[Recombinant factor VIIa (rFVIIa). Description of use in a cohort of critical patients and prognostic markers]

Med Intensiva. 2007 Jun-Jul;31(5):215-9. doi: 10.1016/s0210-5691(07)74813-1.
[Article in Spanish]

Abstract

Objective: Describe and identify the factors associated with the survival of the patients who received treatment with rFVIIa in an Intensive Care Unit (ICU).

Design: Longitudinal, ambispective, observational, descriptive study in a series of clinical cases performed from July 20, 2004 to July 20, 2006.

Scope: The study population included 16 hospitalized patients in the Intensive Medicine Department (ICU) of the Hospital Marqués de Valdecilla (Santander).

Patients: Inclusion criteria were: Patients who required rFVIIa at some time of their stay in the ICU.

Results: Hemodynamic improvement of the patients treated with rFVIIa in an ICU, within the first 3 hours of the infusion (evaluated by an increase of SBP > 20 mmHg and/or increase of DBP > 8 mmHg) was associated to greater survival.

Conclusions: The present series of cases, with the disadvantage of its heterogeneity and the limited number of patients, stresses the role of hemodynamic improvement as a differentiating factor between those patients who survive and those who do not.

Publication types

  • English Abstract

MeSH terms

  • Adult
  • Cohort Studies
  • Critical Illness
  • Factor VIIa / therapeutic use*
  • Female
  • Hemorrhage / drug therapy*
  • Humans
  • Male
  • Middle Aged
  • Prognosis
  • Recombinant Proteins / therapeutic use*

Substances

  • Recombinant Proteins
  • Factor VIIa