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The Diagnostic and Prognostic Value of Presepsin in Sepsis

Not Applicable
Completed
Conditions
Septic Shock
Registration Number
NCT06180265
Lead Sponsor
University of Foggia
Brief Summary

Intra-abdominal infections are a common cause of sepsis and frequently occur in intensive care unit (ICU) patient. Various markers such as procalcitonin, presepsin and endotoxin are used to identify patients at risk of sepsis or to guide proper treatment.

No studies compared presepsin to procalcitonin and endotoxin in patients treated with by extracorporeal hemoperfusion with a polymyxin-B-adsorbing cartridge (PMX-HA).

Detailed Description

Intra-abdominal infections are a common cause of sepsis and frequently occur in intensive care unit (ICU) patient. Various markers such as procalcitonin, presepsin and endotoxin are used to identify patients at risk of sepsis or to guide proper treatment. Particularly, endotoxin can be removed from the blood by extracorporeal hemoperfusion with a polymyxin-B-adsorbing cartridge (PMX-HA).

No studies compared presepsin to procalcitonin and endotoxin in patients treated with PMX-HA. The investigators aim to evaluate the trend and prognostic value of presepsin versus procalcitonin and endotoxin in ICU patients with septic shock from complicated major abdominal surgery, treated with PMX-HA.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
90
Inclusion Criteria
  • caucasian patients
  • patients undergoing laparoscopic major abdominal surgery
Exclusion Criteria
  • pregnancy,
  • organ transplantation,
  • palliative care
  • metastatic cancer
  • head trauma and polytrauma
  • coagulopathies
  • use of anticoagulants
  • neurological disease
  • autoimmune disease
  • thyroid disease.

Study & Design

Study Type
INTERVENTIONAL
Study Design
SEQUENTIAL
Primary Outcome Measures
NameTimeMethod
incidence of mortality at 30-daysup to 30 days

incidence of mortality

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Ospedali Riuniti

🇮🇹

Foggia, Puglia, Italy

Ospedali Riuniti
🇮🇹Foggia, Puglia, Italy

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