Monocyte-to-HDL ratio and non-HDL cholesterol were predictors of septic shock in newborns
Clinics, ISSN: 1807-5932, Vol: 77, Page: 100111
2022
- 1Citations
- 14Captures
- 1Mentions
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Metrics Details
- Citations1
- Citation Indexes1
- CrossRef1
- Captures14
- Readers14
- 14
- Mentions1
- News Mentions1
- News1
Most Recent News
Studies from University of Sao Paulo Have Provided New Information about Sepsis (Monocyte-to-hdl Ratio and Non-hdl Cholesterol Were Predictors of Septic Shock In Newborns)
2023 MAR 08 (NewsRx) -- By a News Reporter-Staff News Editor at Blood Daily News -- New research on Blood Diseases and Conditions - Sepsis
Article Description
The association between lipoprotein levels and late-onset neonatal sepsis has shown controversial results. The aims are to assess lipid profile, cytokines, and Monocyte-to-HDL (M/H) ratio as diagnostic and prognostic markers for late-onset neonatal sepsis. This prospective study included 49 septic neonates and 17 controls. Cholesterol (CT), Triglyceride (TG), Very-Low-Density (VLDLc), Low-Density (LDLc), and High-Density Lipoproteins (HDLc) were measured at admission (D0) and on days 3, 7 and 10 to evaluate septic shock outcomes. Cytokines and monocytes were evaluated by flow cytometry. Septic newborns showed higher IL-6 and IL-8 at D0 and CT levels on D7 and on D10, which also presented higher TG, VLDLc and non-HDL cholesterol concentrations than controls. The septic shock group (n = 22) revealed a higher number of male subjects, CRP, IL-6, IL-8 and IL-10 levels, while lower TG, HDLc, monocyte numbers and M/H ratio at admission compared to the non-shock group (n = 27). M/H ratio and non-HDL cholesterol on D0 were risk factors for septic shock (OR = 0.70, 0.49‒0.99; OR = 0.96, 0.92‒0.99, respectively). Decreasing levels from D0 to D3 of CT (OR = 0.96, 0.93‒0.99), VLDLc (OR = 0.91, 0.85‒0.98), and non-HDL cholesterol (OR = 0.92, 0.87‒0.98) were also predictors of septic shock. Lower M/H ratios and non-HDL cholesterol at admission and decreasing levels of cholesterol, VLDLc and non-HDL cholesterol during a hospital stay are associated with the development of septic shock in newborns with late-onset neonatal sepsis.
Bibliographic Details
http://www.sciencedirect.com/science/article/pii/S1807593222033129; http://dx.doi.org/10.1016/j.clinsp.2022.100111; http://www.scopus.com/inward/record.url?partnerID=HzOxMe3b&scp=85141490226&origin=inward; http://www.ncbi.nlm.nih.gov/pubmed/36368184; https://linkinghub.elsevier.com/retrieve/pii/S1807593222033129; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322022000100290&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1807-59322022000100290&lng=en&tlng=en; http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1807-59322022000100290; http://www.scielo.br/scielo.php?script=sci_abstract&pid=S1807-59322022000100290; https://dx.doi.org/10.1016/j.clinsp.2022.100111
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