PMID: 26822049Jan 30, 2016Paper

Prognostic value of Picco monitoring combined with plasma microRNA-150 detection in septic shock patients

Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences
Yang Wan-HuaShi Bin

Abstract

To assess the prognostic value of pulse indicator continuous cardiac output (Picco) monitoring combined with plasma microRNA-150 detection in septic shock patients. Clinical data of 48 patients with septic shock admitted in General Intensive Care Unit (GICU), Shanghai First People's Hospital Songjiang Branch Affiliated to Shanghai Jiaotong University from August 2012 to August 2014 were analyzed retrospectively. The plasma levels of microRNA-150 in 48 patients at admission were assayed by qRT-PCR; and Picco monitoring was performed to record hemodynamic changes. The correlation of microRNA-150 or Picco parameters with prognosis of patients was assessed by univariate analysis and multivariate logistic analysis. Spearman correlation test showed the relationship between microRNA-150 and Picco parameters. Finally, the clinical value of combining microRNA-150 with Picco monitoring to predict the outcome of septic shock patients was analyzed by ROC curves. Twenty-three patients survived and 25 died in 28 d after admission in GICU. Compared with survival patients, microRNA-150 was significantly lower in fatal patients (t=-10.32,P<0.05). Univariate analysis showed that low microRNA-150 level was a risk factor for poor prognosis(OR=2.17...Continue Reading

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