Skip to main content

Table 1 Characteristics of included randomized trials

From: Systematic review of randomized clinical trials on the use of hydroxyethyl starch for fluid management in sepsis

Trial

n†

Indication

Fluid Regimen‡

Follow-Up

Endpoints

Falk et al., 1988 [9]

12

Septic shock

6% HES 450/0.7 or 5% albumin to 15 mm Hg target PAWP

24 h

Coagulation

Rackow et al., 1989 [7]

20

Severe sepsis and systemic hypoperfusion

10% HES 200/0.5 or 5% albumin to 15 mm Hg target PAWP or 2000 mL maximum

45 min

Cardiorespiratory function and coagulation

Boldt et al., 1995 [17,18]

30

Sepsis after major surgery

10% HES 200/0.5 or 20% albumin to 12–16 mm Hg target CVP, PCWP or both

5 days

Endothelial-related coagulation and platelet function

Boldt et al., 1996 [19]

30

Sepsis secondary to major general surgery

10% HES 200/0.5 or 20% albumin to 12–18 mm Hg target PCWP

5 days

Cardiorespiratory and circulatory variables

Boldt et al., 1996 [20]

42

Sepsis secondary to major surgery

6% HES 200/0.5, 20% albumin or pentoxifylline

5 days

Circulating soluble adhesion molecules

Boldt et al., 1996 [21]

28

Sepsis secondary to major surgery

10% HES 200/0.5 or 20% albumin to 10–15 mm Hg target PCWP

5 days

Circulatory variables

Boldt et al., 1998 [22]

150

Postoperative sepsis

10% HES 200/0.5 or 20% albumin to 12–15 mm Hg target PCWP

5 days

Hemodynamics, laboratory data and organ function

Asfar et al., 2000 [23]

34

Sepsis and hypovolemia in ventilated and hemodynamically controlled patients

500 mL 6% HES 200/0.62 or 4% succinylated modified fluid gelatin

60 min

Hemodynamics and gastric mucosal acidosis

Schortgen et al., 2001 [24]

129

Severe sepsis or septic shock

6% HES 200/0.62 up to 4 days or 80 mL·kg-1 cumulative dose or 3% gelatin

34 days

ARF

Molnár et al., 2004 [25]

30

Septic shock with hypovolemia and acute lung injury

6% HES 200/0.5 or 4% modified fluid gelatin to achieve ITBVI > 900 mL·m-2

60 min

Hemodynamics, EVLW and oxygenation

Palumbo et al., 2006 [26]

20

Severe sepsis in mechanically ventilated patients

6% HES 130/0.4 or 20% albumin to maintain PCWP of 15–18 mm Hg

5 days

Hemodynamic and oxygenation parameters

Brunkhorst et al., 2008 [27]

537

Severe sepsis or septic shock

10% HES 200/0.5 (to 20 mL·kg-1·day-1 limit) or Ringer's lactate to target of ≥ 8 mm Hg CVP

90 days

Morbidity and mortality

  1. Abbreviations: ARF, acute renal failure; CVP, central venous pressure; EVLW, extravascular lung water; HES, hydroxyethyl starch; ICU, intensive care unit; ITBVI, intrathoracic blood volume index; PAWP, pulmonary arterial wedge pressure; PCWP, pulmonary capillary wedge pressure
  2. †For trials with more than one indication, includes only patients with sepsis.
  3. ‡HES solutions specified by molecular weight/molar substitution.