期刊
RESUSCITATION
卷 53, 期 2, 页码 167-170出版社
ELSEVIER SCI IRELAND LTD
DOI: 10.1016/S0300-9572(02)00008-4
关键词
cardiac arrests; out of hospital CPR; inflammatory responses; infection
A possible diagnostic role of procalcitonin (PCT) as a market, for ventilator associated pneumonia (VAP) in patients with an already triggered acute phase response after successful cardiopulmonary resuscitation (CPR) was investigated. In 28 patients with return of spontaneous circulation (ROSC) after out of hospital CPR. measurements of PCT. C-reactive protein (CrP), white blood cell count (WBC) and body temperature were compared with the clinical course of the patients, In this setting. PCT was the only marker to differentiate between patients with and without VAP (median value on day, 1, 6.0 vs, 0.5 ng/ml; P < 0.001). Using a cut off value of 1 ng/ml during the first 7 days after ROSC PCT had a sensitivity of 100% and a specificity of 75% to indicate VAR PCT was elevated a median of 2 days earlier than the clinical diagnosis of VAP. Elevations in PCT can, therefore, indicate bacterial complications in cardiac arrest patients with a non-infectious acute phase response. (C) 2002 Published by Elsevier Science Ireland Ltd.
作者
我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。
推荐
暂无数据