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This prospective study aims to determine the relationship between the EASIX score and mortality and prognosis in sepsis.
Sepsis is a life-threatening condition characterized by a dysregulated host response to infection, leading to organ dysfunction. Despite advancements in medicine, sepsis remains a significant cause of death worldwide. An international study showed that 48.9 million sepsis cases were diagnosed in 195 countries between 1990 and 2017, resulting in 11 million deaths. Recent studies have demonstrated that early diagnosis and treatment reduce sepsis mortality. Therefore, research has focused on identifying biomarkers that aid in early diagnosis and prognosis.
The Endothelial Activation and Stress Index (EASIX) was first defined by Luft et al. as a biomarker reflecting endothelial damage. Calculated using readily available laboratory parameters-serum lactate dehydrogenase (LDH) level (U/L) x creatinine level (mg/dL) / platelet count (10⁹/L)-it has been commonly used to predict mortality and prognosis in hematological malignancies. Recently, its application in predicting sepsis mortality and prognosis has gained attention, although only limited retrospective studies have been published.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| sepsis group | Adult patients (≥18 years old) diagnosed with sepsis |
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| Measure | Description | Time Frame |
|---|---|---|
| mortality | The primary finding of the study was 28-day mortality after sepsis diagnosis | 28 days |
| Measure | Description | Time Frame |
|---|---|---|
| Septic shock | Septic shock was defined according to the SEPSIS-3 guidelines as the need for vasopressors or inotropes in patients diagnosed with sepsis. | 28 days |
| Acute kidney injury | Acute kidney injury was defined according to KDIGO guidelines as a ≥0.3 mg/dL increase in serum creatinine over 48 hours, a ≥1.5-fold increase in serum creatinine over 7 days, or urine output <0.5 mL/kg/hour for 6 consecutive hours. |
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Inclusion Criteria:
• Patients diagnosed with sepsis during intensive care admission or admitted to intensive care with a diagnosis of sepsis
Exclusion Criteria:
• Patients under the age of 18
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Adult patients (≥18 years old) diagnosed with sepsis were included.
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| Name | Affiliation | Role |
|---|---|---|
| AYSE SURHAN CINAR | şişli etfal eğitim araştırma hastanesi | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Sisli etfal research and training hospital | Istanbul | 34371 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D018805 | Sepsis |
| D012772 | Shock, Septic |
| D014115 | Toxemia |
| ID | Term |
|---|---|
| D007239 | Infections |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
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| 28 days |
| D013568 |
| Pathological Conditions, Signs and Symptoms |
| D012769 | Shock |