Sepsis & infection

Complement activation in severely ill patients with sepsis: no relationship with inflammation and disease severity

Crit CarePublished Secondary analysis of a prospective cohort study

Authors' conclusion

Once an infection progresses to severe sepsis or septic shock, the complement pathway is already profoundly activated and is no longer related to a dysregulated inflammatory response, nor to clinical outcome.

Study context

Population
Hospitalized sepsis patients, majority presenting with shock
Participants
209 patients

Primary result

As reported in the abstract

Complement factors (C3, C3a, C3c, C5, C5a, soluble terminal complement complex) in plasma within 24 h of sepsis diagnosis · within 24 h after sepsis diagnosis
Profound activation of the complement system vs healthy controls
all P < 0.01
Complement factors not associated with SOFA score, incidence of septic shock or mortality
all P > 0.05

Original publication

Complement activation in severely ill patients with sepsis: no relationship with inflammation and disease severity. Crit Care. Published 16 February 2023. doi:10.1186/s13054-023-04344-6

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