ResultsOf the 1600 enrolled patients, 796 were assigned to the EGDT group and 804 to theusual-care group. Primary outcome data were available for more than 99% of thepatients. Patients in the EGDT group received a larger mean (±SD) volume of intravenousfluids in the first 6 hours after randomization than did those in the usualcaregroup (1964±1415 ml vs. 1713±1401 ml) and were more likely to receive vasopressorinfusions (66.6% vs. 57.8%), red-cell transfusions (13.6% vs. 7.0%), anddobutamine (15.4% vs. 2.6%) (P<0.001 for all comparisons). At 90 days after randomization,147 deaths had occurred in the EGDT group and 150 had occurred inthe usual-care group, for rates of death of 18.6% and 18.8%, respectively (absoluterisk difference with EGDT vs. usual care, −0.3 percentage points; 95% confidenceinterval, −4.1 to 3.6; P = 0.90). There was no significant difference in survival time,in-hospital mortality, duration of organ support, or length of hospital stay.
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