A Longitudinal Change of Syndecan-1 Predicts Risk of Acute Respiratory Distress Syndrome and Cumulative Fluid Balance in Patients with Septic Shock: a Preliminary Study

Overview

Journal J Intensive Care

Publisher Biomed Central

Specialty Critical Care

Date 2021 Mar 17

PMID 33726863

Citations 3

Authors

Yuka Kajita

Tsuguaki Terashima

Hisatake Mori

Md Monirul Islam

Takayuki Irahara

Masanobu Tsuda

Hideki Kano

Naoshi Takeyama

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study is to investigate the time course of syndecan-1 (Syn-1) plasma levels, the correlation between Syn-1 and organ damage development, and the associations of Syn-1 level with cumulative fluid balance and ventilator-free days (VFD) in patients with septic shock.

Methods: We collected blood samples from 38 patients with septic shock upon their admission to ICU and for the first 7 days of their stay. Syn-1 plasma level, acute respiratory distress syndrome (ARDS), other organ damage, VFD, and cumulative fluid balance were assessed daily.

Results: Over the course of 7 days, Syn-1 plasma levels increased significantly more in patients with ARDS than in those without ARDS. Patients with high levels of Syn-1 in the 72 h after ICU admission had significantly higher cumulative fluid balance, lower PaO/FiO, and fewer VFD than patients with low levels of Syn-1. Syn-1 levels did not correlate with sequential organ failure assessment score or with APACHE II score.

Conclusions: In our cohort of patients with septic shock, higher circulating level of Syn-1 of cardinal glycocalyx component is associated with more ARDS, cumulative positive fluid balance, and fewer VFD. Measurement of Syn-1 levels in patients with septic shock might be useful for predicting patients at high risk of ARDS.

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