The prognostic performance of the complement system in septic patients in emergency department: a cohort study.

Abstract:

AIM:To investigate the prognostic performance of complement components in septic patients, complement 3, membrane attack complex (MAC) and mannose-binding lectin were measured and compared among adult patients with sepsis, severe sepsis and septic shock, as well as between in-hospital nonsurvivors and survivors. METHODS:The prognostic value of complement components was compared with mortality in emergency department sepsis (MEDS) score. RESULTS:Median complement 3, MAC and mannose-binding lectin increased directly with the sepsis, severe sepsis and septic shock groups, and were significantly higher in nonsurvivors than in survivors. CONCLUSION:MEDS and MAC independently predicted in-hospital mortality. The prognostic performance of MAC was superior to MEDS as analyzed by receiver operating characteristic curve and area under the curve.

journal_name

Biomark Med

journal_title

Biomarkers in medicine

authors

Zhao X,Chen YX,Li CS

doi

10.2217/bmm.15.32

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

661-8

issue

7

eissn

1752-0363

issn

1752-0371

journal_volume

9

pub_type

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