ICU sedation, delirium & recovery

Immune Profiling Panel Gene Set Identifies Critically Ill Patients With Low Monocyte Human Leukocyte Antigen-DR Expression: Preliminary Results From the REAnimation Low Immune Status Marker (REALISM) Study

Crit Care MedPublished Retrospective observational cohort study

Authors' conclusion

This study reports on the potential of the IPP gene set to identify ICU patients presenting with mHLA-DR less than 8,000 AB/C.

Study context

Population
Critically ill adults with various etiologies in an ICU, University Hospital, Lyon, France (REALISM study), and healthy volunteers1,731 blood samples
Exposure
IPP gene set vs mHLA-DR for identifying immunosuppression
Outcome
Identification of immunosuppressed patients
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

GroupAUC
IPP0.86 (95% CI 0.83-0.89)

IPP

AUC0.86 (95% CI 0.83-0.89)

Observational data: associations, not effects.

Further findings

ICU-acquired infections in the immunosuppressed group (patients still in ICU at days 5-7) · days 5-7 after admission — IPP
26%
  • ICU-acquired infections in the immunosuppressed group (patients still in ICU at days 5-7): mHLA-DR 22%
  • ICU-acquired infections in the immunosuppressed group (patients still in ICU at days 5-7): 123 patients still in the ICU

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

Original publication

Immune Profiling Panel Gene Set Identifies Critically Ill Patients With Low Monocyte Human Leukocyte Antigen-DR Expression: Preliminary Results From the REAnimation Low Immune Status Marker (REALISM) Study. Crit Care Med. Published 14 March 2023. doi:10.1097/ccm.0000000000005832

Composed by AI from the published abstract and checked against it. How Briefs are made →

Get them every week

New studies on this topic in My Week and in your Monday e-mail.

We e-mail you a sign-in link and a code. No password, no spam.