| Autor: |
Paolo Formenti, Letizia Isidori, Stefano Pastori, Vincenzo Roccaforte, Elena Alessandra Mantovani, Massimiliano Iezzi, Alessandro Menozzi, Rossella Panella, Andrea Galimberti, Giovanni Brenna, Michele Umbrello, Angelo Pezzi, Francesco Vetrone, Giovanni Sabbatini, Miriam Gotti |
| Jazyk: |
angličtina |
| Rok vydání: |
2024 |
| Předmět: |
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| Zdroj: |
Diagnostics, Vol 14, Iss 8, p 821 (2024) |
| Druh dokumentu: |
article |
| ISSN: |
2075-4418 |
| DOI: |
10.3390/diagnostics14080821 |
| Popis: |
Background: Effective identification and management in the early stages of sepsis are critical for achieving positive outcomes. In this context, neutrophil-reactive intensity (NEUT-RI) emerges as a promising and easily interpretable parameter. This study aimed to assess the predictive value of NEUT-RI in diagnosing sepsis and to evaluate its prognostic significance in distinguishing 28-day mortality outcomes. Materials: This study is a secondary, retrospective, observational analysis. Clinical data upon ICU admission were collected. We enrolled septic patients and a control group of critically ill patients without sepsis criteria. The patients were divided into subgroups based on renal function for biomarker evaluation with 28-day outcomes reported for septic and non-septic patients. Results: A total of 200 patients were included in this study. A significant difference between the “septic” and “non-septic” groups was detected in the NEUT-RI plasma concentration (53.80 [49.65–59.05] vs. 48.00 [46.00–49.90] FI, p < 0.001, respectively). NEUT-RI and procalcitonin (PCT) distinguished between not complicated sepsis and septic shock (PCT 1.71 [0.42–12.09] vs. 32.59 [8.83–100.00], p = 0.005). NEUT-RI, PCT, and CRP values were significantly different in patients with “renal failure”. NEUT-RI and PCT at admission in the ICU in the septic group were higher in patients who died (58.80 [53.85–73.10] vs. 53.05 [48.90–57.22], p = 0.005 and 39.56 [17.39–83.72] vs. 3.22 [0.59–32.32], p = 0.002, respectively). Both NEUT-RI and PCT showed a high negative predictive value and low positive predictive value. Conclusions: The inflammatory biomarkers assessed in this study offer valuable support in the early diagnosis of sepsis and could have a possible role in anticipating the outcome. NEUT-RI elevation appears particularly promising for early sepsis detection and severity discrimination upon admission. |
| Databáze: |
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