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Table 6 Studies evaluating VEGF

From: Clinical utility of biomarkers of endothelial activation in sepsis-a systematic review

Study

Year

N

Population

Standard criteria for SIRS/sepsis

Association with sepsis

Other outcomes

Shapiro et al., [77]

2008

83

ED patients with septic shock (17), suspected infection without shock (66), and non-infected controls

Suspected infection based on treating clinician

VEGF levels higher in septic shock and infected patients without shock compared with non-infected controls (P < 0.01)

VEGF correlated with APACHE-II score at presentation (P = 0.01)

Karlsson et al., [82]

2008

280

Septic ICU patients (250) and healthy controls (30)

1992 ACCP/SCCM [1]

VEGF levels higher in severe sepsis compared with healthy controls at 0 and 72 h (P = 0.029, 0.003, respectively)

VEGF lower in non-survivors at 0 and 72 h (P = 0.012, 0.009, respectively), no correlation with SOFA scores

Kumpers et al., [42]

2008

72

Medical ICU (43) and healthy controls (29)

2003 ACCP/SCCM [2]

VEGF levels lower in non-septic and septic patients compared with healthy controls (P < 0.0001)

No association with severity of sepsis

Van der Heijden et al., [45]

2008

112

Mechanically ventilated patients with sepsis (24) and without (88)

1992 ACCP/SCCM [1]

VEGF levels higher in patients with sepsis than without sepsis (63.6 vs 20.7 pg/ml, P = 0.012)

VEGF trended higher in patients compared with controls (P = 0.268); No association with incidence of ALI/ARDS

Van der Flier et al., [83]

2005

58

Severe sepsis (18) and healthy controls (40)

1992 ACCP/SCCM [1]

VEGF levels elevated in sepsis compared with healthy controls (134 vs 55 pg/ml, P < 0.001)

VEGF correlated with mortality (P = 0.018)

Yang et al., [101]

2011

101

81 pneumonia and septic shock 20 pneumonia without organ dysfunction

1992 ACCP/SCCM [1]

VEGF levels lower in septic shock vs. pneumonia (P = 0.005)

Day 1 VEGF did not discriminate survivors from non-survivors (P = 0.46)

Rafat et al., [84]

2007

62

Medical ICU with sepsis (32), without sepsis (15), and healthy controls (15)

1992 ACCP/SCCM [1]

VEGF levels elevated in septic compared with non-septic patients (1,351 vs 477 pg/ml, P < 0.01)

VEGF not correlated with mortality (P < 0.48)

  1. ACCP, American College of Chest Physicians; ALI, Acute Lung Injury; APACHE II, Acute Physiology and Chronic Health Evaluation II; ARDS, Acute Respiratory Distress Syndrome; ED, emergency department; MOF, Multiple Organ Failure; SAPS, Simplified Acute Physiology Score; SCCM, Society of Critical Care Medicine; SIRS, Systemic Inflammatory Response Syndrome; SOFA, Sequential Organ Failure Assessment