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June 13, 2023Critical CareOpen Access

Early plasma angiopoietin-2 is prognostic for ARDS and mortality among critically ill patients with sepsis

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Key result

Higher early plasma Ang-2 in sepsis is linked to ~52% greater mortality per log increase.

  • OR 1.52
  • 95% CI 1.28-1.80
  • P<0.001
  • n=757

Why the study?

Elevated circulating Angiopoietin-2 levels may identify critically ill sepsis patients at risk for ARDS and poor clinical outcomes, but this association needed evaluation.

Is early plasma Angiopoietin-2 associated with the development of ARDS and 30-day mortality in critically ill patients with sepsis?

Population

757 critically ill patients with sepsis including 267 with ARDS enrolled early in hospitalization

Comparison

Plasma Angiopoietin-2 levels measured early after hospitalization

Design

Cohort study

Follow-up

30-day

Authors

CRCarrie M. RosenbergerCalifornia Institute for Regenerative MedicineKWKatherine D. WickUniversity of MinnesotaHZHanjing ZhuoUniversity of California, San Francisco

Discussion

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Member takes

Overview

Ang-2 may refine mortality risk prediction in sepsis; leaves open its utility for guiding therapy or ARDS prevention.

Study Design

Type

Cohort (n=757)

Multicenter

No

Structured PICO

Is early plasma Angiopoietin-2 associated with the development of ARDS and 30-day mortality in critically ill patients with sepsis?

P
Population
757 critically ill patients with sepsis admitted to the ICU, evaluated for early plasma Ang-2 levels and followed for 30 days.
E
Exposure
Early plasma Angiopoietin-2 (Ang-2) measurement
O
Outcome
Development of ARDS and 30-day mortalityhard clinical

Main Result

Odds Ratio: 1.52 (95% CI 1.28–1.8)

p-value: p=<0.001

Early plasma Ang-2 levels in sepsis patients are prognostic for the development of ARDS and 30-day mortality, highlighting its potential as a biomarker for risk prediction and targeted therapy.

Limitations

  • Retrospective analysis of a prospectively enrolled cohort
  • Single-center study
  • Pre-COVID-19 pandemic cohort
  • Inability to adjust for severity of illness scores as Ang-2 is on the same causal pathway

Cite This Study

Rosenberger et al. (2023) conducted a cohort in Sepsis (n=757). Early plasma angiopoietin-2 (Ang-2) vs. Lower Ang-2 levels was evaluated on 30-day mortality (OR 1.52, 95% CI 1.28-1.80, p=<0.001). Higher early plasma angiopoietin-2 levels in critically ill patients with sepsis were significantly associated with increased 30-day mortality (OR 1.52 per log Ang-2 increase).

synapsesocial.com/papers/6aaf7c74559be8659de395dfhttps://doi.org/10.1186/s13054-023-04525-3
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Also Consider

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

  1. 1Excess circulating angiopoietin-2 is a strong predictor of mortality in critically ill medical patients2008 · 168 citations
  2. 2Angiopoietin-1 and angiopoietin-2 as clinically informative prognostic biomarkers of morbidity and mortality in severe sepsis*2011 · 240 citations
  3. 3CIRCULATING ANGIOPOIETIN 2 CORRELATES WITH MORTALITY IN A SURGICAL POPULATION WITH ACUTE LUNG INJURY/ADULT RESPIRATORY DISTRESS SYNDROME2008 · 138 citations
  4. 4Prognostic Significance of the angiopoietin-2 for Early Prediction of Septic Shock in Severe Sepsis Patients2022 · 11 citations
  5. 5Angiopoietin 2 Levels in the Risk Stratification and Mortality Outcome Prediction of Sepsis-Associated Coagulopathy2018 · 27 citations