1. Elevated circulating PCSK9 level is associated with 28-day mortality in patients with sepsis: a prospective cohort study.
- Author
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Shu, Yuanlu, Deng, Ziwei, Deng, Ye, Zhou, Jianliang, Wang, Jin, Duan, Zhenxing, Jiang, Tao, Zhao, Xiang, Shi, Zhihua, and Qiu, Chengfeng
- Subjects
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SEPSIS , *RECEIVER operating characteristic curves , *COHORT analysis , *LONGITUDINAL method - Abstract
Objectives: Pro-protein convertase subtilisin/kexin 9 (PCSK9) decreases the clearance of the pathogenic lipids, supporting the potential role of PCSK9 in the prognosis of sepsis. Methods: In this prospective cohort study, patients with sepsis were consecutively recruited from 1 to 2020 to 30 September 2021 at the First People's Hospital of Huaihua, China. All the eligible patients were categorized into low-PCSK9 and high-PCSK9 groups, based on their PCSK9 levels at admission. Time-dependent receiver operating characteristic curves and Cox proportional hazards regression were used to evaluate the association between PCSK9 level and 28-day mortality of sepsis. Results: Of the 203 enrolled patients, 56 (27.59%) died during the 28-day follow-up. The PCSK9 level was positively related to the C-reactive protein level. The cut-off point of PCSK9 levels for 28-day mortality risk was 370 ng/ml. Through comparison between high-PCSK9 (> 370 ng/ml) with low-PCSK9 (≤ 370 ng/ml) groups, the adjusted HR for mortality was 2.56 (95% CI: 1.25–5.23, p = 0.01). Conclusions: The 28-day mortality of sepsis increased significantly as the baseline circulating PCSK9 level exceeded 370 ng/ml, indicating circulating PCSK9 levels may be a potential biomarker to predict the prognosis of sepsis. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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