The Sequential Organ Failure Assessment score and copeptin for predicting survival in ventilator-associated pneumonia

Boeck, Lucas and Eggimann, Philippe and Smyrnios, Nicholas and Pargger, Hans and Thakkar, Nehal and Siegemund, Martin and Morgenthaler, Nils G. and Rakic, Janko and Tamm, Michael and Stolz, Daiana. (2012) The Sequential Organ Failure Assessment score and copeptin for predicting survival in ventilator-associated pneumonia. Journal of critical care, 27 (5). 523.e1-9.

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Official URL: http://edoc.unibas.ch/55861/

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Ventilator-associated pneumonia remains the most common nosocomial infection in the critically ill and contributes to significant morbidity. Eventual decisions regarding withdrawal or maximal therapy are demanding and rely on physicians' experience. Additional objective tools for risk assessment may improve medical judgement. Copeptin, reflecting vasopressin release, as well as the Sequential Organ Failure Assessment (SOFA) score, reflecting the individual degree of organ dysfunction, might qualify for survival prediction in ventilator-associated pneumonia. We investigated the predictive value of the SOFA score and copeptin in ventilator-associated pneumonia.; One hundred one patients with ventilator-associated pneumonia were prospectively assessed. Death within 28 days after ventilator-associated pneumonia onset was the primary end point.; The SOFA score and the copeptin levels at ventilator-associated pneumonia onset were significantly elevated in nonsurvivors (P = .002 and P = .017, respectively). Both markers had different time courses in survivors and nonsurvivors (P < .001 and P = .006). Mean SOFA (average SOFA of 10 days after VAP onset) was superior in predicting 28-day survival as compared with SOFA and copeptin at ventilator-associated pneumonia onset (area under the curve, 0.90 vs 0.73 and 0.67, respectively).; The predictive value of serial-measured SOFA significantly exceeds those of single SOFA and copeptin measurements. Serial SOFA scores accurately predict outcome in ventilator-associated pneumonia.
Faculties and Departments:03 Faculty of Medicine > Bereich Medizinische Fächer (Klinik) > Pneumologie
03 Faculty of Medicine > Departement Klinische Forschung > Bereich Medizinische Fächer (Klinik) > Pneumologie
UniBasel Contributors:Boeck, Lucas
Item Type:Article, refereed
Article Subtype:Research Article
Publisher:W.B. Saunders Co.
Note:Publication type according to Uni Basel Research Database: Journal article
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Last Modified:09 Oct 2017 07:44
Deposited On:09 Oct 2017 07:44

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