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 |
---|---|---|---|---|---|---|
Schuetz et al., [81] | 2007 | 95 | Consecutive ICU admissions with SIRS, sepsis, septic shock | 1992 ACCP/SCCM [1] | Endothelin-1 rises with sepsis, septic shock, compared with SIRS (64.3, 131.6, 23.1 pmol/L, respectively; P < 0.01 between SIRS and sepsis, P < 0.05 between sepsis and septic shock) | Endothelin-1 not correlated with mortality (p = 0.87) |
Piechota et al., [85] | 2007 | 20 | Medical ICU patients with sepsis | 1992 ACCP/SCCM [1], severity graded by procalcitonin and C-reactive protein level | Endothelin-1 correlates with CRP and PCT levels as estimates of level of sepsis severity (P < 0.05 for both) | Endothelin-1 correlates with SOFA score (p < 0.001) |
Weitzberg et al., [86] | 1991 | 16 | Sepsis (6) and healthy controls (10) | Bone et al., [102] | Endothelin-1 elevated in sepsis compared with healthy controls (11.3 vs. 2.4 pmol/l, P < 0.01) | n/a |
Furian et al. [76] | 2011 | 45 | Patients admitted to ICU with severe sepsis or septic shock | 1992 ACCP/SCCM [1] | Â | Endothelin-1 levels associated with left ventricular and right ventricular function. (p = 0.002) |
Pittet et al., [87] | 1991 | 40 | Sepsis (14), post-operative cardiac surgery (15) and healthy controls (11) | Bone et al., [102] | Endothelin-1 elevated in septic patients compared with healthy controls (19.9 vs 6.1 pg/ml, P < 0.0001) | Endothelin-1 inversely correlated with cardiac index (p < 0.005); correlated with APACHE-II scores (p < 0.01) |