Surface TREM-1 as a Prognostic Biomarker in Pediatric Sepsis

Objectives To investigate the association between the triggering receptor expressed on myeloid cells-1 (TREM-1) levels and prognosis in septic children. Methods Patients admitted to pediatric intensive care units (PICU) of three tertiary centers were included in this prospective observational study....

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Veröffentlicht in:Indian journal of pediatrics 2021-02, Vol.88 (2), p.134-140
Hauptverfasser: Şen, Semra, Kamit, Fulya, İşgüder, Rana, Yazıcı, Pınar, Bal, Zümrüt Şahbudak, Devrim, İlker, Bayram, S. Nuri, Karapınar, Bülent, Anıl, Ayşe Berna, Vardar, Fadıl
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container_end_page 140
container_issue 2
container_start_page 134
container_title Indian journal of pediatrics
container_volume 88
creator Şen, Semra
Kamit, Fulya
İşgüder, Rana
Yazıcı, Pınar
Bal, Zümrüt Şahbudak
Devrim, İlker
Bayram, S. Nuri
Karapınar, Bülent
Anıl, Ayşe Berna
Vardar, Fadıl
description Objectives To investigate the association between the triggering receptor expressed on myeloid cells-1 (TREM-1) levels and prognosis in septic children. Methods Patients admitted to pediatric intensive care units (PICU) of three tertiary centers were included in this prospective observational study. Serum samples were taken at admission from patients who were hospitalized with sepsis. Results Of the 87 patients included, 34 (39.1%) had severe sepsis and 53 (60.9%) had septic shock. The median age was 2 y (2 mo to 16 y). TREM-1 values were found to be significantly higher in septic shock patients 129 pg/ml (min 9.85- max 494.90) compared to severe sepsis 105 pg/ml (min 8.21- max 289.17) ( p  = 0.048). Despite higher TREM-1 levels been measured in non-survivors compared to survivors, it was not statistically significant [168.98 pg/ml (min 9.85- max 494.90) vs. 110.79 pg/ml (min 8.21- max 408.90), ( p  = 0.075)]. Conclusions Admission TREM-1 levels were higher in septic shock compared to severe sepsis patients. There was no association between mortality and TREM-1 levels in sepsis. TREM-1 measurements should be used carefully in pediatric sepsis prognosis.
doi_str_mv 10.1007/s12098-020-03355-3
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Nuri ; Karapınar, Bülent ; Anıl, Ayşe Berna ; Vardar, Fadıl</creator><creatorcontrib>Şen, Semra ; Kamit, Fulya ; İşgüder, Rana ; Yazıcı, Pınar ; Bal, Zümrüt Şahbudak ; Devrim, İlker ; Bayram, S. Nuri ; Karapınar, Bülent ; Anıl, Ayşe Berna ; Vardar, Fadıl</creatorcontrib><description>Objectives To investigate the association between the triggering receptor expressed on myeloid cells-1 (TREM-1) levels and prognosis in septic children. Methods Patients admitted to pediatric intensive care units (PICU) of three tertiary centers were included in this prospective observational study. Serum samples were taken at admission from patients who were hospitalized with sepsis. Results Of the 87 patients included, 34 (39.1%) had severe sepsis and 53 (60.9%) had septic shock. The median age was 2 y (2 mo to 16 y). TREM-1 values were found to be significantly higher in septic shock patients 129 pg/ml (min 9.85- max 494.90) compared to severe sepsis 105 pg/ml (min 8.21- max 289.17) ( p  = 0.048). Despite higher TREM-1 levels been measured in non-survivors compared to survivors, it was not statistically significant [168.98 pg/ml (min 9.85- max 494.90) vs. 110.79 pg/ml (min 8.21- max 408.90), ( p  = 0.075)]. Conclusions Admission TREM-1 levels were higher in septic shock compared to severe sepsis patients. There was no association between mortality and TREM-1 levels in sepsis. TREM-1 measurements should be used carefully in pediatric sepsis prognosis.</description><identifier>ISSN: 0019-5456</identifier><identifier>EISSN: 0973-7693</identifier><identifier>DOI: 10.1007/s12098-020-03355-3</identifier><identifier>PMID: 32572693</identifier><language>eng</language><publisher>New Delhi: Springer India</publisher><subject>Adolescent ; Biomarkers ; Child ; Child, Preschool ; Gynecology ; Humans ; Infant ; Intensive Care Units, Pediatric ; Medicine ; Medicine &amp; Public Health ; Original Article ; Pediatrics ; Prognosis ; Sepsis - diagnosis ; Shock, Septic - diagnosis ; Triggering Receptor Expressed on Myeloid Cells-1 - analysis</subject><ispartof>Indian journal of pediatrics, 2021-02, Vol.88 (2), p.134-140</ispartof><rights>Dr. K C Chaudhuri Foundation 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c347t-fa6a6751e698e28e2195e14d861de40e5ad163ccd09314d93974dcecf79f25773</citedby><cites>FETCH-LOGICAL-c347t-fa6a6751e698e28e2195e14d861de40e5ad163ccd09314d93974dcecf79f25773</cites><orcidid>0000-0003-2960-1793</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s12098-020-03355-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12098-020-03355-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32572693$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Şen, Semra</creatorcontrib><creatorcontrib>Kamit, Fulya</creatorcontrib><creatorcontrib>İşgüder, Rana</creatorcontrib><creatorcontrib>Yazıcı, Pınar</creatorcontrib><creatorcontrib>Bal, Zümrüt Şahbudak</creatorcontrib><creatorcontrib>Devrim, İlker</creatorcontrib><creatorcontrib>Bayram, S. Nuri</creatorcontrib><creatorcontrib>Karapınar, Bülent</creatorcontrib><creatorcontrib>Anıl, Ayşe Berna</creatorcontrib><creatorcontrib>Vardar, Fadıl</creatorcontrib><title>Surface TREM-1 as a Prognostic Biomarker in Pediatric Sepsis</title><title>Indian journal of pediatrics</title><addtitle>Indian J Pediatr</addtitle><addtitle>Indian J Pediatr</addtitle><description>Objectives To investigate the association between the triggering receptor expressed on myeloid cells-1 (TREM-1) levels and prognosis in septic children. Methods Patients admitted to pediatric intensive care units (PICU) of three tertiary centers were included in this prospective observational study. Serum samples were taken at admission from patients who were hospitalized with sepsis. Results Of the 87 patients included, 34 (39.1%) had severe sepsis and 53 (60.9%) had septic shock. The median age was 2 y (2 mo to 16 y). TREM-1 values were found to be significantly higher in septic shock patients 129 pg/ml (min 9.85- max 494.90) compared to severe sepsis 105 pg/ml (min 8.21- max 289.17) ( p  = 0.048). Despite higher TREM-1 levels been measured in non-survivors compared to survivors, it was not statistically significant [168.98 pg/ml (min 9.85- max 494.90) vs. 110.79 pg/ml (min 8.21- max 408.90), ( p  = 0.075)]. Conclusions Admission TREM-1 levels were higher in septic shock compared to severe sepsis patients. There was no association between mortality and TREM-1 levels in sepsis. TREM-1 measurements should be used carefully in pediatric sepsis prognosis.</description><subject>Adolescent</subject><subject>Biomarkers</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Gynecology</subject><subject>Humans</subject><subject>Infant</subject><subject>Intensive Care Units, Pediatric</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Article</subject><subject>Pediatrics</subject><subject>Prognosis</subject><subject>Sepsis - diagnosis</subject><subject>Shock, Septic - diagnosis</subject><subject>Triggering Receptor Expressed on Myeloid Cells-1 - analysis</subject><issn>0019-5456</issn><issn>0973-7693</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kM9OAyEQh4nRWK2-gAezRy_oAAuUi4k29U9SY2PrmSA722xtdyt0D75Nn6VPJtrq0YQEMnzzy8xHyBmDSwagryLjYHoUOFAQQkoq9sgRGC2oVkbspzcwQ2UuVYccxzgD4AaUOSQdwaXmiTki1-M2lM7jZj15GTxRlrm4WbtsFJpp3cRV5bPbqlm48I4hq-pshEXlViGVx7iMVTwhB6WbRzzd3V3yejeY9B_o8Pn-sX8zpF7kekVLp5zSkqEyPeTpMCOR5UVPsQJzQOkKpoT3BRiRykYYnRcefalNmUbVoksutrnL0Hy0GFd2UUWP87mrsWmj5TlTXAsjIaF8i_rQxBiwtMtQpQ0-LQP77c1uvdnkzf54syI1ne_y27cFFn8tv6ISILZATF_1FIOdNW2o087_xX4BO0h4JQ</recordid><startdate>20210201</startdate><enddate>20210201</enddate><creator>Şen, Semra</creator><creator>Kamit, Fulya</creator><creator>İşgüder, Rana</creator><creator>Yazıcı, Pınar</creator><creator>Bal, Zümrüt Şahbudak</creator><creator>Devrim, İlker</creator><creator>Bayram, S. 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subjects Adolescent
Biomarkers
Child
Child, Preschool
Gynecology
Humans
Infant
Intensive Care Units, Pediatric
Medicine
Medicine & Public Health
Original Article
Pediatrics
Prognosis
Sepsis - diagnosis
Shock, Septic - diagnosis
Triggering Receptor Expressed on Myeloid Cells-1 - analysis
title Surface TREM-1 as a Prognostic Biomarker in Pediatric Sepsis
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