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Coloides safe

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SAFE – FDA MARCH 05 Coloides estudios SAFE Dr . Enrique Dorado Dr . Enrique Dorado Intensivista UTI Intensivista UTI Hospital Obrero CNS Hospital Obrero CNS Oscar Quispe Chávez Oscar Quispe Chávez Residente Neurocirugía Residente Neurocirugía Dr . Enrique Dorado Intensivista UTI Hospital Obrero CNS Oscar Quispe Chávez Residente Neurocirugía COLOIDES ESTUDIO SAFE
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  • Sheet1

    Chart1

    923.5576923077

    2942.175

    5760.7923076923

    73106.7338461538

    75117.5030769231

    95137.1905769231

    154204.9761538462

    237283.8001923077

    334363.7011538462

    411443.6021153846

    515529.1569230769

    617614.7117307692

    711700.2665384615

    797785.8213461538

    918871.3761538462

    1004956.9309615385

    11131042.4857692308

    11981128.0405769231

    13011214.0405769231

    14551312.7203846154

    15711411.4001923077

    17001510.08

    18451608.7598076923

    19831707.4396153846

    20961806.1194230769

    22101904.7992307692

    23122003.4790384615

    24452102.1588461538

    25742200.8386538462

    26732299.5184615385

    28052398.1982692308

    29372496.8780769231

    30532595.5578846154

    31932694.2376923077

    32952792.9175

    34432891.5973076923

    35582990.2771153846

    36743088.9569230769

    37953187.6367307692

    39183286.3165384615

    40493384.9963461539

    41453483.6761538462

    42333582.3559615385

    43473681.0357692308

    44413779.7155769231

    45063878.3953846154

    45793977.0751923077

    46574075.755

    47334174.4348076923

    48464273.1146153846

    49494371.7944230769

    50674470.4742307692

    51634569.1540384615

    52724667.8338461538

    53724766.5136538462

    54944865.1934615385

    55894963.8732692308

    57135062.5530769231

    58325161.2328846154

    59475259.9126923077

    60645358.5925

    61955457.2723076923

    63055555.9521153846

    64345654.6319230769

    65485753.3117307692

    66795851.9915384615

    68085950.6713461539

    69256049.3511538462

    70006148.0309615385

    Actual Recruitment

    Target Recruitment

    Week of Study

    Number Recruited

    SAFE Study: Actual v Target Recruitment

    weekly rando

    week beginning12/1119/1126/113/1210/1218/0325/031/048/0415/0422/0429/046/0513/0520/0527/053/0610/0617/0624/061/078/0715/0722/0729/075/0812/0819/0826/082/099/0916/0923/0930/097/1014/1021/1028/104/1111/1118/1125/112/129/1216/1223/1230/126/0113/0120/0127/013/0210/0217/0224/023/0310/0317/0324/0331/037/0414/0421/0428/045/0512/0519/0526/052/069/0616/06Totalno. wks activemin pred totalmax wkly predmin wkly predaverage per wk since 24/6/02monthly min predicted

    10AUCK81391189128586121161421275361736715041371677101067591315791091012121174395137811.857.40932

    11MH64759646495543478794558166342234504344232672365130225512929.155.72525

    20JHH5488987549575684651055751175436756462768433115653510835857869133362603399.055.65625

    28RPAH64251095108135768691110111488109911711123998568977101187116987851077106259410539946511673458.255.16822

    31RMH25254969981038108111513721161716816107121212131110121410911661061488101110888814108910131212171110121246566745110.776.731129

    32ARMC2513005210985686849591068947557871062549859576569976713711613513111316111013419141512975377047110.776.73829

    42PAH5271281275959769128646641395101116951477712115415312279108897797628362116794496460315.089.42741

    50FRE3734924410754473546392730357467576755975001203032542531174265221264642075.173.23414

    52WESTERN23343244334932577346104986551576711621320004646533263365865475802876241710.776.73529

    55RNSH29930641175106510411371011116526991310776101094511791286000947111311710512111211814812912565036946410.776.73829

    60RHH556553508545667799113839368688447554457576892610158764262875543551355653067.544.71620

    78NEPEAN0785788614112118135101014101011124101171475157889911683000611128967104111281358869869508643458.625.38823

    81ALF-GEN500407874753284966411061214345675474398751265712674298956911432115768745513866952212.127.57633

    82ALF-SURG00020445294439551534372402492373466545500152131322130142760326434732228691744.042.52311

    103RAH91011781112101061010713137111415895910101091313116101711103910671078471398586589966121411131195886443110.776.73929

    104RDH75133866674102101146761335534375347821541710000233848859264126336675304651754.312.69512

    105ST G33108688468668792996661013365115121886610875952424566425451088683815565398653618.885.55624

    Total920281622059839777104102948612186109851031541161291451381131141021331299913213211614010214811511612112313196881149465737876113103118961091001229512411911511713111012911413112911775007,00015899114428

    max forecast (calc from ICU predictions)383041461132108117128128137137137137137137137137137158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158158

    minimum forecast (calc from ICU predictions)241919297206879808086868686868686868699999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999999

    numbers randomised929577375951542373344115156177117979181,0041,1131,1981,3011,4551,5711,7001,8451,9832,0962,2102,3122,4452,5742,6732,8052,9373,0533,1933,2953,4433,5583,6743,7953,9184,0494,1454,2334,3474,4414,5064,5794,6574,7334,8464,9495,0675,1635,2725,3725,4945,5895,7135,8325,9476,0646,1956,3056,4346,5486,6796,8086,9257,0007,0007,000

    max cumulative predicted38671081371431752834015286567939301,0671,2041,3411,4781,6141,7511,8882,0462,2042,3622,5202,6782,8362,9933,1513,3093,4673,6253,7833,9414,0994,2564,4144,5724,7304,8885,0465,2045,3625,5205,6775,8355,9936,1516,3096,4676,6256,7836,9417,0987,2567,4147,5727,7307,8888,0468,2048,3628,5198,6778,8358,9939,1519,3099,4679,6259,7839,94010,098

    min cumulative predicted2442611071181372052843644445296157007868719571,0421,1281,2141,3131,4111,5101,6091,7071,8061,9052,0032,1022,2012,3002,3982,4972,5962,6942,7932,8922,9903,0893,1883,2863,3853,4843,5823,6813,7803,8783,9774,0764,1744,2734,3724,4704,5694,6684,7674,8654,9645,0635,1615,2605,3595,4575,5565,6555,7535,8525,9516,0496,1486,2476,345

    week number1234567891011121314151617181920212223242526272829303132333435363738394041424344454647484950515253545556575859606162636465666768697071727374

    date (week beginning)18/3/0225/3/021/4/028/4/0215/4/0222/4/0229/4/026/5/0213/5/0220/5/0227/5/023/6/0210/6/0217/6/0224/6/021/7/028/7/0215/7/0222/7/0229/7/025/8/0212/8/0219/8/0226/8/022/9/029/9/0216/9/0223/9/0230/9/027/10/0214/10/0221/10/0228/10/024/11/0211/11/0218/11/0225/11/022/12/029/12/0216/12/0223/12/0230/12/026/1/0313/1/0320/1/0327/1/033/2/0310/2/0317/2/0324/2/033/3/0310/3/0317/3/0324/3/0331/3/037/4/0314/4/0321/4/0328/4/035/5/0312/5/0319/5/0326/5/032/6/039/6/0316/6/0323/6/0330/6/037/7/03

    weekly prediction (average based on previous weekly counts)154135133136136133130126127127125125126125126125126125125125125125124121121119119117116116115115114114114113113113113113113113113114114114114115115115115115115115115

    cum prediciton7,0407,1557,2707,3857,5007,615

    SAFE FDA MARCH 05

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of SydneyNumber randomized = 7000 Asignado a la albmina = 3497 (100%)

    Allocated to saline = 3500 (100%) Perdido en el seguimiento = 24 (0,7%) denegar o retirar el consentimiento = 20 (0,6%) la falta de aleatorizacin supone = 4 (0.1%) Lost to follow-up = 40 (1.1%) Refused or withdrawn consent = 37 (1.0%) Randomization failure assumed = 3 (0.1%)Analyzed = 3473 (99.3%)Analyzed = 3460 (98.9%) Al azar dos veces en 28 das perodo = 3, (albumin =2, saline = 1) Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of Sydney*

    SAFE FDA MARCH 05

    Caracterstica de lnea de baseAlbuminSaline Edad en aos - media SD58.6 19.158.5 18.7 Genero femenino N (%)1424 (40.7)1376 (39.3) Motivo de ingreso a ICU N (%)Surgical1,473 (42.9)1,465 (42.7)Medical1,955 (57.1)1,958 (57.3)Pre-defined sub-groups N (%)Trauma 597 (17.4)590 (17.2)Severe sepsis603 (18.1)615 (18.4)ARDS61 (1.8)66 (1.9)APACHE II score - mean SD18.7 7.919.0 8.0

    *

    SAFE FDA MARCH 05

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of Sydney

    Caracterstica de lnea de baseAlbuminSalinePhysiological variable - mean SDHeart rate (beats per minute)91.4 23.592.3 23.5Mean arterial pressure (mmHg)77.8 16.478.2 16.3Central venous pressure (mmHg)9.0 4.78.6 4.6 Urine output (mL last hour)89.7 132.495.0 161.4Serum albumin (g/L)

    Treatment at baseline27.4 7.827.7 7.9

    Receiving mechanical ventilation N (%)2186 (63.8)2217 (64.8)Receiving renal replacement therapy N (%)45 (1.3)41 (1.2)Received albumin in prior 72 hours N (%)127 (3.7)135 (3.9)

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of Sydney*

    SAFE FDA MARCH 05

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of SydneyRatio of albumin to saline for first four days = 1:1.4 (Mean difference per randomized patient for first four days 749 mL)P

  • Mortality in patients with and without severe sepsis.

    24.bin

    SAFE FDA MARCH 05

    Study Conclusions En poblacin heterognea de pacientes de la UCI, la albmina y solucin salina son clnicamente equivalentes tratamientos.El uso de cualquiera de los resultados en:mortalidad similartiempo similar a la muerte de los que muerenuso similar de la ventilacin mecnica y la terapia de reemplazo renalincidencia similar de nuevos fallos orgnicosUCI similar y la estancia hospitalaria Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of Sydney

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of Sydney

    SAFE FDA MARCH 05

    Anlisis mas extenso Por albmina lnea de basecohorte de sepsisEl trauma y la lesin cerebral traumticaLos patrones de disfuncin de rganos

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of Sydney

    Australian and New Zealand Intensive Care Society Clinical Trials GroupAustralian Red Cross Blood ServiceThe George Institute for International Health University of Sydney*

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