Piechota Mariusz, Banach Maciej, Irzmański Robert, Piechota-Urbańska Magdalena, Kowalski Jan, Pawlicki Lucjan
Department of Anesthesiology and Intensive Care Unit, Boleslaw Szarecki University Hospital No. 5 of the Medical University of Łódź, Poland.
Postepy Hig Med Dosw (Online). 2006;60:632-6.
The aim of the study was to evaluate the relationship between N-terminal brain natriuretic propeptide (NT-proBNP) plasma concentrations and the severity of organ dysfunction assessed by the Sepsis-related Organ Failure Assessment (SOFA) score in septic patients
MATERIAL/METHODS: NT-proBNP, SOFA score, and survival were evaluated in 20 consecutive septic patients. They were prospectively included in the study when the sepsis criteria according to the ACCP/SCCM definitions (modified by the Polish Working Group for Sepsis) were fulfilled. Blood serum NT-proBNP concentrations were determined in each patient at given time intervals and the severity of organ dysfunction was estimated according to the SOFA score. The first measurement was performed within 12 h after the patient's inclusion into the study, the second, third, and fourth at 12, 24, and 48 hours after the first, and then every 48 hours thereafter
The mean NT-proBNP concentration and the mean SOFA score were 140.80+/-84.65 pg/ml and 6.31+/-3.75 points, respectively. The correlation coefficient between NT-proBNP level and SOFA score was R=0.5164 (p<0.05). The mortality in the studied group was 30%.
NT-proBNP levels correlate with the severity of organ dysfunction as assessed by the SOFA score in septic patients.
本研究的目的是评估脓毒症患者血浆N末端脑钠肽前体(NT-proBNP)浓度与通过脓毒症相关器官功能衰竭评估(SOFA)评分所评估的器官功能障碍严重程度之间的关系。
材料/方法:对连续20例脓毒症患者的NT-proBNP、SOFA评分及生存率进行评估。当符合根据ACCP/SCCM定义(由波兰脓毒症工作组修订)的脓毒症标准时,将他们前瞻性纳入研究。在规定的时间间隔内测定每位患者的血清NT-proBNP浓度,并根据SOFA评分评估器官功能障碍的严重程度。首次测量在患者纳入研究后12小时内进行,第二次、第三次和第四次分别在第一次测量后的12、24和48小时进行,此后每48小时测量一次。
NT-proBNP的平均浓度和SOFA评分的平均值分别为140.80±84.65 pg/ml和6.31±3.75分。NT-proBNP水平与SOFA评分之间的相关系数为R = 0.5164(p < 0.05)。研究组的死亡率为30%。
在脓毒症患者中,NT-proBNP水平与通过SOFA评分评估的器官功能障碍严重程度相关。