Respiratory failure & ventilation

Plasma Levels of Soluble ST2 Reflect Extrapulmonary Organ Dysfunction and Predict Outcomes in Acute Respiratory Failure

Crit Care MedPublished Observational study

Authors' conclusion

Plasma sST2 levels independently predict outcomes in ARF and are strongly associated with extrapulmonary organ dysfunction. The weak correlation between plasma and LRT sST2 levels suggests a predominantly systemic source.

Study context

Population
Patients with acute respiratory failure (ARF) of diverse etiologies, multicentre cohorts
Participants
1,432 patients · 5 cohorts
Exposure
Non-COVID vs COVID-19 ARF; plasma vs lower respiratory tract (LRT) Soluble ST2 (sST2)
  • Non-COVIDn = 863
  • COVID-19n = 569reference
Outcome
Plasma sST2: distribution, organ dysfunction and 30-day mortality
Methodological detailsmulticentre, five cohorts
  • Multicentre
  • Five cohorts

Main finding

As reported in the abstract

Plasma sST2 markedly elevated vs LRT levels, with weak intercompartmental correlation

> 19-fold

Observational data: associations, not effects.

Further findings

Longitudinal plasma sST2 · first 2 weeks of critical illness

Nonsurvivors had persistently elevated plasma sST2 vs survivors

Original publication

Plasma Levels of Soluble ST2 Reflect Extrapulmonary Organ Dysfunction and Predict Outcomes in Acute Respiratory Failure. Crit Care Med. Published 22 May 2025. doi:10.1097/ccm.0000000000006716

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.