Article
Multidisciplinary Sciences
Lisa Mellhammar, Louise Thelaus, Sixten Elen, Jane Fisher, Adam Linder
Summary: This study found that in severe COVID-19 patients, Heparin binding protein (HBP) is elevated before the onset of organ dysfunction. The analysis of HBP concentration using a point-of-care test can be used as a prognostic marker in COVID-19 patients in clinical settings.
Article
Biochemistry & Molecular Biology
Caspar Mewes, Julius Runzheimer, Carolin Boehnke, Benedikt Buettner, Marcus Nemeth, Jose Hinz, Michael Quintel, Ashham Mansur
Summary: This study compared the mortality and sepsis-associated organ dysfunction between patients with sepsis following surgical intervention and those with sepsis without prior surgery. The results showed that non-surgical patients had a higher mortality rate and more severe organ dysfunction compared to surgical patients. These findings have important implications for clinical decision-making, patient management, and resource allocation in sepsis care.
Article
Health Care Sciences & Services
Hidero Yoshimoto, Kazuma Yamakawa, Yutaka Umemura, Kensuke Fujii, Eriko Nakamura, Kohei Taniguchi, Keitaro Tanaka, Akira Takasu, Kazuhisa Uchiyama
Summary: This study found that the seasonal admissions for acute appendicitis, diverticulitis, cholecystitis, and cholangitis were highest in summer in Japan, but there were no significant seasonal variations in disease severity.
JOURNAL OF PERSONALIZED MEDICINE
(2021)
Article
Critical Care Medicine
Christina Cheung, Kate F. Kernan, Robert A. Berg, Athena F. Zuppa, Daniel A. Notterman, Murray M. Pollack, David Wessel, Kathleen L. Meert, Mark W. Hall, Christopher Newth, John C. Lin, Allan Doctor, Tom Shanley, Tim Cornell, Rick E. Harrison, Russell K. Banks, Ron W. Reeder, Richard Holubkov, Joseph A. Carcillo, Ericka L. Fink
Summary: This study found that approximately one out of five children with severe sepsis and organ failure experienced acute disorders of consciousness (DoC) during their PICU stay. Older age and presence of any multiple organ failure (MOF) were associated with DoC.
PEDIATRIC CRITICAL CARE MEDICINE
(2023)
Article
Health Care Sciences & Services
Caspar Mewes, Julius Runzheimer, Carolin Boehnke, Benedikt Buettner, Jose Hinz, Michael Quintel, Ashham Mansur
Summary: Despite recent advances in the understanding of sepsis and septic shock, the impact of sex on mortality and organ dysfunction in patients with these conditions remains controversial. This study aimed to investigate this association and found that male septic patients exhibited higher organ dysfunction compared to females.
JOURNAL OF PERSONALIZED MEDICINE
(2023)
Article
Critical Care Medicine
Rachel S. Bensman, Zachary Berrens, Treasure Mkaliainga, Blessings Banda, Kriti Puri, Amy Sanyahumbi, Terri Byczkowski, Michelle Eckerle
Summary: This study investigated the prevalence of left ventricular systolic dysfunction in Malawian children with severe febrile illness and explored its associations with mortality and lactate levels. The findings suggest that cardiac dysfunction may be present in a significant proportion of these children, but it is not associated with mortality or elevated lactate levels.
PEDIATRIC CRITICAL CARE MEDICINE
(2022)
Article
Critical Care Medicine
Hye Ju Yeo, Young Seok Lee, Tae Hwa Kim, Jin Ho Jang, Heung Bum Lee, Dong Kyu Oh, Mi Hyeon Park, Chae-Man Lim, Woo Hyun Cho
Summary: This prospective, multicenter, observational study aimed to investigate the effect of initiating vasopressor within 1 hour of fluid loading on mortality and organ dysfunction in patients with septic shock. The results showed that early vasopressor use was associated with higher 28-day mortality and higher Sequential Organ Failure Assessment score and lactate level on day 3 in the ICU.
CRITICAL CARE MEDICINE
(2022)
Review
Cell Biology
Cheng-long Zhu, Ren-qi Yao, Lu-xi Li, Peng Li, Jian Xie, Jia-feng Wang, Xiao-ming Deng
Summary: Autophagy plays a vital role in maintaining cellular homeostasis by clearing damaged mitochondria to promote mitochondrial quality control and protect against organ dysfunction in sepsis.
FRONTIERS IN CELL AND DEVELOPMENTAL BIOLOGY
(2021)
Review
Medicine, General & Internal
Hongxin Kang, Yue Yang, Lv Zhu, Xianlin Zhao, Juan Li, Wenfu Tang, Meihua Wan
Summary: Severe acute pancreatitis (SAP) is a life-threatening abdominal disease. Neutrophil extracellular traps (NETs) play an important role in the occurrence and development of SAP, as well as its fatal complications. This review provides insights into the involvement of NETs in SAP and suggests targeting NETs as a promising strategy in SAP treatment.
CHINESE MEDICAL JOURNAL
(2022)
Article
Critical Care Medicine
Wen-Kuang Yu, J. Brennan McNeil, Nancy E. Wickersham, Ciara M. Shaver, Julie A. Bastarache, Lorraine B. Ware
Summary: Endothelial dysfunction and injury biomarkers were found to be associated with severe acute kidney injury (AKI) in sepsis patients, with Angiopoietin-2 being the most robust biomarker independently associated with development of severe AKI and other organ dysfunctions, non-pulmonary sepsis, and death. These findings highlight the importance of early endothelial dysfunction and injury in the pathogenesis of sepsis-induced AKI.
Review
Critical Care Medicine
Sebastien Preau, Dominique Vodovar, Boris Jung, Steve Lancel, Lara Zafrani, Aurelien Flatres, Mehdi Oualha, Guillaume Voiriot, Youenn Jouan, Jeremie Joffre, Fabrice Huel, Nicolas De Prost, Stein Silva, Eric Azabou, Peter Radermacher
Summary: Organ dysfunction in sepsis is associated with impaired metabolism and mitochondrial dysfunction, which could lead to new diagnostic and therapeutic approaches. These findings may help identify distinct subgroups of sepsis and develop personalized treatment strategies, while also serving as bioenergetic targets for metabolism- and mitochondria-targeted treatments in the future.
ANNALS OF INTENSIVE CARE
(2021)
Article
Infectious Diseases
Chan Hee Park, Jeong Woo Lee, Hak Jae Lee, Dong Kyu Oh, Mi Hyeon Park, Chae-Man Lim, Suk-Kyung Hong
Summary: This study investigated the clinical outcomes and factors influencing mortality of patients with sepsis due to intra-abdominal infection (IAI). The results showed that acute kidney injury with continuous renal replacement therapy and SAPS 3 score were independently associated with increased 28-day mortality.
BMC INFECTIOUS DISEASES
(2022)
Review
Immunology
Ri Wen, Yong-Ping Liu, Xiao-Xu Tong, Tie-Ning Zhang, Ni Yang
Summary: This review summarizes the roles and regulatory mechanisms of pyroptosis in sepsis and sepsis-associated organ dysfunction (SAOD). Moderate pyroptosis promotes the clearance of pathogens, whereas excessive activation of pyroptosis leads to host immune response disorders and SAOD. Transcription factors, non-coding RNAs, epigenetic modifications, and post-translational modifications are involved in the regulation of pyroptosis.
FRONTIERS IN CELLULAR AND INFECTION MICROBIOLOGY
(2022)
Review
Critical Care Medicine
Kusum Menon, Luregn J. Schlapbach, Samuel Akech, Andrew Argent, Paolo Biban, Enitan D. Carrol, Kathleen Chiotos, Mohammod Jobayer Chisti, Idris V. R. Evans, David P. Inwald, Paul Ishimine, Niranjan Kissoon, Rakesh Lodha, Simon Nadel, Claudio Flauzino Oliveira, Mark Peters, Benham Sadeghirad, Halden F. Scott, Daniela C. de Souza, Pierre Tissieres, R. Scott Watson, Matthew O. Wiens, James L. Wynn, Jerry J. Zimmerman, Lauren R. Sorce
Summary: The study aimed to determine the associations of demographic, clinical, laboratory, organ dysfunction, and illness severity variable values with sepsis, severe sepsis, or septic shock in children with infection, as well as multiple organ dysfunction or death in children with sepsis, severe sepsis, or septic shock. The findings revealed significant associations between multiple markers of organ dysfunction and the outcomes of interest.
CRITICAL CARE MEDICINE
(2022)
Review
Chemistry, Medicinal
Yi-Feng Wang, Jia-Wei Li, Da-Peng Wang, Ke Jin, Jiao-Jie Hui, Hong-Yang Xu
Summary: Intestinal barrier injury and hyperglycemia are common in patients with sepsis. Hyperglycemia is an independent risk factor for intestinal barrier injury. Some anti-hyperglycemic agents can improve intestinal barrier function and are beneficial in managing sepsis-induced organ dysfunction.
DRUG DESIGN DEVELOPMENT AND THERAPY
(2022)