Sepsis & infection

Clinical phenotyping of septic shock with latent profile analysis: A retrospective multicenter study

J Crit CarePublished Retrospective cohort study

Authors' conclusion

The three SS phenotypes differed significantly in pathophysiological and clinical outcomes, which are crucial for informing management decisions and prognosis.

Study context

Population
Patients with septic shock in the MIMIC cohort; validation in eICU and AUMC cohorts
Exposure
Phenotype I vs Phenotype II vs Phenotype III
Outcome
Clinical phenotypes of septic shock
Methodological detailsmulticentre, latent profile analysis, external validation, latent profile analysis (LPA) derivation in MIMIC; external validation in eICU and AUMC
  • Multicentre
  • Latent profile analysis
  • External validation
  • LPA derivation in MIMIC; external validation in eICU and AUMC

Main finding

As reported in the abstract

Phenotype I had the highest mortality
p < 0.001

Observational data: associations, not effects.

Further findings

Survival over time

Phenotype I had the steepest survival curves and ultra-high risk of death, particularly within the first few days after septic shock (SS) onset

Original publication

Clinical phenotyping of septic shock with latent profile analysis: A retrospective multicenter study. J Crit Care. Published 20 October 2024. doi:10.1016/j.jcrc.2024.154932

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