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严重脓毒症患者中胰腺结石蛋白的预后性能。

Prognostic performance of pancreatic stone protein in critically ill patients with sepsis.

机构信息

Clinical Chemistry Laboratory, Santa Lucía Hospital, Cartagena, Spain.

Bayer AG, Pharmaceuticals Division, R&D Clinical Sciences, Aprather Weg 18a, 42096 Wuppertal, Germany.

出版信息

Biomark Med. 2019 Dec;13(17):1469-1480. doi: 10.2217/bmm-2019-0174. Epub 2019 Oct 17.

Abstract

To assess the prognostic value for 28-day mortality of PSP in critically ill patients with sepsis. 122 consecutive patients with sepsis were enrolled in this study. Blood samples were collected on admission and day 2. On admission, the combination of PSP and lactate achieved an area under the receiver operating characteristic (AUC-ROC) of 0.796, similar to sequential organ failure assessment score alone (AUC-ROC: 0.826). On day 2, PSP was the biomarker with the highest performance (AUC-ROC: 0.844), although lower (p = 0.041) than sequential organ failure assessment score (AUC-ROC: 0.923). The combination of PSP and lactate and PSP alone, on day 2, have a good performance for prognosis of 28-day mortality and could help to identify patients who may benefit most from tailored intensive care unit management.

摘要

为评估在脓毒症危重症患者中预测 28 天死亡率的 PSP 的预后价值,我们纳入了本研究中的 122 例连续脓毒症患者。入院时和第 2 天采集血样。入院时,PSP 与乳酸的联合检测具有 0.796 的受试者工作特征曲线下面积(AUC-ROC),与单独的序贯器官衰竭评估评分相似(AUC-ROC:0.826)。第 2 天,PSP 是表现最佳的生物标志物(AUC-ROC:0.844),尽管低于序贯器官衰竭评估评分(AUC-ROC:0.923)(p=0.041)。第 2 天,PSP 与乳酸的联合检测以及单独的 PSP 对 28 天死亡率的预后具有良好的性能,有助于识别可能从个体化重症监护病房管理中获益最大的患者。

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