Article
Identifying a Refractory Shock Phenotype in Pediatric Sepsis Using a Vasoactive-Adjusted Shock Index.
Shock (Augusta, Ga.) - 1 Aug 2026
Lee Cheolmin Matthew, Atreya Mihir R, Bennett Tellen D, Farris Reid Wd, Faustino E Vincent S, Geva Alon, Rogerson Colin M, Shah Sareen, Weiss Scott, Sanchez-Pinto L Nelson
Abstract excerpt
OBJECTIVES: This study aimed to: 1) develop a cardiovascular index that includes hemodynamic status and adjusts for vasoactive medication use; 2) identify pediatric patients with refractory septic shock (RSS) using early trends of the adjusted index, and 3) assess the heterogeneity of treatment effect (HTE) to common adjuvant therapies in RSS versus non-RSS patients. METHODS: Children with sepsis across 13 US...
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