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2016 ; 95
(19
): e3682
Nephropedia Template TP
gab.com Text
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English Wikipedia
Clinical Usefulness of Urinary Fatty Acid Binding Proteins in Assessing the
Severity and Predicting Treatment Response of Pneumonia in Critically Ill
Patients: A Cross-Sectional Study
#MMPMID27175705
Tsao TC
; Tsai HC
; Chang SC
Medicine (Baltimore)
2016[May]; 95
(19
): e3682
PMID27175705
show ga
To investigate the clinical relevance of urinary fatty acid binding proteins
(FABPs), including intestinal-FABP, adipocyte-FABP, liver-FABP, and heart-FABP in
pneumonia patients required admission to respiratory intensive care unit
(RICU).Consecutive pneumonia patients who admitted to RICU from September 2013 to
October 2014 were enrolled except for those with pneumonia for more than 24?h
before admission to RICU. Pneumonia patients were further divided into with and
without septic shock subgroups. Twelve patients without infection were enrolled
to serve as control group. Urine samples were collected on days 1 and 7 after
admission to RICU for measuring FABPs and inflammatory cytokines. Clinical and
laboratory data were collected and compared between pneumonia and control groups,
and between the pneumonia patients with and without septic shock.There were no
significant differences in urinary levels of various FABPs and inflammatory
cytokines measured on day 1 between control and pneumonia groups. Urinary values
of intestine-FABP (P?=?0.020), adipocyte-FABP (P?=?0.005), heart-FABP
(P?=?0.025), and interleukin-6 (P?=?0.019) were significantly higher and arterial
oxygen tension/fraction of inspired oxygen (PaO2/FiO2, P/F) ratio (P?=?0.024) was
significantly lower in pneumonia patients with septic shock on day 1 than in
those without septic shock. After multivariate analysis, adipocyte-FABP was the
independent factor (P?=?0.026). Urinary levels of FABPs measured on day 7 of
pneumonia patients were significantly lower in the improved than in nonimproved
groups (P?=?0.030 for intestine-FABP, P?=?0.003 for adipocyte-FABP, P?=?0.010 for
heart-FABP, and P?=?0.008 for liver-FABP, respectively). After multivariate
analysis, adipocyte-FABP was the independent factor (P?=?0.023).For pneumonia
patients required admission to RICU, urinary levels of adipocyte-FABP on days 1
and 7 after admission to RICU may be valuable in assessing the pneumonia severity
and in predicting treatment response, respectively. Further studies with larger
populations are needed to verify these issues.