Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortality

Aim:We aimed to determine the efficacy of presepsin (PRE) as a biomarker of sepsis and to asssess its prognostic value for prediction of mortality were determined.Methods:Selected clinical data of 21 patients admitted to intensive care unit for systemic inflammatory response syndrome (SIRS), sepsis...

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Main Authors: İbrahim Akkoç, Zümrüt Mine Işık Sağlam, Öznur Şen, Nurdan Aydın, Macit Koldaş, Mehmet Toptaş, Sinan Uzman
Format: Article
Language:English
Published: Galenos Publishing House 2020-03-01
Series:Haseki Tıp Bülteni
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Online Access: http://www.hasekidergisi.com/archives/archive-detail/article-preview/efficacy-of-presepsin-as-a-biomarker-of-sepsis-and/36511
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author İbrahim Akkoç
Zümrüt Mine Işık Sağlam
Öznur Şen
Nurdan Aydın
Macit Koldaş
Mehmet Toptaş
Sinan Uzman
author_facet İbrahim Akkoç
Zümrüt Mine Işık Sağlam
Öznur Şen
Nurdan Aydın
Macit Koldaş
Mehmet Toptaş
Sinan Uzman
author_sort İbrahim Akkoç
collection DOAJ
description Aim:We aimed to determine the efficacy of presepsin (PRE) as a biomarker of sepsis and to asssess its prognostic value for prediction of mortality were determined.Methods:Selected clinical data of 21 patients admitted to intensive care unit for systemic inflammatory response syndrome (SIRS), sepsis and septic shock were collected. APACHE-II score, blood culture results and WBC and CRP measured at baseline, procalcitonin (PCT) and PRE measured at baseline and on days 2, 4, and 7, and mortality of patients were recorded.Results:Compared to SIRS, sepsis and septic shock caused comparable increases in the APACHE II scores and mortality rates. The PRE values of the septic shock patients were significantly higher as compared to the sepsis and the SIRS patients at baseline and on day 2. Moderate or high correlations among both the PCT and PRE values measured at baseline and on days 2, 4, and 7 were detected. Overall, the diagnostic and prognostic efficacies of PRE were comparable to those of PCT.Conclusions:During differential diagnosis, follow-up and prediction of mortality risk of patients for SIRS, sepsis and septic shock, findings of current study support that PRE possesses a merit to be used as a biomarker with comparable efficacy with PCT.
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institution Kabale University
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publishDate 2020-03-01
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spelling doaj-art-b4792b22f1114dbc975b2ff73379b3552025-08-20T03:39:22ZengGalenos Publishing HouseHaseki Tıp Bülteni1302-00722147-26882020-03-0158220020710.4274/haseki.galenos.2020.601613049054Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortalityİbrahim Akkoç0Zümrüt Mine Işık Sağlam1Öznur Şen2Nurdan Aydın3Macit Koldaş4Mehmet Toptaş5Sinan Uzman6 University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Medical Biochemistry, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Medical Biochemistry, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey University of Health Sciences Turkey, Haseki Training and Research Hospital, Clinic of Anesthesiology and Reanimation, İstanbul, Turkey Aim:We aimed to determine the efficacy of presepsin (PRE) as a biomarker of sepsis and to asssess its prognostic value for prediction of mortality were determined.Methods:Selected clinical data of 21 patients admitted to intensive care unit for systemic inflammatory response syndrome (SIRS), sepsis and septic shock were collected. APACHE-II score, blood culture results and WBC and CRP measured at baseline, procalcitonin (PCT) and PRE measured at baseline and on days 2, 4, and 7, and mortality of patients were recorded.Results:Compared to SIRS, sepsis and septic shock caused comparable increases in the APACHE II scores and mortality rates. The PRE values of the septic shock patients were significantly higher as compared to the sepsis and the SIRS patients at baseline and on day 2. Moderate or high correlations among both the PCT and PRE values measured at baseline and on days 2, 4, and 7 were detected. Overall, the diagnostic and prognostic efficacies of PRE were comparable to those of PCT.Conclusions:During differential diagnosis, follow-up and prediction of mortality risk of patients for SIRS, sepsis and septic shock, findings of current study support that PRE possesses a merit to be used as a biomarker with comparable efficacy with PCT. http://www.hasekidergisi.com/archives/archive-detail/article-preview/efficacy-of-presepsin-as-a-biomarker-of-sepsis-and/36511 systemic inflammatory response syndrome (sirs)sepsisseptic shockapache-iipresepsinprocalcitoninc-reactive protein (crp)white blood count (wbc)
spellingShingle İbrahim Akkoç
Zümrüt Mine Işık Sağlam
Öznur Şen
Nurdan Aydın
Macit Koldaş
Mehmet Toptaş
Sinan Uzman
Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortality
Haseki Tıp Bülteni
systemic inflammatory response syndrome (sirs)
sepsis
septic shock
apache-ii
presepsin
procalcitonin
c-reactive protein (crp)
white blood count (wbc)
title Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortality
title_full Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortality
title_fullStr Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortality
title_full_unstemmed Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortality
title_short Efficacy of Presepsin as a Biomarker of Sepsis and Its Prognostic Value for Prediction of Mortality
title_sort efficacy of presepsin as a biomarker of sepsis and its prognostic value for prediction of mortality
topic systemic inflammatory response syndrome (sirs)
sepsis
septic shock
apache-ii
presepsin
procalcitonin
c-reactive protein (crp)
white blood count (wbc)
url http://www.hasekidergisi.com/archives/archive-detail/article-preview/efficacy-of-presepsin-as-a-biomarker-of-sepsis-and/36511
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