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September 3, 2018HealthcareOpen Access

MR-proADM accurately diagnoses sepsis and predicts mortality with an AUC over 0.8.

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Why the study?

Does mid-regional pro-adrenomedullin (MR-proADM) measurement improve the diagnosis and prognosis of patients with sepsis and septic shock?

Population

Patients with sepsis and septic shock, including subpopulations with burns or malignant tumors

Design

Review

Key result

Mid-regional pro-adrenomedullin (MR-proADM) is a useful biomarker for the diagnosis and mortality prognosis of sepsis and septic shock, with area under the curve values exceeding 0.8.

Authors

UÖUğur ÖnalFVFrancisco Valenzuela-SánchezKVKalwaje Eshwara Vandana

Discussion

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Overview

May aid sepsis assessment; hypothesis-generating and requires RCT validation before adoption.

Structured PICO

Does mid-regional pro-adrenomedullin (MR-proADM) measurement improve the diagnosis and prognosis of patients with sepsis and septic shock?

P
Population
Patients with sepsis and septic shock, including subpopulations with burns or malignant tumors (based on 22 studies, 1 opinion paper, and 1 review paper)
I
Intervention
Mid-regional pro-adrenomedullin (MR-proADM) measurement
O
Outcome
Diagnosis and prognosis (mortality and organ failure) of sepsis and septic shocksurrogate

MR-proADM is a promising biomarker for the diagnosis and prognosis of sepsis, septic shock, and organ failure, though further validation in randomized controlled trials is needed.

Limitations

  • Lack of randomized controlled trials
  • Need for more collaborative prospective studies with larger patient samples
  • Inclusion of opinion papers and reviews due to lack of RCTs

Cite This Study

Önal et al. (2018) conducted a review in Sepsis and septic shock. Mid-regional pro-adrenomedullin (MR-proADM) was evaluated on Diagnosis and prognosis of sepsis and septic shock. Mid-regional pro-adrenomedullin (MR-proADM) is a useful biomarker for the diagnosis and mortality prognosis of sepsis and septic shock, with area under the curve values exceeding 0.8.

synapsesocial.com/papers/6a0b0c18db419d24cd5cf7bchttps://doi.org/10.3390/healthcare6030110
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