Mortality prediction of septic patients by blood caspase-8 levels
•Nonsurviving septic patients had were higher serum caspase-8 levels.•Serum caspase-8 could predict sepsis mortality.•Association between serum caspase-8 levels and sepsis mortality. We have not found data about blood caspase-8 concentrations (initiator caspase in the extrinsic pathway of apoptosis)...
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Published in | Diagnostic microbiology and infectious disease Vol. 102; no. 4; p. 115639 |
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Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.04.2022
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Subjects | |
Online Access | Get full text |
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Summary: | •Nonsurviving septic patients had were higher serum caspase-8 levels.•Serum caspase-8 could predict sepsis mortality.•Association between serum caspase-8 levels and sepsis mortality.
We have not found data about blood caspase-8 concentrations (initiator caspase in the extrinsic pathway of apoptosis) during follow-up of sepsis and this was the objective of our study. We included septic patients. Serum caspase-8 concentrations were determined at days 1, 4, and 8 of sepsis diagnosis. We registered mortality at 30 days. Nonsurviving patients (n = 89) in respect to surviving patients (n = 160) showed higher serum caspase-8 levels at days 1 (P < 0.001), 4 (P <0.001), and 8 (P <0.001) of sepsis diagnosis. Serum caspase-8 levels on day 1, day 4, and day 8 had an area under curve for the prediction of 30-day mortality of 68% (60%-75%, P<0.001), 72% (62%–82%, P<0.001), and 81% (73%-90%, P<0.001). Thus, that blood caspase-8 concentrations at any time during the first week of sepsis were higher in non-survivor than in survivor patients and that were able to predict mortality were new findings in our study. |
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Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
ISSN: | 0732-8893 1879-0070 |
DOI: | 10.1016/j.diagmicrobio.2022.115639 |