Chromogranin A levels and mortality in patients with severe sepsis

被引:14
作者
Hsu, Chih-Hsin [1 ,2 ]
Reyes, Luis F. [1 ,2 ,3 ]
Orihuela, Carlos J. [1 ]
Buitrago, Ricardo [3 ,4 ]
Anzueto, Antonio [1 ,2 ]
Soni, Nilam J. [1 ,2 ]
Levine, Stephanie [1 ,2 ]
Peters, Jay [1 ,2 ]
Hinojosa, Cecilia A. [1 ]
Aliberti, Stefano [5 ]
Sibila, Oriol [6 ]
Rodriguez, Alejandro [7 ,8 ]
Chalmers, James D. [9 ]
Martin-Loeches, Ignacio [10 ]
Bordon, Jose [11 ]
Blanquer, Jose [12 ]
Sanz, Francisco [13 ]
Marcos, Pedro J. [14 ]
Rello, Jordi [15 ]
Sole-Violan, Jordi [16 ]
Restrepo, Marcos I. [1 ,2 ]
机构
[1] Univ Texas Hlth Sci Ctr San Antonio, San Antonio, TX 78229 USA
[2] South Texas Vet Hlth Care Syst, San Antonio, TX 78229 USA
[3] Univ Sabana, Bogota, Colombia
[4] Clin Shaio, Bogota, Colombia
[5] Univ Milano Bicocca, Clin Pneumol, Monza, Italy
[6] Univ Autonoma Barcelona, Hosp Santa Creu & St Pau, Dept Med, Serv Pneumol, E-08193 Barcelona, Spain
[7] Joan XXIII Univ Hosp, Crit Care Dept, Tarragona, Spain
[8] CIBERES, Pere Virgili Hlth Inst, Tarragona, Spain
[9] Univ Dundee, Dundee, Scotland
[10] St James Hosp, Trinity Ctr Hlth Sci, CIBERES, Dublin 8, Ireland
[11] Providence Hosp, Dept Med, Infect Dis Sect, Washington, DC USA
[12] Hosp Clin Univ, Unidad Cuidados Intens Resp, Valencia, Spain
[13] Consorci Hosp Gen Univ Valencia, Dept Pulmonol, Valencia, Spain
[14] Univ Coruna UDC, Sergas, CHUAC, Serv Neumol,Inst Invest Biomed A Coruna INIBIC, La Coruna, Spain
[15] Hosp Univ Vall dHebron, CIBERES, Crit Care Dept, Barcelona, Spain
[16] Hosp Univ Dr Negrin, CIBERES, Intens Care Unit, Las Palmas Gran Canaria, Spain
关键词
Biological marker; cardiovascular diseases; Chromogranin A; mortality; sepsis; PROGNOSTIC VALUE; EPIDEMIOLOGY; BIOMARKER; ADMISSION;
D O I
10.3109/1354750X.2015.1046932
中图分类号
Q81 [生物工程学(生物技术)]; Q93 [微生物学];
学科分类号
071005 [微生物学]; 090105 [作物生产系统与生态工程];
摘要
Context: Chromogranin A (CgA) is a novel biomarker with potential to assess mortality risk of patients with severe sepsis. Objective: Assess association of CgA levels and mortality risk of severely septic patients. Methods: Serum CgA levels were measured in 50 hospitalized, severely septic patients with organ failure <48 h. Results: Higher CgA levels trended toward higher ICU and hospital mortality. Patients without cardiovascular disease who died in the ICU had higher median (IQR) CgA levels 602.3 (343.3, 1134.3) ng/ml versus 205.5 (130.7, 325.9) ng/ml, p = 0.01. Conclusions: High CgA levels predict ICU mortality in severely septic patients without prior cardiovascular disease.
引用
收藏
页码:171 / 176
页数:6
相关论文
共 21 条
[1]
Critical Care 1 Critical care and the global burden of critical illness in adults [J].
Adhikari, Neill K. J. ;
Fowler, Robert A. ;
Bhagwanjee, Satish ;
Rubenfeld, Gordon D. .
LANCET, 2010, 376 (9749) :1339-1346
[2]
Chromogranin-A: A Multifaceted Cardiovascular Role in Health and Disease [J].
Angelone, T. ;
Mazza, R. ;
Cerra, M. C. .
CURRENT MEDICINAL CHEMISTRY, 2012, 19 (24) :4042-4050
[3]
Current epidemiology of septic shock - The CUB-Rea network [J].
Annane, D ;
Aegerter, P ;
Jars-Guincestre, MC ;
Guidet, B .
AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE, 2003, 168 (02) :165-172
[4]
[Anonymous], CRIT CARE MED
[5]
PROCALCITONIN LEVELS IN SURVIVORS AND NONSURVIVORS OF SEPSIS: SYSTEMATIC REVIEW AND META-ANALYSIS [J].
Arora, Shubhangi ;
Singh, Prashant ;
Singh, Preet Mohinder ;
Trikha, Anjan .
SHOCK, 2015, 43 (03) :212-221
[6]
DEFINITIONS FOR SEPSIS AND ORGAN FAILURE AND GUIDELINES FOR THE USE OF INNOVATIVE THERAPIES IN SEPSIS [J].
BONE, RC ;
BALK, RA ;
CERRA, FB ;
DELLINGER, RP ;
FEIN, AM ;
KNAUS, WA ;
SCHEIN, RMH ;
SIBBALD, WJ .
CHEST, 1992, 101 (06) :1644-1655
[7]
Unravelling post-ICU mortality: predictors and causes of death [J].
Braber, Annemarije ;
van Zanten, Arthur R. H. .
EUROPEAN JOURNAL OF ANAESTHESIOLOGY, 2010, 27 (05) :486-490
[8]
Biological function and clinical relevance of chromogranin A and derived peptides [J].
D'amico, Maria Angela ;
Ghinassi, Barbara ;
Izzicupo, Pascal ;
Manzoli, Lamberto ;
Di Baldassarre, A. .
ENDOCRINE CONNECTIONS, 2014, 3 (02) :R45-R54
[9]
Dellinger RP, 2013, INTENS CARE MED, V41, P580, DOI [DOI 10.1097/CCM.0B013E31827E83AF, DOI 10.1007/s00134-012-2769-8]
[10]
Soluble urokinase-type plasminogen activator receptor as a prognostic biomarker in critically ill patients [J].
Donadello, Katia ;
Scolletta, Sabino ;
Taccone, Fabio Silvio ;
Covajes, Cecilia ;
Santonocito, Cristina ;
Cortes, Diego Orbegozo ;
Grazulyte, Daiva ;
Gottin, Leonardo ;
Vincent, Jean-Louis .
JOURNAL OF CRITICAL CARE, 2014, 29 (01) :144-149