Skip to main content

Sepsis trial ranked No. 1 on critical care website

Feb. 15, 2018, 9:49 AM

A clinical trial of an intervention for sepsis in patients in Zambia, led by Vanderbilt investigators, topped the list of 2017 trials featured by the website The Bottom Line.

The Bottom Line summarizes and critiques what it considers landmark papers in critical care and emergency medicine — papers that shape the management of critically ill patients. The editors of the site are critical care or emergency physicians.

The editorial group rated the 36 published clinical trials from 2017 that had been featured on the site. They considered the importance of the clinical question, how “game-changing” they found the conclusion, and how the trial was conducted.

The Bottom Line ranked the sepsis trial led by Ben Andrews, MD of the Vanderbilt Institute for Global Health and the University of Zambia and Matthew Semler, MD, MSCI, assistant professor of Medicine at Vanderbilt, as the best critical care trial of 2017.

The trial, called SSSP2 (Simplified Severe Sepsis Protocol 2), tested the effect of an early resuscitation protocol — administration of intravenous fluids, blood pressure-raising medications and blood transfusions — on in-hospital mortality in adult patients presenting with sepsis and hypotension to an emergency department in Zambia.

The results, reported in the Journal of the American Medical Association, showed that contrary to expectations based on similar trials conducted in developed countries, the protocol for early resuscitation actually increased in-hospital mortality compared to usual care (management by the treating clinician).

The Bottom Line commended Andrews and colleagues for conducting well-designed research in a resource-poor country.

Douglas Heimburger, MD, professor of Medicine, and Gordon Bernard, MD, Melinda Owen Bass Professor of Medicine, also participated in the study.

 

Recent Stories from VUMC News and Communications Publications

The first few minutes of Charlie’s life were a blur, as a team of doctors and nurses at VUMC worked to resuscitate him and stabilize his heart rate. He was then transferred to the Neonatal Intensive Care Unit at Monroe Carell Jr. Children’s Hospital at Vanderbilt.

Hope

The first few minutes of Charlie’s life were a blur, as a team of doctors and nurses at VUMC worked to resuscitate him and stabilize his heart rate. He was then transferred to the Neonatal Intensive Care Unit at Monroe Carell Jr. Children’s Hospital at Vanderbilt.

Tucked away in a Vanderbilt conference room, 36 adults huddle over Lego pieces. Eleven teams have been assigned to assemble multicolored Legos using the written directions included in the packet. The result should be a Frankenstein figure.

Vanderbilt Nurse

Tucked away in a Vanderbilt conference room, 36 adults huddle over Lego pieces. Eleven teams have been assigned to assemble multicolored Legos using the written directions included in the packet. The result should be a Frankenstein figure.

Marissa Benchea has CF, and she is one of hundreds of thousands of adults not only surviving but thriving with a chronic childhood disease.

Vanderbilt Medicine

Marissa Benchea has CF, and she is one of hundreds of thousands of adults not only surviving but thriving with a chronic childhood disease.

One hundred years ago, multiple “waves” of a deadly flu swept across the world.

Vanderbilt Medicine

One hundred years ago, multiple “waves” of a deadly flu swept across the world.

more