Procalcitonin as a Prognosis Marker for the Severe Sepsis and Septic Shock Patients in Emergency Department / 대한구급학회지
The Korean Journal of Critical Care Medicine
; : 250-255, 2011.
Artigo
em Inglês
| WPRIM (Pacífico Ocidental)
| ID: wpr-651733
Biblioteca responsável:
WPRO
ABSTRACT
BACKGROUND:
Advance in sepsis management has increased the survival of patients with sepsis. However, severe sepsis and septic shock patients still have high mortality. We intend to verify the use of the procalcitonin (PCT) level as a prognosis marker in patients with severe sepsis or septic shock in the emergency department (ED).METHODS:
ED Patients with severe sepsis or septic shock were enrolled in our study. We used mortality and Intensive Care Unit (ICU) days as a prognosis index, and compared the PCT level in survivors and non-survivors. We introduced the simplified acute physiology score 3(SAPS3) to assess the severity of the patients and analyzed whether or not the PCT level correlated with the severity index.RESULTS:
The PCT level in septic shock patients [7.36 (0.92-33.69, IQR)] was higher than that in severe sepsis patients [3.24 (0.36-10.53, IQR)] (p = 0.04). However, there was no significant PCT level difference between survivors [median (IQR), 6.59 (0.60-29.25)] and non-survivors [median (IQR), 3.49 (0.40-20.41)] (p = 0.293). The SAPS3 score was higher in the non-survivor group [median (IQR), 64 (59.0-71.5)] than in the survivor group [median (IQR), 77 (68.5-82.0)] (p = 0.001). The PCT level did not correlate with either ICU days or hospital days.CONCLUSIONS:
Using the PCT level as a prognosis factor in severe sepsis and septic shock patients in ED has little value.
Texto completo:
Disponível
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Prognóstico
/
Precursores de Proteínas
/
Choque
/
Choque Séptico
/
Calcitonina
/
Sobreviventes
/
Sepse
/
Emergências
/
Unidades de Terapia Intensiva
Tipo de estudo:
Estudo prognóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
The Korean Journal of Critical Care Medicine
Ano de publicação:
2011
Tipo de documento:
Artigo