Plasma DNA concentration as a predictor of mortality and sepsis in critically ill patients
2006

Plasma DNA Levels Predict Mortality and Sepsis in ICU Patients

Sample size: 52 publication Evidence: moderate

Author Information

Author(s): Andrew Rhodes, Stephen J. Wort, Helen Thomas, Paul Collinson, E. David Bennett

Primary Institution: St George's Hospital, London, UK

Hypothesis

Can plasma DNA levels on admission to the ICU predict disease severity or prognosis?

Conclusion

Plasma DNA may be a useful prognostic marker of mortality and sepsis in intensive care patients.

Supporting Evidence

  • Plasma DNA levels were significantly higher in ICU patients than in healthy controls.
  • Patients who developed sepsis had higher plasma DNA levels than those who did not.
  • Plasma DNA was an independent predictor of mortality in ICU patients.

Takeaway

Doctors can check the amount of DNA in the blood of very sick patients to help figure out if they might get worse or die.

Methodology

Fifty-two ICU patients had blood samples taken on admission, and plasma DNA levels were measured using a PCR method.

Potential Biases

Potential bias due to the observational nature of the study and lack of informed consent.

Limitations

The study's control group was not age-matched with the ICU patients, and the sample preparation methods varied.

Participant Demographics

Mean age of patients was 62 years, with a male-to-female ratio of 32:20.

Statistical Information

P-Value

0.001

Confidence Interval

95% confidence interval, 1.0–1.004

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/cc4894

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