Simple bedside check may predict who needs emergency treatment for sepsis
NCT ID NCT07658014
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study looked at 526 adults with sepsis who had normal blood pressure to see if a simple measure called the diastolic shock index (DSI) and a blood test for lactate could predict which patients would need medication to support their blood pressure within 6 hours. Researchers analyzed existing medical records to compare patients with high DSI to those with normal DSI. The goal was to find a way to identify hidden blood vessel problems early, without any extra tests or tasks for participants.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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526 people
The number who actually took part.
- Started
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Jan 2024
- Finished
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Apr 2026
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
The study population consists of adult patients admitted to the Intensive Care Unit (ICU) of Hospital H+ Querétaro. The cohort includes individuals with a diagnosis of sepsis (Sepsis-3) who maintain a mean arterial pressure (MAP) \>=65 mmHg without the need for vasopressors during their initial hour of admission. These patients are identified from an existing institutional database covering the period between January 1, 2024, and May 31, 2025. The population represents a specific group of critically ill patients who, despite appearing hemodynamically stable (normotensive), are at risk of rapid progression to overt circulatory collapse and vasoplegia.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Patients over 18 years of age. * Diagnosis of sepsis upon admission according to Sepsis-3 criteria (suspected or confirmed infection plus an increase in SOFA score \>2). * Mean Arterial Pressure (MAP) during the first hour \>=65 mmHg. * No vasopressor infusion at the time of initial assessment (Time 0) Exclusion Criteria: * Patients who died within the first 24 hours of admission. * Patients transferred out of the unit within the first 24 hours * Patients who were already receiving vasopressor support in the pre-hospital setting or the emergency department before ICU admission.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Hospital H+
Querétaro City, Querétaro, 7600, Mexico
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Other studies related to the condition(s) this trial covers.
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