Endothelial biomarkers in the light of new sepsis definition

Autor: Dajana Lendak, Dunja Mihajlovic, Biljana Draskovic, Aleksandra Novakov Mikic, Gorana Mitic, Snezana Brkic
Rok vydání: 2019
Předmět:
Zdroj: Biomarkers in Medicine. 13:341-351
ISSN: 1752-0371
1752-0363
DOI: 10.2217/bmm-2018-0282
Popis: The aim of our study was to compare usefulness of endothelial biomarkers for severity and outcome prediction in patients with positive Sepsis-3 criteria with traditionally used biomarkers. A total of 150 patients were included in our study. Patients were divided into two groups: patients with sepsis and those with infectious systemic inflammatory response syndrome. Development of septic shock and 28-day mortality were assessed. Endocan and thrombomodulin showed better discriminative power than procalcitonin for the presence of sepsis. Endocan showed good discriminative power for septic shock prediction. Addition of endocan significantly contributed to sequential (sepsis-related) organ failure assessment score in logistic regression model. Conclusion: Endothelial biomarkers have a good diagnostic potential for sepsis. Endocan is useful as a predictor of the severity and fatality of sepsis.
Databáze: OpenAIRE