Sepsis & infection

Sepsis-associated liver dysfunction confounds the association between circulating PCSK9 concentration and mortality in septic patients: A single-center retrospective cohort study

J Crit CarePublished Retrospective cohort study

Authors' conclusion

The association between low plasma PCSK9 concentration and mortality in sepsis may be influenced by SALD.

Study context

Population
Patients meeting the Sepsis-3 criteria; plasma sampled within 24 h of admission
Participants
415 patients
Exposure
Plasma PCSK9 concentration tertiles
Outcome
Mortality
Follow-up
28 days
Methodological detailssingle-center
  • Single-center

Main finding

As reported in the abstract

28-day mortality
  • Low PCSK9 group had higher 28-day mortality

Observational data: associations, not effects.

Further findings

PCSK9–mortality association by liver SOFA (subgroup)

Liver SOFA ≥ 1: inverse linear correlation of PCSK9 concentration with mortality
Liver SOFA = 0: U-shaped pattern

Adjusted PCSK9–mortality association, entire cohort

Adjustment for international normalized ratio and liver SOFA diminished the significance of the association

Original publication

Sepsis-associated liver dysfunction confounds the association between circulating PCSK9 concentration and mortality in septic patients: A single-center retrospective cohort study. J Crit Care. Published 21 July 2025. doi:10.1016/j.jcrc.2025.155197

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