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Biomarkers in polytrauma induced systemic inflammatory response syndrome and sepsis - a narrative review
Sebastian Daniel Trancă1, Cristina Laura Petrişor1, Natalia Hagău1
1Department of Anaesthesiology and Intensive Care, University of Medicine and Pharmacy "Iuliu Haţieganu" Cluj-Napoca, Romania.
Insights
Polytrauma patients face high mortality from sepsis. Monitoring procalcitonin trends aids in the early detection of post-traumatic sepsis, improving patient outcomes.
Area of Science:
- Trauma surgery
- Critical care medicine
- Infectious disease
Background:
- Polytrauma is a leading cause of death in young adults.
- Septic complications are the primary cause of late mortality in polytrauma patients.
- Early sepsis diagnosis is crucial for improving outcomes and reducing mortality.
Purpose of the Study:
- To evaluate biomarkers for early sepsis diagnosis in polytrauma.
- To determine the utility of procalcitonin trends in identifying post-traumatic sepsis.
Main Methods:
- Review of current evidence on sepsis biomarkers in polytrauma.
- Analysis of procalcitonin trends for early sepsis detection.
Main Results:
- No single biomarker is sufficient for diagnosing septic complications.
- Procalcitonin trend monitoring shows promise for early identification of post-traumatic sepsis.
Conclusions:
- Early detection of sepsis in polytrauma is critical.
- Procalcitonin trend is a valuable tool for identifying post-traumatic sepsis early.
Abstract:
Polytrauma still represents one of the leading causes of death in the first four decades of life. Septic complications represent the predominant causes of late death in polytrauma patients. Early diagnosis and treatment of infection is associated with an improved clinical outcome and reduced mortality. Several biomarkers have been evaluated for making early diagnosis of sepsis. Current evidence does not support the use of a single biomarker in diagnosing septic complications. Procalcitonin trend was found to be useful in early identification of post-traumatic sepsis.
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