Sepsis & infection

Shock prediction with dipeptidyl peptidase-3 and renin (SPiDeR) in hypoxemic patients with COVID-19

J Crit CarePublished Secondary analysis of the ACTIV host tissue platform trial

Authors' conclusion

In patients hospitalized with COVID-19 and hypoxemia without baseline hypotension, higher baseline plasma levels of DPP3 but not renin were associated with increased risk of subsequent shock and death.

Study context

Population
Adults hospitalised with acute hypoxemia from COVID-19 without baseline vasopressor requirement
Participants
184 adults
Comparison
Day 0 DPP3 and renin above vs below the median
Primary endpoint
Development of shock (initiation of vasopressor therapy)
Follow-up
Day 28
Methodological detailsbiomarker study
  • Biomarker study

Primary result

As reported in the abstract

Vasopressor initiation · 28 days

P = 0.031

Further findings

28-day mortality

P < 0.001

28-day mortality

After adjustment, DPP3 above median associated with greater 28-day mortality, fewer vasopressor-free days and greater odds of a hypotensive event over 7 days

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

Original publication

Shock prediction with dipeptidyl peptidase-3 and renin (SPiDeR) in hypoxemic patients with COVID-19. J Crit Care. Published 14 November 2024. doi:10.1016/j.jcrc.2024.154950

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

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