG

Metabolic resuscitation agent

Intervention group will receive intravenous hydrocortisone (200mg every 24 hours), vitamin C (1.5g every 6 hours), and thiamine (200 mg every 12 hours).

DRUG

Hydrocortisone

Placebo group will receive intravenous hydrocortisone 200mg every 24 hours.

Locations (1)

Zhongda Hospital Southeast University
Nanjing, Jiangsu, China