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.

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