ClinicalTrials.gg
RecruitingNCT07124741Updated Sep 22, 2026

Prognostic Power of the VEXUS Score in Septic Shock: Effectiveness in Mortality Prediction

An observational study in Septic Shock and VExUS, sponsored by Antalya Training and Research Hospital. Recruiting at 1 site in Turkey (Türkiye). Open to participants aged 18 Years and older. Per ClinicalTrials.gov, last updated 2026-09-22.

Sponsored by Antalya Training and Research Hospital · Observational

From the registry’s dates

  • Started Mar 2026; still recruiting 7 months later.
Study type
Observational
Model
Cohort
Time perspective
Prospective
Enrollment
100
Ages
18 Years and older
Sex
All
01

Where this study stands

Counted across the records on this site · 2026-11-12

Among 28 studies in Shock, Septic with a site in Turkey — 5 open to participants now, 6 under way, none of them phase 3. Shock, Septic · Turkey.

Planned enrollment
14th of 23
100 · median 146
Started
2026
with 4 others
Observational
23 of 28
5 open now
Registered
23rd of 28
by date
Lead sponsor
1 of 28
Antalya Training and Research Hospital

Among the 28 studies in Shock, Septic with a site in Turkey, this one is the 14th largest by planned enrollment of the 23 observational ones that give a count, is one of 5 that started in 2026, is one of 23 observational ones, and was the 23rd registered.

Shock, Septic

1,078 studies on the registry are indexed under Shock, Septic; 232 are open to participants now.

Browse Shock, Septic studies →

Open to participants now

5 of the 28 studies in Shock, Septic with a site in Turkey are open now. Recruiting first, the newest first:

All 5 open studies →

A study can be open while its sites in Turkey have not opened yet or have stopped. Only those recruiting at a site in Turkey →

Who these studies take

Of the 136 Shock, Septic studies recruiting now, 102 (75%) set no upper age limit and 19 (14%) stop at 75 or younger; 12 take children under 18; 13 take healthy volunteers.

This study: 18 Years and older · all sexes · no healthy volunteers.

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02

Study summary

This study aims to evaluate the prognostic power of the VEXUS Score in predicting mortality among patients with septic shock in intensive care units.

Read the detailed description

After the diagnosis of septic shock, patients will be assessed for eligibility. Following informed consent, measurements will be taken within the first 4 hours of shock onset, and treatment (inotropic and vasopressor doses, fluid challenge, corticosteroids) will be recorded. A second measurement will occur between 12 and 24 hours, and a third at 72 hours. All treatment and care protocols will be managed according to routine unit protocols.

Data will be systematically collected at three time points (0-4 hours, 12-24 hours, and 72 hours). These will include hemodynamic parameters, laboratory tests (including infection markers), need for renal replacement therapy, mechanical ventilation requirement and duration, cumulative dose and duration of vasopressor use, ICU stay, and survival status.

VEXUS Score Grading

The VEXUS score will be graded as follows:

  • Grade 0 (No Congestion): No signs of venous congestion are detected. The inferior vena cava (IVC) diameter is less than 2 cm.
  • Grade 1 (Mild Venous Congestion): The IVC diameter is 2 cm or greater. However, hepatic, portal, or renal vein flow measurements exhibit normal waveform patterns, or only one mildly abnormal waveform pattern is present.
  • Grade 2 (Moderate Venous Congestion): The IVC diameter is 2 cm or greater. Additionally, analysis of hepatic, portal, or renal vein waveforms reveals one severe congestion finding.
  • Grade 3 (Severe Venous Congestion): The IVC diameter is 2 cm or greater. Furthermore, analysis of hepatic, portal, or renal vein waveforms shows two or more severe congestion findings.

Data will be analyzed using SPSS version 23.0, with normality assessed through visual and analytical methods (Kolmogorov-Smirnov/Shapiro-Wilk tests). Continuous variables will be compared using t-tests or Mann-Whitney U tests, and categorical variables using Chi-square tests. ROC analysis will be used to assess the predictive value of VEXUS for mortality.

03

Conditions studied

  • Septic Shock
  • VExUS

Browse trials for

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
No
Sampling method
Non-probability sample

Study population

Adult patients admitted to the intensive care unit with a diagnosis of septic shock according to Sepsis-3 criteria. Patients will be enrolled consecutively from the intensive care unit of a tertiary care university hospital. Informed consent will be obtained from all patients or their legal representatives.

Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.

Inclusion criteria

  • Age>18
  • Patients monitored for septic shock in intensive care unit
  • Signed

Exclusion criteria

Exclusion Criteria:

  • Age \<18
  • Severe obesity precluding adequate ultrasonographic imaging.
  • Patients in whom venous structures cannot be clearly assessed via ultrasonography due to anatomical or technical reasons (e.g., adhesions following abdominal surgery).
  • Patients receiving dialysis due to chronic kidney disease or initiating dialysis for acute kidney failure.
  • Chronic heart failure.
  • Patients with advanced valvular insufficiency or advanced pulmonary hypertension.
  • Patients with portal hypertension or advanced-stage liver cirrhosis.
  • Presence of acute or chronic thrombosis in the inferior vena cava or other venous structures within the scoring area.
  • Refusal to participate
Terms in these criteria, in plain language(1)

Underlined terms in the criteria open these too. Explained by clinicaltrials.gg, not part of the registry record. The study team decides who can take part.

Informed consent

Before you join, the study team explains what taking part involves — its purpose, what happens, the risks and possible benefits — and answers your questions, so you can decide freely. Consent is usually recorded on a form (the informed consent form, ICF) signed by you or, where the law allows, by someone legally authorised to decide for you.

You can keep asking questions during the study, you are told of new information that matters, and you can choose to leave at any time.

05

Study design

Observational model
Cohort
Time perspective
Prospective
Enrollment
100 participants (estimated)
Patient registry
No

Groups and cohorts

  • Septic shock cohort

    All patients diagnosed with septic shock in the ıntensive care unit will undergo serial ultrasonographic evaluations to calculate the VEXUS Score at 0-4 hours, 12-24 hours, and 72 hours. These scores will be analyzed in relation to 28-day mortality. No treatment decisions will be made based on the VEXUS results.

    Diagnostic Test: Serial VEXUS Ultrasound Evaluation

Interventions

  • Diagnostic testSerial VEXUS Ultrasound Evaluation

    Ultrasound assessments will be performed by an experienced anesthesiologist at three time points (0-4 hours, 12-24 hours, and 72 hours)to determine the degree of venous congestion using the VEXUS Score. No treatment changes will be made based on the VEXUS findings. The scores will solely be used for prognostic correlation with mortality outcomes.

06

What researchers measure

Primary outcomes

  1. 28-day intensive care unit mortality in relation to VEXUS score

    Investigation of the relationship between VEXUS Score and 28-day mortality in patients diagnosed with septic shock in the intensive care unit.

    Time frame: Up to 28 days following intensive care unit admission.

Secondary outcomes

  1. Need for mechanical ventilation in relation to VEXUS score

    Evaluation of the association between initial VEXUS score and the requirement for mechanical ventilation in patients

    Time frame: Within the first 72 hours of intensive care unit admission.

  2. Duration of mechanical ventilation in relation to VEXUS score.

    Assessment of the correlation between VEXUS scores and the total duration of mechanical ventilation in intensive care unit patients with septic shock.

    Time frame: From intensive care unit patients admission until extubation, up to 28 days.

  3. Length of intensive care unit stay in relation to VEXUS score

    Investigation of the association between VEXUS score pregression and total length of intensive care unit stay in patients with septic shock.

    Time frame: From intensive care unit admission until intensive care unit discharge, up to 28 days.

  4. Vasopressor dose and duration in relation to VEXUS score.

    Assessment of the relationship between serial VEXUS scores and the cumulative dose and duration of vasopressor therapy during the first 72 hours in patients diagnosed with septic shock.

    Time frame: First 72 hours after intensive care unit admission

07

Study locations

1 of 1 sites recruiting
08

Timeline

Tracking since Sep 25, 2026
ElapsedEstimatedEstimated, not yet reachedSimilar studies: half by the dot; the band is the middle halfHalf of similar studies reached it by the dot; the band is the middle half, from a quarter to three quarters

Started Mar 2026 (actual). Primary completion is estimated for Nov 2026, 8 months after the start.

Of 189 non-industry observational studies under Shock, Septic, half reached primary completion within 25 months of starting (the median), counting those still running; a quarter within 13 and three quarters within 47. This study's planned 8 months is below that.

Counting every sponsor, half of 202 studies reached it within 25 months; a quarter within 12 and three quarters within 47.

How these figures are worked out, and which studies are left out of them.

Registered
Aug 8, 2025
First posted
Aug 15, 2025
StartActual
Mar 30, 2026
Primary completionEst.
Nov 30, 2026
CompletionEst.
Dec 20, 2026
Last update
Sep 22, 2026
What these dates mean
Start.
When the first participant enrolled; while estimated, when the study expects to open to recruitment.
Primary completion.
When the last participant was examined or treated to collect data for the study's main question, its primary outcome. A study that stopped early gives the date its data collection stopped.
Completion.
When the last participant's last visit took place, for every outcome, secondary ones and side effects included: the end of the study. Often later than primary completion, sometimes the same day.
Actual and Est.
Actual means the registry says the date has happened. Est. (estimated) is a date the sponsor plans or expects. It can still move, and the sponsor is expected to change it to actual once it has passed.
No changes since tracking began. The registry record was last updated on Sep 22, 2026, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT07124741
Responsible party
Nilgun Kavrut Ozturk (Professor, Antalya Training and Research Hospital) — Principal investigator
First posted
Aug 15, 2025
Start date
Mar 30, 2026
Primary completion
Nov 30, 2026 (estimated)
Completion
Dec 20, 2026 (estimated)
Last update
Sep 22, 2026

Study contacts

Nilgun Kavrut Ozturk, Professor
Contact
kavrut@yahoo.com
+905334196049
Havva Dikici, Medical Doctor
Contact
Nilgun Kavrut Ozturk, Professor
study chair · University of Health Sciences Antalya Training and Research hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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