Perala Alekya, Wishart Annetta V, Hamouda Ranim K, Elsaady Entesar, Aslam Muhammad Rizwan, Khan Safeera
Research, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Internal Medicine, California Institute of Behavioral Neurosciences & Psychology, Fairfield, USA.
Cureus. 2024 Aug 14;16(8):e66888. doi: 10.7759/cureus.66888. eCollection 2024 Aug.
Sepsis is a life-threatening condition leading to various organ dysfunction due to an underlying infection. Despite providing appropriate treatment, it is still one of the most common causes of death among patients who are admitted to the intensive care unit (ICU). So, multiple studies have been conducted to identify the potential benefits of various drugs in decreasing mortality in sepsis apart from its traditional treatment options. This study aims to identify whether β-blockers play a role in decreasing mortality in sepsis and septic shock patients because of their potential benefits on several organ systems. Medical databases such as Google Scholar, Summon, PubMed Medical Subject Headings (MeSH), PubMed, Science Direct, Cochrane Library, and Multidisciplinary Digital Publishing Institute (MDPI) were systematically searched for relevant publications. The identified articles were assessed based on the inclusion and exclusion criteria, and 11 research articles were finalized, for which quality appraisal was done using appropriate appraisal tools. β-blockers significantly lowered the in-hospital mortality in sepsis and septic shock patients, and they were also associated with better patient outcomes. As there are limited studies, further research needs to be done to explore the role of β-blockers in decreasing mortality in critically ill populations such as sepsis and septic shock patients.
脓毒症是一种危及生命的疾病,由于潜在感染导致各种器官功能障碍。尽管提供了适当的治疗,但它仍然是重症监护病房(ICU)患者中最常见的死亡原因之一。因此,除了传统的治疗方法外,已经进行了多项研究以确定各种药物在降低脓毒症死亡率方面的潜在益处。本研究旨在确定β受体阻滞剂是否因其对多个器官系统的潜在益处而在降低脓毒症和脓毒性休克患者的死亡率中发挥作用。对谷歌学术、Summon、PubMed医学主题词表(MeSH)、PubMed、科学Direct、Cochrane图书馆和多学科数字出版研究所(MDPI)等医学数据库进行了系统检索,以查找相关出版物。根据纳入和排除标准对识别出的文章进行评估,最终确定了11篇研究文章,并使用适当的评估工具对其进行了质量评估。β受体阻滞剂显著降低了脓毒症和脓毒性休克患者的院内死亡率,并且它们还与更好的患者预后相关。由于研究有限,需要进一步开展研究以探索β受体阻滞剂在降低脓毒症和脓毒性休克患者等危重症人群死亡率方面的作用。