Neopterin as a prognostic biomarker in intensive care unit patients

Abstract Purpose The present study was undertaken to evaluate urinary neopterin in intensive care unit patients. Materials and Methods Urinary neopterin levels were determined in systemic inflammatory response syndrome (n = 10), sepsis (n = 18), septic shock (n = 9), and multiple organ dysfunction s...

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Veröffentlicht in:Journal of critical care 2009-09, Vol.24 (3), p.318-321
Hauptverfasser: Baydar, Terken, Yuksel, Osman, Sahin, Tolga Tevfik, Dikmen, Kursat, Girgin, Gozde, Sipahi, Hande, Kurukahvecioglu, Osman, Bostanci, Hasan, Sare, Mustafa
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container_end_page 321
container_issue 3
container_start_page 318
container_title Journal of critical care
container_volume 24
creator Baydar, Terken
Yuksel, Osman
Sahin, Tolga Tevfik
Dikmen, Kursat
Girgin, Gozde
Sipahi, Hande
Kurukahvecioglu, Osman
Bostanci, Hasan
Sare, Mustafa
description Abstract Purpose The present study was undertaken to evaluate urinary neopterin in intensive care unit patients. Materials and Methods Urinary neopterin levels were determined in systemic inflammatory response syndrome (n = 10), sepsis (n = 18), septic shock (n = 9), and multiple organ dysfunction syndrome (n = 5). It was tested whether neopterin is a differential parameter among the patient groups. Furthermore, the results were also evaluated by comparing with a healthy control group (n = 30), and the relationship between neopterin and mortality or Acute Physiology and Chronic Health Evaluation II scores were investigated. Results Neopterin levels of the control group and patients were detected as 111 ± 11 and 3850 ± 1081 μ mol/mol creatinine, respectively ( P < .05). It was significantly increased in the sepsis and septic shock groups compared to the systemic inflammatory response syndrome group ( P < .05). Neopterin levels were significantly higher in the patients with mortality and lower Acute Physiology and Chronic Health Evaluation II scores. Conclusion This study showed that monitoring of urinary neopterin profile can be used in intensive care units to show the degree and prognosis of the disease.
doi_str_mv 10.1016/j.jcrc.2008.06.013
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Materials and Methods Urinary neopterin levels were determined in systemic inflammatory response syndrome (n = 10), sepsis (n = 18), septic shock (n = 9), and multiple organ dysfunction syndrome (n = 5). It was tested whether neopterin is a differential parameter among the patient groups. Furthermore, the results were also evaluated by comparing with a healthy control group (n = 30), and the relationship between neopterin and mortality or Acute Physiology and Chronic Health Evaluation II scores were investigated. Results Neopterin levels of the control group and patients were detected as 111 ± 11 and 3850 ± 1081 μ mol/mol creatinine, respectively ( P &lt; .05). It was significantly increased in the sepsis and septic shock groups compared to the systemic inflammatory response syndrome group ( P &lt; .05). Neopterin levels were significantly higher in the patients with mortality and lower Acute Physiology and Chronic Health Evaluation II scores. Conclusion This study showed that monitoring of urinary neopterin profile can be used in intensive care units to show the degree and prognosis of the disease.</description><identifier>ISSN: 0883-9441</identifier><identifier>EISSN: 1557-8615</identifier><identifier>DOI: 10.1016/j.jcrc.2008.06.013</identifier><identifier>PMID: 19327301</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Adult ; Aged ; APACHE ; Bacterial infections ; Biomarkers - urine ; Critical Care ; Female ; Humans ; Immune system ; Intensive Care Units ; Male ; Middle Aged ; MODS ; Mortality ; Multiple Organ Failure - diagnosis ; Multiple Organ Failure - mortality ; Multiple Organ Failure - urine ; Neopterin ; Neopterin - urine ; Prognosis ; Sepsis ; Sepsis - diagnosis ; Sepsis - mortality ; Sepsis - urine ; Septic shock ; SIRS ; Systemic Inflammatory Response Syndrome - diagnosis ; Systemic Inflammatory Response Syndrome - mortality ; Systemic Inflammatory Response Syndrome - urine ; Viral infections</subject><ispartof>Journal of critical care, 2009-09, Vol.24 (3), p.318-321</ispartof><rights>Elsevier Inc.</rights><rights>2009 Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c504t-7af1ba49f84583bb037f03ffe69371dbf3ad6cc761b2625f911f99aeb3d5728f3</citedby><cites>FETCH-LOGICAL-c504t-7af1ba49f84583bb037f03ffe69371dbf3ad6cc761b2625f911f99aeb3d5728f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.proquest.com/docview/1033238002?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,778,782,3539,27907,27908,45978,64366,64368,64370,72220</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19327301$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Baydar, Terken</creatorcontrib><creatorcontrib>Yuksel, Osman</creatorcontrib><creatorcontrib>Sahin, Tolga Tevfik</creatorcontrib><creatorcontrib>Dikmen, Kursat</creatorcontrib><creatorcontrib>Girgin, Gozde</creatorcontrib><creatorcontrib>Sipahi, Hande</creatorcontrib><creatorcontrib>Kurukahvecioglu, Osman</creatorcontrib><creatorcontrib>Bostanci, Hasan</creatorcontrib><creatorcontrib>Sare, Mustafa</creatorcontrib><title>Neopterin as a prognostic biomarker in intensive care unit patients</title><title>Journal of critical care</title><addtitle>J Crit Care</addtitle><description>Abstract Purpose The present study was undertaken to evaluate urinary neopterin in intensive care unit patients. Materials and Methods Urinary neopterin levels were determined in systemic inflammatory response syndrome (n = 10), sepsis (n = 18), septic shock (n = 9), and multiple organ dysfunction syndrome (n = 5). It was tested whether neopterin is a differential parameter among the patient groups. Furthermore, the results were also evaluated by comparing with a healthy control group (n = 30), and the relationship between neopterin and mortality or Acute Physiology and Chronic Health Evaluation II scores were investigated. Results Neopterin levels of the control group and patients were detected as 111 ± 11 and 3850 ± 1081 μ mol/mol creatinine, respectively ( P &lt; .05). It was significantly increased in the sepsis and septic shock groups compared to the systemic inflammatory response syndrome group ( P &lt; .05). Neopterin levels were significantly higher in the patients with mortality and lower Acute Physiology and Chronic Health Evaluation II scores. 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Materials and Methods Urinary neopterin levels were determined in systemic inflammatory response syndrome (n = 10), sepsis (n = 18), septic shock (n = 9), and multiple organ dysfunction syndrome (n = 5). It was tested whether neopterin is a differential parameter among the patient groups. Furthermore, the results were also evaluated by comparing with a healthy control group (n = 30), and the relationship between neopterin and mortality or Acute Physiology and Chronic Health Evaluation II scores were investigated. Results Neopterin levels of the control group and patients were detected as 111 ± 11 and 3850 ± 1081 μ mol/mol creatinine, respectively ( P &lt; .05). It was significantly increased in the sepsis and septic shock groups compared to the systemic inflammatory response syndrome group ( P &lt; .05). Neopterin levels were significantly higher in the patients with mortality and lower Acute Physiology and Chronic Health Evaluation II scores. Conclusion This study showed that monitoring of urinary neopterin profile can be used in intensive care units to show the degree and prognosis of the disease.</abstract><cop>United States</cop><pub>Elsevier Inc</pub><pmid>19327301</pmid><doi>10.1016/j.jcrc.2008.06.013</doi><tpages>4</tpages></addata></record>
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subjects Adult
Aged
APACHE
Bacterial infections
Biomarkers - urine
Critical Care
Female
Humans
Immune system
Intensive Care Units
Male
Middle Aged
MODS
Mortality
Multiple Organ Failure - diagnosis
Multiple Organ Failure - mortality
Multiple Organ Failure - urine
Neopterin
Neopterin - urine
Prognosis
Sepsis
Sepsis - diagnosis
Sepsis - mortality
Sepsis - urine
Septic shock
SIRS
Systemic Inflammatory Response Syndrome - diagnosis
Systemic Inflammatory Response Syndrome - mortality
Systemic Inflammatory Response Syndrome - urine
Viral infections
title Neopterin as a prognostic biomarker in intensive care unit patients
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