Erythropoietin response is blunted in critically ill patients.

Abstract:

OBJECTIVES:Critically ill patients often develop anaemia which can be related to a number of factors. However, the exact causes of anaemia in many patients remain unexplained. We hypothesized that the relationship between erythropoietin (EPO) and haematocrit may be altered in critically ill patients. DESIGN:Serum concentrations of EPO were serially determined by the ELISA method in 36 critically ill, non-hypoxaemic patients who stayed more than 7 days in the Intensive Care Unit, including 22 patients with sepsis and 14 without. Eighteen ambulatory patients with iron-deficiency anaemia served as a control group. SETTING:Two University Hospital Intensive Care Departments. RESULTS:A significant inverse correlation between serum EPO and haematocrit levels was found in the control patients (r = -0.81, p < 0.001), but not in the critically ill patients (r = -0.09, NS), except in a subgroup of non-septic patients without renal failure (r = -0.61, p < 0.01). CONCLUSIONS:EPO levels can be inappropriately low in critically ill patients, so that EPO deficiency may contribute to the development of anaemia in these patients. This phenomenon is observed not only in the presence of acute renal failure, but also in the presence of sepsis.

journal_name

Intensive Care Med

journal_title

Intensive care medicine

authors

Rogiers P,Zhang H,Leeman M,Nagler J,Neels H,Mélot C,Vincent JL

doi

10.1007/s001340050310

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

159-62

issue

2

eissn

0342-4642

issn

1432-1238

journal_volume

23

pub_type

杂志文章,多中心研究
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    pub_type: 杂志文章,评审

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  • Bioimpedance versus thermodilution cardiac output measurement: the Bomed NCCOM3 after coronary bypass surgery.

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    pub_type: 杂志文章

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    pub_type: 杂志文章,评审

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    pub_type: 杂志文章

    doi:10.1007/s001340000679

    authors: Wester JP,van Eps RS,Stouthamer A,Girbes AR

    更新日期:2000-11-01 00:00:00

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    更新日期:2000-09-01 00:00:00

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    pub_type: 杂志文章

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    更新日期:1991-01-01 00:00:00

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    pub_type: 指南,杂志文章,评审

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