Prognostic value of serum cystatin C in patients with sepsis

Background: Early identification and diagnosis of sepsis are very important because timely and appropriate treatment can improve the survival outcomes. Aim: The aim of this study was to explore the clinical significance of serum cystatin C level in sepsis. Materials and Methods: The levels of serum c...

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Main Authors: Chunfang Hu, Zhiyuan Zhang, Bin Hou, Han Xue, Xuehua Pu, Jilu Ye
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-07-01
Series:Indian Journal of Pathology and Microbiology
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Online Access:https://journals.lww.com/10.4103/ijpm.ijpm_804_21
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author Chunfang Hu
Zhiyuan Zhang
Bin Hou
Han Xue
Xuehua Pu
Jilu Ye
author_facet Chunfang Hu
Zhiyuan Zhang
Bin Hou
Han Xue
Xuehua Pu
Jilu Ye
author_sort Chunfang Hu
collection DOAJ
description Background: Early identification and diagnosis of sepsis are very important because timely and appropriate treatment can improve the survival outcomes. Aim: The aim of this study was to explore the clinical significance of serum cystatin C level in sepsis. Materials and Methods: The levels of serum cystatin C, C-reactive protein (CRP), and procalcitonin (PCT) were measured via enzyme-linked immunosorbent assay (ELISA). The patients with sepsis were followed up for 30 days to record their survival conditions. Results: The expression level of cystatin C was remarkably elevated in patients with sepsis compared with that in healthy controls. The serum cystatin C level was significantly correlated with the SOFA score and CRP, PCT, and creatinine levels in patients with sepsis. The patients in death group had a markedly higher level of serum cystatin C than those in survival group. The area under curve (AUC) of cystatin C for assessing the 30-day mortality rate of sepsis patients was 0.765. Conclusion: The serum cystatin C level is elevated in patients with sepsis and it may serve as a biomarker for early diagnosis of sepsis and possess promising effects in assessing the severity of sepsis and the prognosis of patients.
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series Indian Journal of Pathology and Microbiology
spelling doaj-art-957506dd73e841e4aada26c9a46bc00a2025-02-07T13:32:20ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292023-07-0166357357610.4103/ijpm.ijpm_804_21Prognostic value of serum cystatin C in patients with sepsisChunfang HuZhiyuan ZhangBin HouHan XueXuehua PuJilu YeBackground: Early identification and diagnosis of sepsis are very important because timely and appropriate treatment can improve the survival outcomes. Aim: The aim of this study was to explore the clinical significance of serum cystatin C level in sepsis. Materials and Methods: The levels of serum cystatin C, C-reactive protein (CRP), and procalcitonin (PCT) were measured via enzyme-linked immunosorbent assay (ELISA). The patients with sepsis were followed up for 30 days to record their survival conditions. Results: The expression level of cystatin C was remarkably elevated in patients with sepsis compared with that in healthy controls. The serum cystatin C level was significantly correlated with the SOFA score and CRP, PCT, and creatinine levels in patients with sepsis. The patients in death group had a markedly higher level of serum cystatin C than those in survival group. The area under curve (AUC) of cystatin C for assessing the 30-day mortality rate of sepsis patients was 0.765. Conclusion: The serum cystatin C level is elevated in patients with sepsis and it may serve as a biomarker for early diagnosis of sepsis and possess promising effects in assessing the severity of sepsis and the prognosis of patients.https://journals.lww.com/10.4103/ijpm.ijpm_804_21cystatin cdiagnosisprognosissepsis
spellingShingle Chunfang Hu
Zhiyuan Zhang
Bin Hou
Han Xue
Xuehua Pu
Jilu Ye
Prognostic value of serum cystatin C in patients with sepsis
Indian Journal of Pathology and Microbiology
cystatin c
diagnosis
prognosis
sepsis
title Prognostic value of serum cystatin C in patients with sepsis
title_full Prognostic value of serum cystatin C in patients with sepsis
title_fullStr Prognostic value of serum cystatin C in patients with sepsis
title_full_unstemmed Prognostic value of serum cystatin C in patients with sepsis
title_short Prognostic value of serum cystatin C in patients with sepsis
title_sort prognostic value of serum cystatin c in patients with sepsis
topic cystatin c
diagnosis
prognosis
sepsis
url https://journals.lww.com/10.4103/ijpm.ijpm_804_21
work_keys_str_mv AT chunfanghu prognosticvalueofserumcystatincinpatientswithsepsis
AT zhiyuanzhang prognosticvalueofserumcystatincinpatientswithsepsis
AT binhou prognosticvalueofserumcystatincinpatientswithsepsis
AT hanxue prognosticvalueofserumcystatincinpatientswithsepsis
AT xuehuapu prognosticvalueofserumcystatincinpatientswithsepsis
AT jiluye prognosticvalueofserumcystatincinpatientswithsepsis