Evidence map›Paper›PMID 39381153›Full record

ArticleJournal of trauma and injury2024

Usefulness of presepsin as a prognostic indicator for patients with trauma in the emergency department in Korea: a retrospective study.

Si Woo Kim, Jung-Youn Kim, Young-Hoon Yoon, Sung Joon Park, Bo Sun Shim

Abstract read
In one paragraph

Article in Journal of trauma and injury, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Si Woo KimDepartment of Emergency Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.ORCID 0009-0004-7502-8873
Jung-Youn KimDepartment of Emergency Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0001-8368-808X
Young-Hoon YoonDepartment of Emergency Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0002-1916-2080
Sung Joon ParkDepartment of Emergency Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0001-6897-8740
Bo Sun ShimDepartment of Emergency Medicine, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.ORCID 0000-0003-4839-6588

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Trauma is an important public health concern, and it is important to increase the survival rate of patients with trauma and enable them to return to society in a better condition. Initial treatment in the emergency department (ED) is closely associated with the prognosis of patients with trauma. However, studies regarding laboratory biomarker tests that can help predict the prognosis of trauma patients are limited. Presepsin is a novel biomarker of inflammation that can predict a poor prognosis in patients with sepsis. This study aimed to determine whether presepsin could be used as a prognostic indicator in patients with polytrauma. Methods: The study included patients with trauma who had visited a single regional ED from November 2021 to January 2023. Patients who had laboratory tests in the ED were included and analyzed retrospectively through chart review. Age, sex, injury mechanism, vital signs, surgery, the outcome of ED treatment (admission, discharge, transfer, or death), and trauma scores were analyzed. Results: Overall, 550 trauma patients were enrolled; 59.1% were men, and the median age was 64 years (interquartile range, 48.8-79.0 years). Patients in a hypotensive state (systolic blood pressure, <90 mmHg; n=39) had higher presepsin levels (1,061.5±2,522.7 pg/mL) than those in a nonhypotensive state (n=511, 545.7±688.4 pg/mL, P<0.001). Patients hospitalized after ED treatment had the highest presepsin levels (660.9 pg/mL), followed by those who died (652.0 pg/mL), were transferred to other hospitals (514.9 pg/mL), and returned home (448.0 pg/mL, P=0.041). Conclusions: Serum presepsin levels were significantly higher in trauma patients in a hypotensive state than in those in a nonhypotensive state. Additionally, serum presepsin levels were the highest in hospitalized patients with trauma, followed by those who died, were transferred to other hospitals, and returned home.

Indexed as

Emergency treatmentHuman presepsin proteinHypotensionInjuriesMultiple trauma

Identifiers

PMID39381153
PMCPMC11309192

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.