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Table 3 Secondary outcomes for the STRIPES pilot study

From: Steroids in fluid and/or vasoactive infusion dependent pediatric shock: study protocol for a randomized controlled trial

Outcome

Metric for analysis

Adherence to the protocol:

We will consider adherence adequate if each of goals a through c is met in 80 % of enrolled patients:

 a. Time to administration of the first dose of study drug

 b. Weaning of drug to q8h when hemodynamically stable

 c. Discontinuation of drug when off all vasoactive infusions

 a. Goal is <8 h from starting vasoactive medication

 b. Goal is to wean within 12 h of no escalation of therapy

 c. Goal is to discontinue between 12 and 18 h after vasoactive infusion stopped

Open-label steroid use

We will consider the number of patients started on open-label steroids to be acceptable if it occurs in <10 % of patients

Clinical outcomes:

 

 a. Adverse events

 b. Clinical endpoints

 a. Severe bleeding, secondary infections, and use of insulin infusions

 b. Time to discontinuation of vasoactive infusion and incidence of mortality

Successful blood sampling and processing

The percentage of patients from whom blood samples are sent

The percentage of samples sent that are successfully received and analyzed in their respective labs