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Hepcidin discriminates sepsis from other critical illness at admission to intensive care

Olinder, Jon LU ; Börjesson, Alex ; Norrman, Jakob ; West, Tobias ; Carlström, Joakim ; Gustafsson, Alexander ; Annborn, Martin LU ; Herwald, Heiko LU orcid and Rydén, Cecilia LU (2022) In Scientific Reports 12. p.1-16
Abstract

Initial differential diagnosis and prognosis for patients admitted to intensive care with suspected sepsis remain arduous. Hepcidin has emerged as a potential biomarker for sepsis. Here we report data on the relevance of levels of hepcidin versus other biomarkers as a diagnostic and prognostic tool for sepsis. 164 adult patients admitted to the intensive care unit (ICU) within 24 h upon arrival to the hospital were included. Blood samples collected daily for seven consecutive days and hepcidin levels, heparin binding protein (HBP) levels and standard biomarkers were determined. Blood cultures were initiated at inclusion. Clinical scores were evaluated daily and mortality after 28- and 180-days was recorded. One hundred of the patients... (More)

Initial differential diagnosis and prognosis for patients admitted to intensive care with suspected sepsis remain arduous. Hepcidin has emerged as a potential biomarker for sepsis. Here we report data on the relevance of levels of hepcidin versus other biomarkers as a diagnostic and prognostic tool for sepsis. 164 adult patients admitted to the intensive care unit (ICU) within 24 h upon arrival to the hospital were included. Blood samples collected daily for seven consecutive days and hepcidin levels, heparin binding protein (HBP) levels and standard biomarkers were determined. Blood cultures were initiated at inclusion. Clinical scores were evaluated daily and mortality after 28- and 180-days was recorded. One hundred of the patients were found to fulfil the criteria for sepsis whereas 64 did not. Hepcidin levels at admission were significantly higher in the septic than in the non-septic patients. In septic patients hepcidin levels declined significantly already at 24 h followed by a steady decline. A significant negative correlation was observed between hepcidin levels and SAPS 3 in patients with sepsis. Hepcidin levels at inclusion were significantly higher among septic patients that survived 180-days and predicted mortality. Our data show that hepcidin levels are indicative of sepsis in patients admitted to the ICU and has a prognostic value for mortality.

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author
; ; ; ; ; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
in
Scientific Reports
volume
12
article number
14857
pages
1 - 16
publisher
Nature Publishing Group
external identifiers
  • pmid:36050405
  • scopus:85137120149
ISSN
2045-2322
DOI
10.1038/s41598-022-18826-0
language
English
LU publication?
yes
additional info
© 2022. The Author(s).
id
0f4489f6-6fce-46e4-8e73-d6f5c6cc9010
date added to LUP
2022-09-05 08:42:29
date last changed
2024-06-13 14:40:58
@article{0f4489f6-6fce-46e4-8e73-d6f5c6cc9010,
  abstract     = {{<p>Initial differential diagnosis and prognosis for patients admitted to intensive care with suspected sepsis remain arduous. Hepcidin has emerged as a potential biomarker for sepsis. Here we report data on the relevance of levels of hepcidin versus other biomarkers as a diagnostic and prognostic tool for sepsis. 164 adult patients admitted to the intensive care unit (ICU) within 24 h upon arrival to the hospital were included. Blood samples collected daily for seven consecutive days and hepcidin levels, heparin binding protein (HBP) levels and standard biomarkers were determined. Blood cultures were initiated at inclusion. Clinical scores were evaluated daily and mortality after 28- and 180-days was recorded. One hundred of the patients were found to fulfil the criteria for sepsis whereas 64 did not. Hepcidin levels at admission were significantly higher in the septic than in the non-septic patients. In septic patients hepcidin levels declined significantly already at 24 h followed by a steady decline. A significant negative correlation was observed between hepcidin levels and SAPS 3 in patients with sepsis. Hepcidin levels at inclusion were significantly higher among septic patients that survived 180-days and predicted mortality. Our data show that hepcidin levels are indicative of sepsis in patients admitted to the ICU and has a prognostic value for mortality.</p>}},
  author       = {{Olinder, Jon and Börjesson, Alex and Norrman, Jakob and West, Tobias and Carlström, Joakim and Gustafsson, Alexander and Annborn, Martin and Herwald, Heiko and Rydén, Cecilia}},
  issn         = {{2045-2322}},
  language     = {{eng}},
  month        = {{09}},
  pages        = {{1--16}},
  publisher    = {{Nature Publishing Group}},
  series       = {{Scientific Reports}},
  title        = {{Hepcidin discriminates sepsis from other critical illness at admission to intensive care}},
  url          = {{http://dx.doi.org/10.1038/s41598-022-18826-0}},
  doi          = {{10.1038/s41598-022-18826-0}},
  volume       = {{12}},
  year         = {{2022}},
}