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June 18, 2008ThoraxOpen Access

Angiopoietin-2, permeability oedema, occurrence and severity of ALI/ARDS in septic and non-septic critically ill patients

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Key result

Circulating angiopoietin-2 correlated with pulmonary permeability and lung injury severity (minimum r=0.34, p<0.001) and predicted ARDS (minimum AUC=0.69, p=0.006).

Population

112 mechanically ventilated critically ill patients (24 with sepsis, 88 without sepsis)

Design

Cohort

Authors

MHM. van der HeijdenApple (Israel)GAGeerten P. van Nieuw AmerongenUniversity of TasmaniaPKPieter KoolwijkAmsterdam University Medical Centers

Discussion

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Implication

Angiopoietin-2 may signal endothelial permeability in ALI/ARDS; leaves open its biomarker utility pending prospective validation.

Study Design

Type

Observational (n=112)

Structured PICO

P
Population
112 mechanically ventilated critically ill patients (24 with sepsis, 88 without sepsis).
O
Outcome
Association of circulating angiopoietin-2 with pulmonary permeability oedema (measured by pulmonary leak index and extravascular lung water) and severity of ALI/ARDSsurrogate

Main Result

Effect estimate: minimum r = 0.34; minimum AUC = 0.69

p-value: p=<0.001

Circulating angiopoietin-2 is associated with pulmonary permeability edema and the occurrence and severity of ALI/ARDS in mechanically ventilated critically ill patients.

Cite This Study

Heijden et al. (2008) conducted an observational in Critically ill patients (septic and non-septic) (n=112). Circulating angiopoietin-2 vs. Low levels / non-sepsis was evaluated on Pulmonary permeability oedema (PLI, EVLW) and occurrence/severity of ALI/ARDS (minimum r = 0.34; minimum AUC = 0.69, p=<0.001). Circulating angiopoietin-2 correlated with pulmonary permeability and lung injury severity (minimum r=0.34, p<0.001) and predicted ARDS (minimum AUC=0.69, p=0.006).

synapsesocial.com/papers/6a6e8ce93ce530166bc28deehttps://doi.org/10.1136/thx.2007.087387
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1CIRCULATING ANGIOPOIETIN 2 CORRELATES WITH MORTALITY IN A SURGICAL POPULATION WITH ACUTE LUNG INJURY/ADULT RESPIRATORY DISTRESS SYNDROME2008 · 138 citations
  2. 2Angiopoietin-2 is increased in severe sepsis: Correlation with inflammatory mediators2006 · 214 citations
  3. 3Leaking Capillaries and White Lung in Sepsis—Is Angiopoietin 2 the Culprit?2006 · 95 citations
  4. 4Angiopoietin-2 functions as an autocrine protective factor in stressed endothelial cells2006 · 254 citations
  5. 5Protective Role of Angiopoietin-1 in Endotoxic Shock2004 · 203 citations