Summary of clinical data from patients with severe meningococcemia and purpura fulminans who were treated with PC concentrate
Parameter . | Results . |
---|---|
Mean age (range) | 12 (3 months-72 years) |
Sex | 17 males; 18 females |
Mechanical ventilation | 35/36 |
Ionotropic support | 36/36 |
PC replacement therapy | 36/36 |
Mean time to PC therapy (range) | 12 (2-72 hours) |
Antithrombin III replacement therapy | 2/36 |
Unfractionated heparin | 26/36 |
Continuous venovenous hemodiafiltration | 19/36 |
Peritoneal dialysis | 2/36 |
Mean GMSPS ± SD (range) | 12 ± 2 (8-15) |
Predicted mortality | 18/36 (50%) |
Actual mortality | 3/36 (8%) |
Predicted amputation rate | 11/33 (30%) |
Actual amputation rate | 4/33 (12%) |
Amputation rate in patients who received PC within 24 hours of admission | 2/31 (6.5%) |
Skin grafting only | 2/33 (13%) |
Chronic renal failure requiring dialysis | 1/33 |
Ischemic stroke | 1/33 |
Severe meningoencephalopathy | 1/33 |
Full recovery with no complications | 26/36 (72%) |
Parameter . | Results . |
---|---|
Mean age (range) | 12 (3 months-72 years) |
Sex | 17 males; 18 females |
Mechanical ventilation | 35/36 |
Ionotropic support | 36/36 |
PC replacement therapy | 36/36 |
Mean time to PC therapy (range) | 12 (2-72 hours) |
Antithrombin III replacement therapy | 2/36 |
Unfractionated heparin | 26/36 |
Continuous venovenous hemodiafiltration | 19/36 |
Peritoneal dialysis | 2/36 |
Mean GMSPS ± SD (range) | 12 ± 2 (8-15) |
Predicted mortality | 18/36 (50%) |
Actual mortality | 3/36 (8%) |
Predicted amputation rate | 11/33 (30%) |
Actual amputation rate | 4/33 (12%) |
Amputation rate in patients who received PC within 24 hours of admission | 2/31 (6.5%) |
Skin grafting only | 2/33 (13%) |
Chronic renal failure requiring dialysis | 1/33 |
Ischemic stroke | 1/33 |
Severe meningoencephalopathy | 1/33 |
Full recovery with no complications | 26/36 (72%) |