Sepsis & infection

Exploring biomarkers for diagnosing and predicting organ dysfunction in patients with perioperative sepsis: a preliminary investigation

Perioper Med (Lond)Published Prospective controlled biomarker study

Authors' conclusion

Serum CatB, S100-A9, VCAM-1, prosaposin, and NGAL may be novel markers for preoperative diagnosis and postoperative prediction of organ dysfunction.

Study context

Population
Emergency surgery patients with perioperative sepsis
Exposure
Septic vs control emergency surgery patients
Outcome
Serum protein levels (enzyme-linked immunosorbent assay (ELISA))
Methodological detailspreliminary, single-centre
  • Preliminary
  • Single-centre

Main finding

As reported in the abstract

Cathepsin B (CatB), VCAM-1, neutrophil gelatinase-associated lipocalin (NGAL), S100-A9, prosaposin and thrombospondin-1 significantly increased in sepsis vs controls
p < 0.001

Observational data: associations, not effects.

Further findings

Preoperative renal failure diagnosis model (bootstrap internal validation)

C-index (95% CI 0.843-0.954); good discrimination and calibration
0.898

Original publication

Exploring biomarkers for diagnosing and predicting organ dysfunction in patients with perioperative sepsis: a preliminary investigation. Perioper Med (Lond). Published 24 July 2024. doi:10.1186/s13741-024-00438-z

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