Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implications

Abstract Diagnosing coagulopathy in septic patients remains challenging in intensive care. Disseminated intravascular coagulation (DIC) indeed presents with complex pathophysiology, complicating timely diagnosis. Epidemiological data indicate a significant prevalence of DIC in septic patients, with...

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Main Authors: Anaïs Curtiaud, Toshiaki Iba, Eduardo Angles-Cano, Ferhat Meziani, Julie Helms
Format: Article
Language:English
Published: SpringerOpen 2025-01-01
Series:Annals of Intensive Care
Subjects:
Online Access:https://doi.org/10.1186/s13613-025-01434-2
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author Anaïs Curtiaud
Toshiaki Iba
Eduardo Angles-Cano
Ferhat Meziani
Julie Helms
author_facet Anaïs Curtiaud
Toshiaki Iba
Eduardo Angles-Cano
Ferhat Meziani
Julie Helms
author_sort Anaïs Curtiaud
collection DOAJ
description Abstract Diagnosing coagulopathy in septic patients remains challenging in intensive care. Disseminated intravascular coagulation (DIC) indeed presents with complex pathophysiology, complicating timely diagnosis. Epidemiological data indicate a significant prevalence of DIC in septic patients, with mortality rates up to 60%. Despite advances, current biomarker-based diagnostic tools often fail to provide early and accurate detection. This review evaluates the utility and limitations of traditional and emerging biomarkers for diagnosing sepsis-induced coagulopathy (SIC) and DIC. We also assess the effectiveness of anticoagulant therapy guided by biomarker-based diagnostic criteria.
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series Annals of Intensive Care
spelling doaj-art-8226dd81273947f194c40ccc1db66e972025-01-19T12:38:34ZengSpringerOpenAnnals of Intensive Care2110-58202025-01-0115111010.1186/s13613-025-01434-2Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implicationsAnaïs Curtiaud0Toshiaki Iba1Eduardo Angles-Cano2Ferhat Meziani3Julie Helms4Faculté de Médecine, Service de Médecine Intensive-Réanimation, Université de Strasbourg (UNISTRA), Hôpitaux universitaires de Strasbourg, Nouvel Hôpital CivilDepartment of Emergency and Disaster Medicine, Juntendo University Graduate School of MedicineInnovative Therapies in Haemostasis, Université Paris Cité - INSERM U-1140Faculté de Médecine, Service de Médecine Intensive-Réanimation, Université de Strasbourg (UNISTRA), Hôpitaux universitaires de Strasbourg, Nouvel Hôpital CivilFaculté de Médecine, Service de Médecine Intensive-Réanimation, Université de Strasbourg (UNISTRA), Hôpitaux universitaires de Strasbourg, Nouvel Hôpital CivilAbstract Diagnosing coagulopathy in septic patients remains challenging in intensive care. Disseminated intravascular coagulation (DIC) indeed presents with complex pathophysiology, complicating timely diagnosis. Epidemiological data indicate a significant prevalence of DIC in septic patients, with mortality rates up to 60%. Despite advances, current biomarker-based diagnostic tools often fail to provide early and accurate detection. This review evaluates the utility and limitations of traditional and emerging biomarkers for diagnosing sepsis-induced coagulopathy (SIC) and DIC. We also assess the effectiveness of anticoagulant therapy guided by biomarker-based diagnostic criteria.https://doi.org/10.1186/s13613-025-01434-2Disseminated intravascular coagulationCoagulopathySepsisSeptic shock
spellingShingle Anaïs Curtiaud
Toshiaki Iba
Eduardo Angles-Cano
Ferhat Meziani
Julie Helms
Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implications
Annals of Intensive Care
Disseminated intravascular coagulation
Coagulopathy
Sepsis
Septic shock
title Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implications
title_full Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implications
title_fullStr Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implications
title_full_unstemmed Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implications
title_short Biomarkers of sepsis-induced coagulopathy: diagnostic insights and potential therapeutic implications
title_sort biomarkers of sepsis induced coagulopathy diagnostic insights and potential therapeutic implications
topic Disseminated intravascular coagulation
Coagulopathy
Sepsis
Septic shock
url https://doi.org/10.1186/s13613-025-01434-2
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