Sepsis
Conditions
Brief summary
Leucocyte subpopulation and platelet indices analysis can predict clinical outcome
Interventions
None listed
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult population of both sex, aged 20 or older admitted to the ICU with a diagnosis of sepsis were screened for inclusion within 48 h of presentation to the hospital. Sepsis was defined as per the Sepsis-3 definition, 6 ie, the presence of suspected or documented infection with organ dysfunction determined by an acute increase of sequential organ failure assessment (SOFA) score by 2 or more points
Exclusion criteria
* Patient refusal. * History of surgery in the last 7 days from admission. * Immunocompromised population ( post-transplantation, steroid use \> 5 mg per day, malignancy, HIV, on chemotherapy). * History of platelet transfusion one week before admission. * Bone marrow transplanted population on steroid therapy. * Von-Willebrand disease. * Myelodysplastic or proliferative patients. * Blood dyscarsiasis * Obestetric parturients.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Sensitivity and specificity of either leucocyte profiling , platelet indices with early clinical deterioration | from biomarker sampling through fifth calendar day | SOFA increase 2 points or more, or development of septic shock, or mortality. leukocyte profile versus platelet indices. Early deterioration was defined as any of the above mentioned events occurring for the first time from T0 until (through) second calendar day. T0 was the biomarker sampling immediately after sepsis diagnosis. Timing of deterioration was subclassified from To to second calendar day ( any deterioration events for the first time from T0 until second calendar day after that defined as very early deterioration) or early deterioration ( from third calendar day to day-5 = any deterioration events occur for the first time only from third to the fifth calendar day inclusive after T0 |
Secondary
| Measure | Time frame |
|---|---|
| association between leucocytes at enrollment with ICU mortality | 2 weeks ( during ICU admission) |
| association between platelet indices at enrollment with ICU mortality | 2 weeks (during ICU admission) |
| association between platelet indices at enrollment with incidence of mechanical ventilation | 2 weeks |
| association between leucocytes at enrollment with incidence of mechanical ventilation | 2 weeks (during ICU admission) |
| association between leucocytes at enrollment , with incidence of acute kidney injury | 2 weeks (during ICU admission) |
| association between platelet indices at enrollment with incidence of acute kidney injury | 2 weeks (during ICU admission ) |
Countries
Egypt