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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Ann+Intensive+Care
2015 ; 5
(1
): 48
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The accuracy of presepsin for the diagnosis of sepsis from SIRS: a systematic
review and meta-analysis
#MMPMID26642970
Zheng Z
; Jiang L
; Ye L
; Gao Y
; Tang L
; Zhang M
Ann Intensive Care
2015[Dec]; 5
(1
): 48
PMID26642970
show ga
BACKGROUND: Sepsis is a common condition that has a high mortality and morbidity
that need prompt diagnosis and treatment. Biomarkers like Soluble CD14 subtype
(sCD14-ST, presepsin) may be useful in identifying patients with sepsis and its
diagnostic superiority has been confirmed by several preliminary studies. The aim
of this study was systematically and quantitatively to evaluate the value of
presepsin for the diagnosis of sepsis through the method of meta-analysis.
METHODS: Four major databases, including MEDLINE, EMBASE, ISI Web of Knowledge,
and the Cochrane Library were systematically searched from inception to March
2015. Two investigators conducted the processes of literature search, study
selection, data extraction, and quality evaluation independently. And the
original data were extracted from all eligible individual studies to construct
two-by-two tables. RESULTS: A total of eight studies comprising 1757 patients
were included in this meta-analysis. The pooled sensitivity, specificity, and
diagnostic odds ratio were 0.77 (95 % confidence interval [CI]: 0.75-0.80), 0.73
(95 % CI 0.69-0.77), and 14.25 (95 % CI 8.66-23.42), respectively. The summary
receiver operating characteristic curve (SROC) area under the curve (AUC) was
0.8598. The subgroup analysis based on excluding the outliers showed that the
pooled sensitivity and specificity were 0.85 (95 % CI 0.81-0.89) and 0.65 (95 %
CI 0.59-0.70), respectively. The AUC was 0.8213 with no significant
heterogeneity. CONCLUSIONS: Presepsin has moderate diagnostic capacity for the
detection of sepsis. Further research of presepsin is needed before widespread
use in emergency department. And presepsin in combination with other laboratory
biomarkers in diagnosing sepsis may be the focus of future studies.