EconPapers    
Economics at your fingertips  
 

Endocan as an early biomarker of severity in patients with acute respiratory distress syndrome

Diego Orbegozo Cortes, Lokmane Rahmania, Marian Irazabal, Manuel Mendoza, Filippo Annoni, Daniel De Backer, Jacques Creteur and Jean Louis Vincent

ULB Institutional Repository from ULB -- Universite Libre de Bruxelles

Abstract: Background: Plasma concentrations of endocan, a proteoglycan preferentially expressed in the pulmonary vasculature, may represent a biomarker of lung (dys)function. We sought to determine whether the measurement of plasma endocan levels early in the course of acute respiratory distress syndrome (ARDS) could help predict risk of death or of prolonged ventilation. Methods: All patients present in the department of intensive care during a 150-day period were screened for ARDS (using the Berlin definition). Endocan concentrations were measured at the moment of ARDS diagnosis (T0) and the following morning (T1). We compared data from survivors and non-survivors and data from survivors with less than 10 days of ventilator support (good evolution) and those who died or needed more than 10 days of mechanical ventilation (poor evolution). Results are presented as numbers (percentages), mean ± standard deviation or medians (percentile 25–75). Results: Ninety-six consecutive patients were included [median APACHE II score of 21 (17–27) and SOFA score of 9 (6–12), PaO2/FiO2 ratio 155 (113–206)]; 64 (67%) had sepsis and 51 (53%) were receiving norepinephrine. Non-survivors were older (66 ± 15 vs. 59 ± 18 years, p = 0.045) and had higher APACHE II scores [27 (22–30) vs. 20 (15–24), p

Keywords: Acute respiratory failure; Glycocalyx; Multiple organ failure; Proteoglycan; Pulmonary vasculature; Risk stratification (search for similar items in EconPapers)
Date: 2017-12
New Economics Papers: this item is included in nep-hea
Note: SCOPUS: ar.j
References: Add references at CitEc
Citations: Track citations by RSS feed

Forthcoming
Published in: Annals of intensive care (2017) v.7 n° 1

Downloads: (external link)
https://dipot.ulb.ac.be/dspace/bitstream/2013/259642/3/doi_243269.pdf Full text for the whole work, or for a work part (application/pdf)

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:ulb:ulbeco:2013/259642

Ordering information: This working paper can be ordered from
http://hdl.handle.ne ... lb.ac.be:2013/259642

Access Statistics for this paper

More papers in ULB Institutional Repository from ULB -- Universite Libre de Bruxelles Contact information at EDIRC.
Bibliographic data for series maintained by Benoit Pauwels ().

 
Page updated 2021-12-04
Handle: RePEc:ulb:ulbeco:2013/259642