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MR-proADM、降钙素原和 copeptin 在脓毒症中的诊断及预后价值

Diagnostic and prognostic value of MR-pro ADM, procalcitonin, and copeptin in sepsis.

作者信息

Cander Basar, Visneci Emin Fatih, Karaoglan Osman, Cakmak Fatma, Tuncar Alpay, Taslidere Bahadir

机构信息

Department of Emergency Medicine, Bezmialem Vakif University, Istanbul, Turkey.

Department of Emergency Medicine, Konya City Hospital, Konya, Türkiye.

出版信息

Open Med (Wars). 2023 Dec 31;18(1):20230865. doi: 10.1515/med-2023-0865. eCollection 2023.


DOI:10.1515/med-2023-0865
PMID:38223899
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10787304/
Abstract

Sepsis is defined as life-threatening organ dysfunction caused by a dysregulated host response to infection. There is a need for biomarkers that can be used for the diagnosis of sepsis and the early identification of patients at high risk of death. In this study, we aimed to investigate the relationship between Mid-regional pro-adrenomedullin (MR-proADM), procalcitonin (PCT), and copeptin in sepsis. A total of 28 sepsis, 32 septic shock, and 30 control patients were included in our prospective study. Patients' MR-proADM, PCT, and copeptin levels were recorded. Sequential organ failure assessment scores, length of hospital stay, and 30-day mortality were also recorded. These values were compared between the sepsis, septic shock, and control groups. The mean age of all participants was 64.04 ± 15.83 years. In the study, 37 (61.6%) patients were female and 23 (39.3%) were male. There was no statistically significant difference in gender/age between all patient groups and the control group (for all, > 0.05). We found a significant difference between the survivors and nonsurvivors in terms of MR-proADM, PCT, and copeptin levels. There was a significant difference between the sepsis and septic shock groups in terms of MR-proADM and PCT. A significant correlation was found between the length of hospital stay and MR-proADM and copeptin. MR-proADM, PCT, and copeptin may be useful in the prognosis of sepsis and to predict the length of stay in hospital and mortality.

摘要

脓毒症被定义为由宿主对感染的失调反应引起的危及生命的器官功能障碍。需要能够用于脓毒症诊断和早期识别死亡高危患者的生物标志物。在本研究中,我们旨在探讨中段肾上腺髓质素原(MR-proADM)、降钙素原(PCT)和 copeptin 在脓毒症中的关系。我们的前瞻性研究纳入了 28 例脓毒症患者、32 例脓毒性休克患者和 30 例对照患者。记录患者的 MR-proADM、PCT 和 copeptin 水平。还记录序贯器官衰竭评估评分、住院时间和 30 天死亡率。在脓毒症组、脓毒性休克组和对照组之间比较这些值。所有参与者的平均年龄为 64.04±15.83 岁。在研究中,37 例(61.6%)患者为女性,23 例(39.3%)为男性。所有患者组与对照组之间在性别/年龄方面无统计学显著差异(所有比较,P>0.05)。我们发现幸存者和非幸存者在 MR-proADM、PCT 和 copeptin 水平方面存在显著差异。脓毒症组和脓毒性休克组在 MR-proADM 和 PCT 方面存在显著差异。发现住院时间与 MR-proADM 和 copeptin 之间存在显著相关性。MR-proADM、PCT 和 copeptin 可能有助于脓毒症的预后评估以及预测住院时间和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d2e/10787304/bb320065a7db/j_med-2023-0865-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d2e/10787304/bb320065a7db/j_med-2023-0865-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7d2e/10787304/bb320065a7db/j_med-2023-0865-fig001.jpg

相似文献

[1]
Diagnostic and prognostic value of MR-pro ADM, procalcitonin, and copeptin in sepsis.

Open Med (Wars). 2023-12-31

[2]
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Eur J Pediatr. 2020-7

[3]
Procalcitonin and MR-Proadrenomedullin Combination with SOFA and qSOFA Scores for Sepsis Diagnosis and Prognosis: A Diagnostic Algorithm.

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[4]
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Eur J Clin Invest. 2022-5

[5]
Mid-regional pro-adrenomedullin as a prognostic marker in sepsis: an observational study.

Crit Care. 2005

[6]
Diagnostic and prognostic role of procalcitonin (PCT) and MR-pro-Adrenomedullin (MR-proADM) in bacterial infections.

APMIS. 2015-9

[7]
Procalcitonin and MR-proAdrenomedullin combination in the etiological diagnosis and prognosis of sepsis and septic shock.

Microb Pathog. 2019-9-28

[8]
Mid regional pro-adrenomedullin for the prediction of organ failure in infection. Results from a single centre study.

PLoS One. 2018-8-13

[9]
Mid-Regional Pro-Adrenomedullin Can Predict Organ Failure and Prognosis in Sepsis?

Int J Mol Sci. 2023-12-13

[10]
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Ann Transl Med. 2016-9

引用本文的文献

[1]
Decoding Inflammation: Predicting Sepsis in the ICU.

Cureus. 2024-12-7

[2]
Sepsis Biomarkers: Advancements and Clinical Applications-A Narrative Review.

Int J Mol Sci. 2024-8-19

[3]
The Role of Adrenomedullin as a Predictive Marker of the Risk of Death and Adverse Clinical Events: A Review of the Literature.

J Clin Med. 2024-8-16

本文引用的文献

[1]
Does mid-regional pro-adrenomedullin (MR-proADM) improve the sequential organ failure assessment-score (SOFA score) for mortality-prediction in patients with acute infections? Results of a prospective observational study.

Clin Chem Lab Med. 2021-5-26

[2]
Vasopressin and copeptin release during sepsis and septic shock.

Peptides. 2021-2

[3]
Sepsis and Septic Shock - Basics of diagnosis, pathophysiology and clinical decision making.

Med Clin North Am. 2020-5-12

[4]
Biomarkers of sepsis: time for a reappraisal.

Crit Care. 2020-6-5

[5]
Utility of Procalcitonin as a Biomarker for Sepsis in Children.

J Clin Microbiol. 2020-6-24

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Lancet. 2020-1-18

[7]
The use of APACHE II, SOFA, SAPS 3, C-reactive protein/albumin ratio, and lactate to predict mortality of surgical critically ill patients: A retrospective cohort study.

Medicine (Baltimore). 2019-6

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J Crit Care. 2019-4-30

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Adrenomedullin in heart failure: pathophysiology and therapeutic application.

Eur J Heart Fail. 2018-12-28

[10]
Mid-Regional Pro-Adrenomedullin (MR-proADM) as a Biomarker for Sepsis and Septic Shock: Narrative Review.

Healthcare (Basel). 2018-9-3

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