Heart pumping problems linked to worse outcomes in septic shock
NCT ID NCT02918214
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study looked at 440 ICU patients with septic shock to see how their heart's pumping and relaxation abilities affected survival. Researchers measured heart function using ultrasound and tracked fluid balance. The goal was to better understand which heart problems are linked to higher risk of death, so doctors can improve care.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- What this could lead to
- If successful, this study could help doctors better predict outcomes and manage fluid levels in septic shock patients.
- What could go wrong
- This is an observational study, not a treatment trial, so it won't directly lead to new therapies. Results may not apply to all patients.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Participants
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440 people
The number who actually took part.
- Started
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Jan 2017
- Finished
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Oct 2019
- 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
Patients will be recruited in the ICU but also in Emergency Departments if they present with septic shock before ICU admission
- 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: * Patient hospitalized in ICU for septic shock: * Documented or highly suspected infection (clinically or microbiologically) * Causing an organ failure defined as an acute change in total SOFA score ≥ 2 points (baseline SOFA score can be assumed to be zero in the absence of pre-existing organ dysfunction) * And low blood pressure (sBP \< 90 mmHg or a decrease of more than 40 mmHg compared to baseline, or mBP \< 65 mmHg) despite a fluid loading of 30 mL/kg (except if clinical or radiological sign of pulmonary fluid overload) requiring vasopressor infusion to maintain mBP \> 65 mmHg * And lactate level \> 2 mmol/L * Patient older than 18 years old affiliated to the French Social Security * Non-opposition of the patient (or of its next-of-kin) to participate in the study Exclusion Criteria: * Ongoing dobutamine or epinephrine infusion * Severe left valvular disease (severe stenosis, severe regurgitation ≥ grade 3) * Constrictive pericarditis (invalidate the mitral tissue Doppler imaging) * Pregnant women * Patient with estimated life expectancy \< 24h.
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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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Aphp - Ambroise Paré
Paris, 75010, France
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CH d'Orleans
Orléans, 45000, France
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CHU de Nancy
Nancy, 54511, France
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CHU de Poitiers
Poitiers, 86021, France
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Felix Guyon Hospital
Saint-Denis, 97405, France
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University Hospital
Amiens, 80000, France
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University Hospital
Brest, 29200, France
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University Hospital
Limoges, 87042, France
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University Hospital
Toulouse, 31000, France
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University Hospital
Tours, 37000, France
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Bedside eye scans may reveal hidden blood flow problems in septic shock
- Can two blood markers catch sepsis before it turns deadly?
- Two cheap blood ratios put to the test as sepsis death predictors
- Can a bedside ultrasound predict which septic shock patients will stop breathing on their own?
- One heartbeat instead of two: faster ultrasound may reveal hidden heart pressure
- Can a computer model speed up sepsis blood tests?