Sepsis, Systemic Inflammatory Response Syndrome
Conditions
Keywords
sepsis, alpha-1-acid glycoprotein (AGP), diagnosis, prognosis, SIRS
Brief summary
To assess the potential value of alpha-1-acid glycoprotein (AGP) for early diagnosis and prognosis of patients with sepsis, and then compared with C-reactive protein (CRP), procalcitonin (PCT), white blood cell (WBC) counts, Acute Physiology and Chronic Health Evaluation (APACHE) II score and Sequential Organ Failure Assessment (SOFA) score. 164 patients were enrolled in the study, including 25 cases with systemic inflammatory response syndrome (SIRS) and 139 cases with different levels of sepsis (46 moderate sepsis, 52 severe sepsis and 41 septic shock ). Serum levels of Alpha-1-acid Glycoprotein (AGP), C-reactive protein (CRP), and procalcitonin (PCT), and white blood cell (WBC) counts were measured on the day of admission to intensive care unit (ICU).
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
1. Male and female aged 18 years old and over; 2. Clinically suspected infection; 3. Fulfilled at least two criteria of systemic inflammatory response syndrome (a) core temperature higher than 38 °C or lower than 36 °C (b)respiratory rate above 20/min, or PCO2 below 32 mmHg (c) pulse rate above 90/min, and (d) white blood cell count greater than 12,000/μl or lower than \< 4,000/μl or less than 10% of bands;
Exclusion criteria
1. less than 18 years old; 2. immunosuppression; 3. agranulocytosis (granulocyte counts \<0.5× 109/L); 4. chronic myeloid leukemia (CML); 5. malignancy; 6. less than 24 hours of the length of ICU stay; 7. reluctant to participate in the study.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patients Outcome | 28 days | The survival time of patients more than 28 days is defined as survival. The survival time of patients less than 28 days is defined as death |
Countries
China