Home > Riviste > Chirurgia > Fascicoli precedenti > Chirurgia 2015 February;28(1) > Chirurgia 2015 February;28(1):1-6

ULTIMO FASCICOLO
 

ARTICLE TOOLS

Estratti
Per citare questo articolo

CHIRURGIA

Rivista di Chirurgia


Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index

 

ARTICOLI ORIGINALI  


Chirurgia 2015 February;28(1):1-6

Copyright © 2015 EDIZIONI MINERVA MEDICA

lingua: Inglese

Procalcitonin as a biomarker for predicting infection and assessing short-term adverse patient prognosis after endovascular aortic repair

Lin Y. 1, Wei X. 2, Yang X. 3, Cai A. 3, Zhou Y. 3, Wu Y. 3, Yu D. 3

1 Department of Cardiology, 2nd Clinical Medical College of Jinan University, Shenzhen People Hospital, Shenzhen, China; 2 Department of Cardiology, Southern Medical University, Affiliated Guangdong General Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China; 3 Deparment of Cardiology, Guangdong Academy of Medical Sciences, Guangzhou, China


PDF  


AIM: The objective was to investigate the effectiveness of using serum PCT levels to predict infection and assess the short-term clinical outcome of patients after EVAR when compared to conventional techniques such as serum C-reactive protein (CRP) levels as well as erythrocyte sedimentation rate (ESR).
METHODS: According to predefined criteria, 204 patients were selected post-EVAR and separated into groups with complications associated with infection and those without infection. All patients post-EVAR were evaluated for in-hospital death to determine the correlation between PCT levels in patient sera and adverse prognosis of infection and short-term clinical outcome by comparing PCT levels with CRP levels and ESR.
RESULTS: We show that the post-EVAR patients were segregated into 148 non-infected patients and 56 infected patients. The PCT levels in the infected patients were significantly higher than in the non-infected patients (P<0.001). Most importantly, we show that the PCT levels had a higher accuracy in predicting infection compared with CRP levels and ESR in the infected patients. Furthermore, during hospitalization, we show that higher PCT levels correlated with a significantly higher mortality rate within both infected and non-infected patients.
CONCLUSION: We conclude that PCT is a more reliable biological marker for predicting infection and short-term adverse patient prognosis after EVAR compared with CRP and ESR.

inizio pagina

Publication History

Per citare questo articolo

Lin Y, Wei X, Yang X, Cai A, Zhou Y, Wu Y, et al. Procalcitonin as a biomarker for predicting infection and assessing short-term adverse patient prognosis after endovascular aortic repair. Chirurgia 2015 February;28(1):1-6. 

Corresponding author e-mail