Document Detail


Procalcitonin levels as an early marker in patients with multiple trauma under intensive care.
MedLine Citation:
PMID:  20146868     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This prospective study investigated the levels of procalcitonin (PCT) and C-reactive protein (CRP) in patients with various types and severity of multiple trauma, and their relationship to trauma-related complications. Adult multiple-trauma patients (n = 113) admitted to the intensive care unit (ICU) in the first 24 h after trauma were included. The Injury Severity Scores (ISS), and PCT and CRP levels were measured in the first 24 h (day 1), on day 7 and on the final day of their ICU stay. Survival at 30 days was recorded. Mean PCT and CRP levels were both significantly higher on day 7 compared with day 1 and the final assessment day in patients with an ISS > 20. Levels of PCT were significantly higher in cases with sepsis, severe sepsis or septic shock compared with cases who developed systemic inflammatory response syndrome (SIRS), however levels of CRP were significantly higher only in cases with severe sepsis or septic shock, but not in cases with sepsis alone. These data support the view that PCT levels may be a better indicator than CRP levels in the early diagnosis of septic complications in patients with multiple trauma.
Authors:
C Balci; R Sivaci; G Akbulut; H S Karabekir
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of international medical research     Volume:  37     ISSN:  0300-0605     ISO Abbreviation:  J. Int. Med. Res.     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2010-02-11     Completed Date:  2010-03-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0346411     Medline TA:  J Int Med Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  1709-17     Citation Subset:  IM    
Affiliation:
Department of Anaesthesiology, Afyon Kocatepe University School of Medicine, Afyonkarahisar, Turkey. cbalci2001@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Biological Markers / blood
C-Reactive Protein / metabolism
Calcitonin / blood*
Female
Humans
Injury Severity Score
Intensive Care Units*
Male
Multiple Trauma / blood*,  complications,  diagnosis*,  microbiology
Prognosis
Protein Precursors / blood*
Sepsis / blood,  complications
Survival Analysis
Chemical
Reg. No./Substance:
0/Biological Markers; 0/Protein Precursors; 56645-65-9/procalcitonin; 9007-12-9/Calcitonin; 9007-41-4/C-Reactive Protein

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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