Sepsis Biomarkers in Diagnosis and Prognosis
SUMMARY:
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Biomarkers used for the early diagnosis or prognosis of sepsis have evolved over the past few years.
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Most still require further data before being placed into a routine bedside use with high reliability.
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Concerns over biomarker variability and well-defined thresholds remain.
REVIEW:
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Over 250 sepsis biomarkers have been identified.
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Their potential is to provide early recognition of the sepsis condition and/or improve prognosis of outcomes.
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Further verification of these biomarkers in large-scale evaluations is necessary.
The Ideal Sepsis Biomarker should meet the following criteria:
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- High sensitivity and specificity providing an accurate sepsis diagnosis
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- Rapid and precise results to bedside clinicians
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- Biomarker serves as a tool to:
- Biomarker serves as a tool to:
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- Identify the presence of sepsis
- Identify the presence of sepsis
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- Monitoring parameter for disease progression
- Monitoring parameter for disease progression
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- Assess treatment effectiveness
- Assess treatment effectiveness
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- Provide reliable prognostic information on patient outcomes
- Provide reliable prognostic information on patient outcomes
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- Provide consistent and reliable data across diverse patient populations and clinical settings
- Provide consistent and reliable data across diverse patient populations and clinical settings
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- Be cost-effective
- Be cost-effective
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- Be non-invasive
CONCLUSIONS:
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Biomarkers will play an ever-increasing role in sepsis therapeutics in the future.
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Despite current advances, current sepsis biomarkers have limitations.
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Recent studies have identified novel sepsis biomarkers which hold promising potential for early sepsis identification, treatment assessment, and prognostic outcomes.
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Additional data is needed.
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Erkan Hassan is the Co-Founder & Chief Clinical Officer of Sepsis Program Optimization where he designs & oversees the implementation of solutions to optimize sepsis programs.
To discuss your organization’s Barriers of Effective Sepsis Care, contact Erkan by phone (844) 4SEPSIS (844-473-7747), email (erkan@spo.icu), or video chat.