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Pregled bibliografske jedinice broj: 720586

Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease


Alkhamis, Tamara; Ivić, Dubravka; Wagner, Jasenka; Ivić, Josip; Dobrošević, Blaženka; Turina, Ivana; Kralik, Kristina; Barbić, Jerko
Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease // Wiener klinische Wochenschrift, 126 (2014), 23; 774-784 doi:10.1007/s00508-014-0613-6 (međunarodna recenzija, članak, znanstveni)


CROSBI ID: 720586 Za ispravke kontaktirajte CROSBI podršku putem web obrasca

Naslov
Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease

Autori
Alkhamis, Tamara ; Ivić, Dubravka ; Wagner, Jasenka ; Ivić, Josip ; Dobrošević, Blaženka ; Turina, Ivana ; Kralik, Kristina ; Barbić, Jerko

Izvornik
Wiener klinische Wochenschrift (0043-5325) 126 (2014), 23; 774-784

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
C-reactive protein; Neutrophils; Lymphocytes; Immunity; Postoperative period

Sažetak
To investigate associations between the postoperative immune response and the levels of extracellular circulating DNA (cDNA), C-reactive protein (CRP), neutrophil/lymphocyte (N/L) ratio, and regulatory T (Treg) cells in the peripheral blood and their role as potential predictors of postoperative septic complications. This was a prospective observational study involving 115 adult patients who underwent elective surgery. Patients were divided into three groups: with benign disease, with malignant disease, and with malignant disease and administration of dexamethasone. Serum CRP levels, N/L ratio, monocyte human leukocyte antigen-DR (HLA-DR) expression, proportion of Treg cells, and cDNA levels were measured at different time points before and after surgery. All patients had increased CRP levels after surgery. Septic patients had higher serum CRP levels at baseline. Compared with the other groups, the dexamethasone group had significantly higher CRP levels before and after surgery, a significantly higher N/L ratio before surgery, a significantly lower rise in the N/L ratio after surgery, and a significantly lower HLA-DR expression at baseline, which remained stable after surgery. In the malignant-disease group, we observed a significant postoperative decrease in the HLA-DR expression. Our results suggest that the immunosuppressive effect of surgery and the presence of a malignant disease may contribute to a higher risk of postoperative sepsis. Preoperative CRP levels may be a reliable predictor of sepsis in oncological patients.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti, Kliničke medicinske znanosti



POVEZANOST RADA


Projekti:
219-0000000-3362 - Genski polimorfizam i funkcija bubrežnog presatka (Barbić, Jerko, MZOS ) ( POIROT)

Ustanove:
Klinički bolnički centar Osijek,
Medicinski fakultet, Osijek

Poveznice na cjeloviti tekst rada:

doi link.springer.com

Citiraj ovu publikaciju:

Alkhamis, Tamara; Ivić, Dubravka; Wagner, Jasenka; Ivić, Josip; Dobrošević, Blaženka; Turina, Ivana; Kralik, Kristina; Barbić, Jerko
Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease // Wiener klinische Wochenschrift, 126 (2014), 23; 774-784 doi:10.1007/s00508-014-0613-6 (međunarodna recenzija, članak, znanstveni)
Alkhamis, T., Ivić, D., Wagner, J., Ivić, J., Dobrošević, B., Turina, I., Kralik, K. & Barbić, J. (2014) Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease. Wiener klinische Wochenschrift, 126 (23), 774-784 doi:10.1007/s00508-014-0613-6.
@article{article, author = {Alkhamis, Tamara and Ivi\'{c}, Dubravka and Wagner, Jasenka and Ivi\'{c}, Josip and Dobro\v{s}evi\'{c}, Bla\v{z}enka and Turina, Ivana and Kralik, Kristina and Barbi\'{c}, Jerko}, year = {2014}, pages = {774-784}, DOI = {10.1007/s00508-014-0613-6}, keywords = {C-reactive protein, Neutrophils, Lymphocytes, Immunity, Postoperative period}, journal = {Wiener klinische Wochenschrift}, doi = {10.1007/s00508-014-0613-6}, volume = {126}, number = {23}, issn = {0043-5325}, title = {Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease}, keyword = {C-reactive protein, Neutrophils, Lymphocytes, Immunity, Postoperative period} }
@article{article, author = {Alkhamis, Tamara and Ivi\'{c}, Dubravka and Wagner, Jasenka and Ivi\'{c}, Josip and Dobro\v{s}evi\'{c}, Bla\v{z}enka and Turina, Ivana and Kralik, Kristina and Barbi\'{c}, Jerko}, year = {2014}, pages = {774-784}, DOI = {10.1007/s00508-014-0613-6}, keywords = {C-reactive protein, Neutrophils, Lymphocytes, Immunity, Postoperative period}, journal = {Wiener klinische Wochenschrift}, doi = {10.1007/s00508-014-0613-6}, volume = {126}, number = {23}, issn = {0043-5325}, title = {Postoperative immunosuppression markers and the occurrence of sepsis in patients with benign and malignant disease}, keyword = {C-reactive protein, Neutrophils, Lymphocytes, Immunity, Postoperative period} }

Časopis indeksira:


  • Current Contents Connect (CCC)
  • Web of Science Core Collection (WoSCC)
    • Science Citation Index Expanded (SCI-EXP)
    • SCI-EXP, SSCI i/ili A&HCI
  • Scopus
  • MEDLINE


Uključenost u ostale bibliografske baze podataka::


  • MEDLINE
  • Scopus


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