Abstract:
PURPOSE:To evaluate the predictive value of 6 different biomarkers in the development of multiple-organ failure (MOF) and mortality in a contemporary prospective cohort of acute respiratory distress syndrome (ARDS). METHODS:Patients with ARDS admitted to a tertiary referral center during an 8-month period were included. Plasma sample collection of 6 different biomarkers on days 1, 3, and 5 after ARDS onset was performed (von Willebrand factor, thrombin-antithrombin III complex, plasminogen activator inhibitor 1, interleukin 8, receptor for advanced glycation end-products, and club cell secretory protein). Main outcomes included hospital mortality and development of MOF. Logistic regression models for MOF and mortality prediction were created including biomarkers levels and clinical predictors. RESULTS:One hundred patients were included in the study. Do-not-resuscitate status and McCabe score were independently associated with increased mortality. None of the 6 biomarkers measured at the time of ARDS diagnosis predicted hospital mortality. After adjustment for important clinical characteristics, elevated day-1 interleukin 8 levels were associated with the development of MOF. CONCLUSIONS:Addition of biomarkers did not improve mortality prediction in this cohort of ARDS. Association between elevated interleukin 8 levels and progression of organ failures suggests an important role of exaggerated inflammatory response in the development of MOF.
journal_name
J Crit Carejournal_title
Journal of critical careauthors
Cartin-Ceba R,Hubmayr RD,Qin R,Peters S,Determann RM,Schultz MJ,Gajic Odoi
10.1016/j.jcrc.2014.09.001subject
Has Abstractpub_date
2015-02-01 00:00:00pages
219.e1-7issue
1eissn
0883-9441issn
1557-8615pii
S0883-9441(14)00347-5journal_volume
30pub_type
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