Effects of cardiac surgery on some clinically used inflammation markers and procalcitonin

Citation
Cy. Bitkover et al., Effects of cardiac surgery on some clinically used inflammation markers and procalcitonin, SC CARDIOVA, 34(3), 2000, pp. 307-314
Citations number
29
Categorie Soggetti
Cardiovascular & Respiratory Systems
Journal title
SCANDINAVIAN CARDIOVASCULAR JOURNAL
ISSN journal
14017431 → ACNP
Volume
34
Issue
3
Year of publication
2000
Pages
307 - 314
Database
ISI
SICI code
1401-7431(200006)34:3<307:EOCSOS>2.0.ZU;2-B
Abstract
One hundred and ten patients were investigated prospectively in a study aim ed at creating reference curves for inflammation markers (serum C-reactive protein (CRP), blood leukocyte count, iron, transthyretin and procalcitonin ). Blood samples were taken daily and the patients were monitored for signs of infection. Ninety-six patients had no postoperative infections. CRP and leukocyte counts peaked on the third and second postoperative days, respec tively. Neither patients operated on off-pump (n = 4) nor patients with min or infections (n = 11) differed from the non-infected group. Two out of thr ee patients with major postoperative infection exhibited a secondary peak i n CRP and leukocyte count. Iron and transthyretin decreased initially, foll owed by a slow increase without any difference between the groups. Procalci tonin was high in some non-infected patients and low in some infected patie nts. CRP and leukocyte count had a predictable course with a secondary peak in major infections but the other markers did not provide any valuable inf ormation.