{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T11:04:56Z","timestamp":1791543896290,"version":"4.3.4"},"reference-count":47,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2013,1,8]],"date-time":"2013-01-08T00:00:00Z","timestamp":1357603200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Acta Anaesthesiol Scand"],"published-print":{"date-parts":[[2013,4]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Administration of inotropes in septic patients with low cardiac output or low central\/mixed venous saturation is recommended in current guidelines. However, the impact of inotrope use on the outcome of these patients is controversial. We aimed to analyse the association of inotrope treatment with 90\u2010day mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from 420 consecutive patients with septic shock were retrospectively collected from the intensive care unit (<jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>) data management system. Factors associated with inotrope treatment were assessed. The association of 90\u2010day mortality with inotrope treatment was first analysed using logistic regression analysis, and second including propensity score based on observed variables for selection to inotrope treatment. A subgroup analysis was performed for the 252 patients with pulmonary artery catheter.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>One hundred eighty\u2010six (44.3%) patients received inotrope treatment during the first 24\u2009h in <jats:styled-content style=\"fixed-case\">ICU<\/jats:styled-content>. Of those, 168 (90.3%) received dobutamine, 29 (15.6%) levosimendan, and 23 (12.4%) epinephrine. Blood lactate (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), central venous pressure, (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and norepinephrine dose (<jats:italic>P<\/jats:italic>\u2009=\u20090.03) were independently associated with inotrope treatment. Patients with inotrope treatment had a higher 90\u2010day mortality (42.5% vs. 23.9%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Age (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), Acute Physiology and Chronic Health Evaluation II score (<jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), and inotrope treatment (<jats:italic>P<\/jats:italic>\u2009=\u20090.003) were independently associated with 90\u2010day mortality also after adjustment with propensity score.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The use of inotrope treatment in septic shock was associated with increased 90\u2010day mortality without and after adjustment with propensity to receive inotrope. To differentiate between non\u2010observed biases of severity of septic shock and an unfavourable effect of inotropes, prospective studies are needed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/aas.12056","type":"journal-article","created":{"date-parts":[[2013,1,8]],"date-time":"2013-01-08T15:46:37Z","timestamp":1357659997000},"page":"431-442","source":"Crossref","is-referenced-by-count":79,"title":["Association between inotrope treatment and 90\u2010day mortality in patients with septic shock"],"prefix":"10.1111","volume":"57","author":[{"given":"E.","family":"WILKMAN","sequence":"first","affiliation":[{"name":"Department of Surgery Intensive Care Units Division of Anaesthesia and Intensive Care Medicine  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"K.\u2010M.","family":"KAUKONEN","sequence":"additional","affiliation":[{"name":"Department of Surgery Intensive Care Units Division of Anaesthesia and Intensive Care Medicine  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V.","family":"PETTIL\u00c4","sequence":"additional","affiliation":[{"name":"Department of Surgery Intensive Care Units Division of Anaesthesia and Intensive Care Medicine  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"KUITUNEN","sequence":"additional","affiliation":[{"name":"Department of Surgery Intensive Care Units Division of Anaesthesia and Intensive Care Medicine  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"VARPULA","sequence":"additional","affiliation":[{"name":"Department of Surgery Intensive Care Units Division of Anaesthesia and Intensive Care Medicine  Helsinki Finland"},{"name":"Department of Internal Medicine Division of Cardiology Helsinki University Central Hospital  Helsinki Finland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,1,8]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-007-0934-2"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa010307"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(07)61344-0"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-008-1219-0"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0b013e32833e10fb"},{"key":"e_1_2_5_7_1","first-page":"e28","article-title":"Definitions for sepsis and organ failure and guidelines for the use of innovative therapies in sepsis. 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