Evaluation of Serum Procalcitonin in Critically Ill Patients With Suspected Sepsis

Study Overview
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Brief Summary
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Procalcitonin is a promising marker of sepsis in critically ill patients. Procalcitonin have better diagnostic accuracy compared to White blood cell count and C - reactive protein. Investigators propose that adding Procalcitonin to the list of standard laboratory work up of critically ill patients with suspected sepsis could increase diagnostic accuracy leading to better patient care.

Detailed Description
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Background: Sepsis is the leading cause of mortality in critically ill patients. Procalcitonin (PCT) is a promising marker for identification of bacterial sepsis. The aim of this study was to determine the diagnostic accuracy of serum PCT concentration in patients with suspected sepsis admitted to mixed medical-surgical Intensive care unit (ICU). Material and Methods: A cross-sectional study conducted at section of Chemical Pathology, Department of Pathology and Laboratory Medicine and ICU. Patients with suspected sepsis were included, serum PCT cut off ≥0.5 ng /ml was taken for diagnosing sepsis. Diagnostic accuracy was measured in terms of sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) taking blood culture as gold standard. Furthermore, different cut offs were compared by using receiver operating characteristic curves (ROC). Data analysis was done on SPSS version.

Official Title
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Prospective Evaluation of Serum Procalcitonin in Critically Ill Patients With Suspected Sepsis- Experience From a Tertiary Care Hospital in Pakistan

Conditions
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Sepsis

Intervention / Treatment
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* Diagnostic Test: Serum Procalcitonin


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Both male and female patients less than 70 and greater than 18 years of age Patients full filling the sepsis definition (American College of Chest Physicians/Society of Critical Care Medicine Consensus Conference) Patients were recruited within 24 hour of ICU admission Exclusion Criteria: Patients discharged before 24 hours Patients who had blood transfusion before ICU stay Patients with organ failure

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 70 Years

Sexes Eligible for Study
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All

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Culture positive<br> | Diagnostic Test: Serum Procalcitonin<br>* Seven ml of blood was drawn in gel separator tubes within 24 hours of admission in ICU for Procalcitonin determination<br>|
| Culture negative<br> | Diagnostic Test: Serum Procalcitonin<br>* Seven ml of blood was drawn in gel separator tubes within 24 hours of admission in ICU for Procalcitonin determination<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Diagnostic accuracy of Procalcitonin | Diagnostic accuracy was measured in terms of sensitivity, specificity, positive predictive value (PPV) and negative predictive value (NPV) taking blood culture as gold standard. Furthermore, different cut offs were compared by using receiver operating characteristic curves (ROC). | one year |