Sepsis
Conditions
Keywords
sepsis, presepsin, red cell distribution width
Brief summary
Presepsin (soluble CD14 subtype) is a novel marker with growing body of evidence supporting its accuracy and value for the diagnosis of sepsis. Patients with sepsis showed higher Prsepsin levels compared to those with SIRS. In addition the increase in Prsepsin levels correlates well with sepsis severity. Red cell distribution width variations are increased in a variety of medical conditions such as congestive heart failure, acute myocardial infarction, pulmonary embolism, pneumonia, critical illness, and cardiac arrest , and is a predictor of mortality in the general population. we aim to compare between Presepsin (soluble CD14) and RDW as prognostic markers in critically-ill patients with sepsis.
Interventions
A total of 100 sepsis patients, Red Cell Distribution Width (RDW) was used as prognostic marker.
: A total of 100 sepsis patients, Presepsin (sCD14-ST) was used as prognostic marker.
Sponsors
Study design
Eligibility
Inclusion criteria
* Male or female aged 18 65 years. * Appropriate clinical data to enable classification into sepsis or SIRS according to Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3). * Written informed consent by the patient or guardian
Exclusion criteria
* No informed consent * Renal failure * Liver failure * Hematologic diseases * Neutropenia * Malignancy * Chemotherapy during the previous 90 days. * Patients using antibiotics at presentation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mortality during intensive care unit stay | 28 days |
Secondary
| Measure | Time frame |
|---|---|
| Need for readmission to ICU | assessed up to 3 months |
| Ventilatory support duration | assessed up to 3 months |
| Length of ICU stay | assessed up to 3 months |
| Number of participants who need inotropic or vasopressor support | assessed up to 3 months |
| Transfusion requirements (blood and blood products) | assessed up to 3 months |
| Number of participants who need renal replacement therapy | assessed up to 3 months |
Countries
Egypt