We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Immune Dysfunction is Associated with Readmission in Survivors of Sepsis Following Infected Pancreatic Necrosis.
- Authors
Yin, Jiangtao; Mao, Wenjian; Xiao, Xiaojia; Yu, Xianqiang; Li, Baiqiang; Chen, Faxi; Lin, Jiajia; Zhou, Jing; Tong, Zhihui; Ke, Lu; Li, Weiqin
- Abstract
aimed to investigate the impact of immune status on mortality and readmission after hospital discharge in patients with IPN-related sepsis. Methods: In this prospective observational study, eligible adult patients with IPN-related sepsis requiring ICU admission were included. Monocytic human leukocyte antigen DR (mHLA-DR), expression of regulatory T cells (Treg), and neutrophil CD88 (nCD88) were measured on the diagnosis of sepsis, ICU discharge, hospital discharge, and 15, 30, 60 days after hospital discharge. Logistic regression model was used to assess potential risk factors for readmission 60-days within the index discharge. Results: A total of 53 patients were included, 13 died during hospitalization and one withdrew the consent soon after discharge. Among the survivors, a tendency of immune recovery was observed during the consecutive follow-ups, evidenced by the increased expression of mHLA-DR. Sixteen patients (41.03%) were readmitted within 60 days after the index discharge. In the multivariable regression model, APACHE II score when sepsis was diagnosed > 9 and mHLA-DR at discharged < 14,591 AB/C were found to be independent risk factors affecting readmission. Conclusion: Immunosuppression is common in patients with IPN-related sepsis and can persist until two months after discharge. The compromised mHLA-DR level at discharge was associated with readmission within two months after discharge.
- Subjects
PATIENT readmissions; HLA-DR antigens; REGULATORY T cells; NECROTIZING pancreatitis; SEPSIS; NECROSIS; HOSPITAL admission &; discharge
- Publication
Journal of Inflammation Research, 2021, Vol 14, p5433
- ISSN
1178-7031
- Publication type
Article
- DOI
10.2147/JIR.S321507