Sepsis & infection

Erythropoietin as a critical prognostic indicator in ICU patients with sepsis: a prospective observational study

J Intensive CarePublished Prospective observational study

Main finding · 28-day mortalityResult — go to the resultHazard ratio 2.93 95% CI 1.20–7.22

Authors' conclusion

Elevated EPO levels in patients with sepsis are correlated with unfavorable prognoses and may function as a prognostic biomarker for adverse outcomes.

Study context

Population
ICU patients with sepsis65.17% male
Participants
267 patients
Exposure
Highest vs lowest erythropoietin (EPO) tertile
Outcome
28-day mortality
Follow-up
28 days

Main finding

As reported in the abstract

Hazard ratio

2.93

95% CI 1.20–7.22

Highest EPO tertile vs Lowest EPO tertile
HR 2.93 (95% CI 1.20–7.22)
Overall 28-day mortality rate
23.22%

Observational data: associations, not effects.

Further findings

OutcomeHR (95% CI)
Hospital mortalityHighest EPO tertile vs Lowest EPO tertile · multivariate Cox regression2.47 (1.05–5.81)
Hospital mortality — Overall hospital mortality rate
31.20%

28-day mortality (subgroups)

Consistent effect size and direction across subgroups

Mediation of lactate–28-day mortality association by EPO

Partially mediated by EPO; mediation ratio
12.59%

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Erythropoietin as a critical prognostic indicator in ICU patients with sepsis: a prospective observational study. J Intensive Care. Published 20 March 2025. doi:10.1186/s40560-025-00787-x

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