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Prognostic value of phospholipase A(2) group II, C-reactive protein and simplified acute physiological score II in intensive care patients

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Authors
Dajak, Marijana
Ignjatović, Svetlana
Majkić-Singh, Nada
Lausević, Željko
Bukumirović, Vesna
Article (Published version)
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Abstract
We investigated the prognostic value of group II phospholipase A(2) (PLA(2)-II) and C-reactive protein (CRP) in patients of the intensive care unit (ICU) who developed severe inflammatory reaction. In addition, the biochemical markers were correlated with the Simplified Acute Physiological Score II (SAPS II). Our study comprised 40,patients with multiple injuries and 35 patients with sepsis admitted to the ICU, and assessed during a follow-up of as long as 28 days. There were 18 survivors and 17 non-survivors in the sepsis group, and 22 survivors and 18 non-survivors in the group of patients with multiple injuries. In the group of patients with multiple injuries, the intensity of host inflammatory response showed clearly distinct PLA(2)-II and CRP profiles: the overall levels of PLA(2)-II and CRP were significantly higher in non-survivors than in survivors. PLA(2)-II and CRP do not discriminate non-survivors from survivors with sepsis. ROC (receiver operating characteristic curve) anal...ysis and the area under the curve (AUC) showed the best classification of polytrauma patients with SAPS 11 and PLA(2)-II. In the group of patients with sepsis, only SAPS II appeared to be the most helpful predictive measure regarding patient outcome.

Keywords:
inflammation / multiple injuries / prognosis / sepsis / CRP / phospholipase A(2) / PLA(2)-II
Source:
Clinical Laboratory, 2006, 52, 7-8, 387-392
Publisher:
  • Clin Lab Publications, Heidelberg

ISSN: 1433-6510

PubMed: 16955638

WoS: 000239986700009

[ Google Scholar ]
5
Handle
https://hdl.handle.net/21.15107/rcub_farfar_687
URI
https://farfar.pharmacy.bg.ac.rs/handle/123456789/687
Collections
  • Radovi istraživača / Researchers’ publications
Institution/Community
Pharmacy
TY  - JOUR
AU  - Dajak, Marijana
AU  - Ignjatović, Svetlana
AU  - Majkić-Singh, Nada
AU  - Lausević, Željko
AU  - Bukumirović, Vesna
PY  - 2006
UR  - https://farfar.pharmacy.bg.ac.rs/handle/123456789/687
AB  - We investigated the prognostic value of group II phospholipase A(2) (PLA(2)-II) and C-reactive protein (CRP) in patients of the intensive care unit (ICU) who developed severe inflammatory reaction. In addition, the biochemical markers were correlated with the Simplified Acute Physiological Score II (SAPS II). Our study comprised 40,patients with multiple injuries and 35 patients with sepsis admitted to the ICU, and assessed during a follow-up of as long as 28 days. There were 18 survivors and 17 non-survivors in the sepsis group, and 22 survivors and 18 non-survivors in the group of patients with multiple injuries. In the group of patients with multiple injuries, the intensity of host inflammatory response showed clearly distinct PLA(2)-II and CRP profiles: the overall levels of PLA(2)-II and CRP were significantly higher in non-survivors than in survivors. PLA(2)-II and CRP do not discriminate non-survivors from survivors with sepsis. ROC (receiver operating characteristic curve) analysis and the area under the curve (AUC) showed the best classification of polytrauma patients with SAPS 11 and PLA(2)-II. In the group of patients with sepsis, only SAPS II appeared to be the most helpful predictive measure regarding patient outcome.
PB  - Clin Lab Publications, Heidelberg
T2  - Clinical Laboratory
T1  - Prognostic value of phospholipase A(2) group II, C-reactive protein and simplified acute physiological score II in intensive care patients
VL  - 52
IS  - 7-8
SP  - 387
EP  - 392
UR  - https://hdl.handle.net/21.15107/rcub_farfar_687
ER  - 
@article{
author = "Dajak, Marijana and Ignjatović, Svetlana and Majkić-Singh, Nada and Lausević, Željko and Bukumirović, Vesna",
year = "2006",
abstract = "We investigated the prognostic value of group II phospholipase A(2) (PLA(2)-II) and C-reactive protein (CRP) in patients of the intensive care unit (ICU) who developed severe inflammatory reaction. In addition, the biochemical markers were correlated with the Simplified Acute Physiological Score II (SAPS II). Our study comprised 40,patients with multiple injuries and 35 patients with sepsis admitted to the ICU, and assessed during a follow-up of as long as 28 days. There were 18 survivors and 17 non-survivors in the sepsis group, and 22 survivors and 18 non-survivors in the group of patients with multiple injuries. In the group of patients with multiple injuries, the intensity of host inflammatory response showed clearly distinct PLA(2)-II and CRP profiles: the overall levels of PLA(2)-II and CRP were significantly higher in non-survivors than in survivors. PLA(2)-II and CRP do not discriminate non-survivors from survivors with sepsis. ROC (receiver operating characteristic curve) analysis and the area under the curve (AUC) showed the best classification of polytrauma patients with SAPS 11 and PLA(2)-II. In the group of patients with sepsis, only SAPS II appeared to be the most helpful predictive measure regarding patient outcome.",
publisher = "Clin Lab Publications, Heidelberg",
journal = "Clinical Laboratory",
title = "Prognostic value of phospholipase A(2) group II, C-reactive protein and simplified acute physiological score II in intensive care patients",
volume = "52",
number = "7-8",
pages = "387-392",
url = "https://hdl.handle.net/21.15107/rcub_farfar_687"
}
Dajak, M., Ignjatović, S., Majkić-Singh, N., Lausević, Ž.,& Bukumirović, V.. (2006). Prognostic value of phospholipase A(2) group II, C-reactive protein and simplified acute physiological score II in intensive care patients. in Clinical Laboratory
Clin Lab Publications, Heidelberg., 52(7-8), 387-392.
https://hdl.handle.net/21.15107/rcub_farfar_687
Dajak M, Ignjatović S, Majkić-Singh N, Lausević Ž, Bukumirović V. Prognostic value of phospholipase A(2) group II, C-reactive protein and simplified acute physiological score II in intensive care patients. in Clinical Laboratory. 2006;52(7-8):387-392.
https://hdl.handle.net/21.15107/rcub_farfar_687 .
Dajak, Marijana, Ignjatović, Svetlana, Majkić-Singh, Nada, Lausević, Željko, Bukumirović, Vesna, "Prognostic value of phospholipase A(2) group II, C-reactive protein and simplified acute physiological score II in intensive care patients" in Clinical Laboratory, 52, no. 7-8 (2006):387-392,
https://hdl.handle.net/21.15107/rcub_farfar_687 .

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