NDLI: Evidence for the participation of soluble triggering receptor expressed on myeloid cells-1 in the systemic inflammatory response syndrome after multiple trauma.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Giamarellos-Bourboulis, Evangelos J. Mouktaroudi, Maria Tsaganos, Thomas Koutoukas, Pantelis Spyridaki, Ekaterini Pelekanou, Aimilia Kotzampassi, Katerina
Description	Country affiliation: Greece Author Affiliation: Giamarellos-Bourboulis EJ ( 4th Department of Internal Medicine, University of Athens Medical School, Athens, Greece. giamarel@ath.forthnet.gr)
Abstract	BACKGROUND: Based on the implication of soluble triggering receptor expressed on myeloid cells (sTREM-1) in the septic cascade, it was investigated whether it participates or not in posttraumatic systemic inflammatory response syndrome (SIRS). METHODS: Blood was sampled on days 1, 4, 7, and 15 from 69 patients with SIRS after multiple injuries and upon presentation of a septic complication. Concentrations of sTREM-1, tumor necrosis factor-alpha (TNFalpha), interleukin (IL)-6, IL-8, and interferon-gamma were determined by an enzyme immunoassay. Samples drawn on day 1 from 10 trauma patients without SIRS served as controls. RESULTS: In 26 patients with SIRS without septic complication, sTREM-1, TNFalpha, and IL-8 remained stable over follow-up; IL-6 decreased and interferon-gamma increased on days 4 and 7 compared with day 1. TNFalpha was the only variable being higher upon advent of septic shock compared with patients without SIRS and upon presentation of SIRS, sepsis, and severe sepsis (p of comparisons with all subgroups <0.0001). Mortality of patients with sTREM-1 greater than 180 pg/mL was 5.3% compared with 28.0% of those with sTREM-1 lower than 180 pg/mL (p 0.035). sTREM-1 higher than 40 pg/mL had sensitivity 56.5% and specificity 91.7% for the differential diagnosis between SIRS and sepsis after multiple injuries. CONCLUSIONS: This is the first study providing evidence about the participation of sTREM-1 in posttraumatic SIRS. Its levels are increased and remain constant over time in patients who did not develop any complications whereas it seems to behave as an anti-inflammatory mediator.
File Format	HTM / HTML
ISSN	00225282
Issue Number	6
Volume Number	65
e-ISSN	15298809
Journal	The Journal of Trauma: Injury, Infection, and Critical Care
Language	English
Publisher	Lippincott Williams & Wilkins
Publisher Date	2008-12-01
Publisher Place	United States
Access Restriction	Subscribed
Subject Keyword	Prognosis Prospective Studies Humans Middle Aged Cross Infection Male Predictive Value Of Tests Interleukin-8 Blood Multiple Trauma Journal Article Injury Severity Score Interleukin-6 Immunology Time Factors Adult Female Membrane Glycoproteins Diagnosis Interferon-gamma Diagnosis, Differential Systemic Inflammatory Response Syndrome Pneumonia, Bacterial Tumor Necrosis Factor-alpha Discipline Traumatology Bacteremia Enzyme-linked Immunosorbent Assay Multiple Organ Failure Shock, Septic Pyelonephritis Receptors, Immunologic Aged Gram-negative Bacterial Infections
Content Type	Text
Resource Type	Article
Subject	Surgery Critical Care and Intensive Care Medicine

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