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Early use of polymyxin B hemoperfusion in patients with septic shock due to peritonitis: a multicenter randomized control trial

Open access
The ABDOMIX Group, Payen, Didier M., Guilhot, Joelle, Launey, Yoann, Lukaszewicz, Anne Claire, Kaaki, Mahmoud, Veber, Benoit, Pottecher, Julien, Joannes-Boyau, Olivier, Martin-Lefevre, Laurent, Jabaudon, Matthieu, Mimoz, Olivier, Coudroy, Rémi, Ferrandière, Martine, Kipnis, Eric, Vela, Carlos, Chevallier, Stéphanie, Mallat, Jihad, Robert, René·2015·Intensive Care Medicine

Abstract

PURPOSE: To test whether the polymyxin B hemoperfusion (PMX HP) fiber column reduces mortality and organ failure in peritonitis-induced septic shock (SS) from abdominal infections. METHOD: Prospective, multicenter, randomized controlled trial in 18 French intensive care units from October 2010 to March 2013, enrolling 243 patients with SS within 12 h after emergency surgery for peritonitis related to organ perforation. The PMX HP group received conventional therapy plus two sessions of PMX HP. Primary outcome was mortality on day 28; secondary outcomes were mortality on day 90 and a reduction in the severity of organ failures based on Sequential Organ Failure Assessment (SOFA) scores. PRIMARY OUTCOME: day 28 mortality in the PMX HP group (n = 119) was 27.7 versus 19.5% in the conventional group (n = 113), p = 0.14 (OR 1.5872, 95% CI 0.8583-2.935). Secondary endpoints: mortality rate at day 90 was 33.6% in PMX-HP versus 24% in conventional groups, p = 0.10 (OR 1.6128, 95% CI 0.9067-2.8685); reduction in SOFA score from day 0 to day 7 was -5 (-11 to 6) in PMX-HP versus -5 (-11 to 9), p = 0.78. Comparable results were observed in the predefined subgroups (presence of comorbidity; adequacy of surgery, <2 sessions of hemoperfusion) and for SOFA reduction from day 0 to day 3. CONCLUSION: This multicenter randomized controlled study demonstrated a non-significant increase in mortality and no improvement in organ failure with PMX HP treatment compared to conventional treatment of peritonitis-induced SS.

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Metadata

Authors
The ABDOMIX Group, Payen, D. M., Guilhot, J., Launey, Y., Lukaszewicz, A. C., Kaaki, M., Veber, B., Pottecher, J., Joannes-Boyau, O., Martin-Lefevre, L., Jabaudon, M., Mimoz, O., Coudroy, R., Ferrandière, M., Kipnis, E., Vela, C., Chevallier, S., Mallat, J., & Robert, R.
Venue
Intensive Care Medicine
Published
2015-04-11
Volume
41
Issue
6
Pages
975-984
ISSN
  • 0342-4642 (ISSN-L)
  • 1432-1238
OpenAlex
W1988733171
Cited by
407
References
21
FWCI
26.60
Type
journal article
Language
en
Open access
hybrid

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CoChat. (2026). Citation check: Early use of polymyxin B hemoperfusion in patients with septic shock due to peritonitis: a multicenter randomized control trial. https://app.cochat.ai/papers/10.1007/s00134-015-3751-z
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The ABDOMIX Group, Payen, D. M., Guilhot, J., Launey, Y., Lukaszewicz, A. C., Kaaki, M., Veber, B., Pottecher, J., Joannes-Boyau, O., Martin-Lefevre, L., Jabaudon, M., Mimoz, O., Coudroy, R., Ferrandière, M., Kipnis, E., Vela, C., Chevallier, S., Mallat, J., & Robert, R. (2015). Early use of polymyxin B hemoperfusion in patients with septic shock due to peritonitis: a multicenter randomized control trial. Intensive Care Medicine. https://doi.org/10.1007/s00134-015-3751-z

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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).

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