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Jin BY, Lee S, Kim W, Park JH, Cho H, Moon S, Ahn S. Ischemia-Modified Albumin, Lactate, and Combination for Predicting Mortality in Patients with Septic Shock in the Emergency Department. Biomedicines 2024; 12:1421. [PMID: 39061994 DOI: 10.3390/biomedicines12071421] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2024] [Revised: 06/22/2024] [Accepted: 06/24/2024] [Indexed: 07/28/2024] Open
Abstract
Ischemia-modified albumin (IMA) is produced during ischemia and reactive oxygen species production. This study aimed to evaluate the association between IMA and mortality in a larger population and the prognostic value of the combination of IMA and lactate for predicting mortality in septic shock patients in the emergency department. This retrospective observational study included adult septic shock patients between October 2019 and December 2021. A multivariable Cox proportional hazards model was performed. IMA was significantly higher in the non-surviving group than in the surviving group (89.1 ± 7.2 vs. 83.8 ± 6.2 U/mL, p < 0.001). IMA was independently associated with 28-day mortality after adjustments (adjusted hazard ratio [aHR]: 1.075, 95% confidence interval [CI]: 1.016-1.138, p = 0.012). The area under the ROC curve (AUROC) of IMA was 0.712 (95% CI: 0.648-0.775, p < 0.001) and was comparable to that of lactate. The AUROC of the combination of IMA and lactate was 0.838 (95% CI: 0.786-0.889, p < 0.001). The group with both high lactate and high IMA levels showed an extremely high risk of mortality than other groups (86.1%; aHR 8.956, 95% CI 4.071-19.70, p < 0.001). The elevation of IMA was associated with mortality in septic shock patients. The combination of IMA and lactate can be a helpful tool for early risk stratification of septic shock patients.
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Affiliation(s)
- Bo-Yeong Jin
- Department of Biomedical Sciences, Seoul National University College of Medicine, Seoul 03080, Republic of Korea
| | - Sukyo Lee
- Department of Emergency Medicine, Korea University Ansan Hospital, Ansan-si 15355, Republic of Korea
| | - Woosik Kim
- Department of Emergency Medicine, Korea University Ansan Hospital, Ansan-si 15355, Republic of Korea
| | - Jong-Hak Park
- Department of Emergency Medicine, Korea University Ansan Hospital, Ansan-si 15355, Republic of Korea
| | - Hanjin Cho
- Department of Emergency Medicine, Korea University Ansan Hospital, Ansan-si 15355, Republic of Korea
| | - Sungwoo Moon
- Department of Emergency Medicine, Korea University Ansan Hospital, Ansan-si 15355, Republic of Korea
| | - Sejoong Ahn
- Department of Emergency Medicine, Korea University Ansan Hospital, Ansan-si 15355, Republic of Korea
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Yazar V, Binici O, Karahan MA, Bilsel MB, Pehlivan VF. The Effect of Targeted Temperature Therapy on Antioxidant Levels in Patients With Spontaneous Circulation After Cardiac Arrest. Cureus 2024; 16:e61578. [PMID: 38962598 PMCID: PMC11221389 DOI: 10.7759/cureus.61578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/03/2024] [Indexed: 07/05/2024] Open
Abstract
Introduction In this study, we aimed to measure the change in total antioxidant status (TAS), total oxidant stress (TOS), oxidative stress index (OSI), and nuclear factor erythroid 2 (Nrf-2) levels during the treatment period in patients who restored spontaneous circulation return after cardiac arrest with targeted temperature management (TTM) therapy in our hospital. Methods The study included 36 patients who were hospitalized in the anesthesia intensive care unit and coronary intensive care unit of our hospital and were treated with TTM therapy after cardiac arrest. TAS, TOS, OSI, and Nrf-2 levels were measured at 0 (beginning), 12, 24, and 48 (end) hours of TTM therapy. Results The mean age of the patients participating in the study was 54.25±17.10. TAS and TOS levels decreased gradually during TTM therapy, but statistically significant decrease was observed at the end of the hour. When Nrf-2 and OSI levels were evaluated, it was found that no statistically significant difference was observed during the TTM therapy. Conclusion In our study, the oxidant-antioxidant balance was preserved in patients who received TTM therapy after cardiac arrest. We predict TTM therapy is effective on oxidative stress after cardiac arrest and should be applied for at least 48 hours.
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Affiliation(s)
- Veysi Yazar
- Anesthesiology and Reanimation, Mehmet Akif Inan Training and Research Hospital, Şanlıurfa, TUR
| | - Orhan Binici
- Anesthesiology and Critical Care, Harran University, Şanlıurfa, TUR
| | - Mahmut A Karahan
- Anesthesiology and Reanimation, Mehmet Akif Inan Training and Research Hospital, Şanlıurfa, TUR
| | - Mehmet B Bilsel
- Anesthesiology and Reanimation, Mehmet Akif Inan Training and Research Hospital, Şanlıurfa, TUR
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Machado I, Sousa N, Paredes H, Ferreira J, Abrantes C. Combined Aerobic and Resistance Exercise in Walking Performance of Patients With Intermittent Claudication: Systematic Review. Front Physiol 2020; 10:1538. [PMID: 31969830 PMCID: PMC6960137 DOI: 10.3389/fphys.2019.01538] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2019] [Accepted: 12/05/2019] [Indexed: 01/19/2023] Open
Abstract
Background: The short-term benefits of aerobic and resistance exercise in subjects affected by Peripheral Arterial Disease (PAD) are scarcely examined in interaction. This study aimed to identify the effects of combined aerobic and resistance exercise programs on walking performance compared with isolated aerobic exercise or with the usual care in patients with intermittent claudication. Methods: A systematic review was conducted following the PRISMA statement. A total of five electronic databases were searched (until October 2019) for randomized and non-randomized controlled trials. The focus comprised PAD patients with intermittent claudication who performed a combined aerobic and resistance exercise program that assessed the walking performance. Results: Seven studies include combined aerobic and resistance exercise vs. isolated aerobic or vs. usual care. The studies represented a sample size of 337 participants. The follow-up ranged from 4 to 12 weeks, 2 to 5 times-per-week. The risk of bias in the trials was a deemed moderate-to-high risk. After the interventions, the percent change in walking performance outcomes had a large variation. In the combined and isolated aerobic programs, the walking performance always improved, while in the usual care group oscillates between the deterioration and the improvement in all outcomes. Combined exercise and isolated aerobic exercise improved the claudication onset distance from 11 to 396%, and 30 to 422%, the absolute claudication distance from 81 to 197%, and 53 to 121%, and the maximal walking distance around 23 and 10%, respectively. Conclusions: Currently, there is insufficient evidence about the effects of combined aerobic and resistance exercise compared to isolated aerobic exercise or usual care on walking performance. However, despite the low quality of evidence, the combined aerobic and resistance exercise seems to be an effective strategy to improve walking performance in patients with intermittent claudication. These combined exercise modes or isolated aerobic exercise produce positive and significant results on walking performance. The usual care approach has a trend to deteriorate the walking performance. Thus, given the scarcity of data, new randomized controlled trial studies that include assessments of cardiovascular risk factors are urgently required to better determine the effect of this exercise combination.
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Affiliation(s)
- Isabel Machado
- Department of Sports Science, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal.,Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal
| | - Nelson Sousa
- Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal.,Public Health Unit of Santo Tirso, ACES Grande Porto I-Santo Tirso/Trofa, Santo Tirso, Portugal
| | - Hugo Paredes
- Department of Engineering, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal.,Institute for Systems and Computer Engineering, Technology and Science (INESC TEC), Porto, Portugal
| | - Joana Ferreira
- Hospital of Senhora da Oliveira/EPE, Angiology and Vascular Surgery, Guimarães, Portugal.,Life and Health Sciences Research Institute (ICVS), School of Health Sciences, University of Minho, Braga, Portugal
| | - Catarina Abrantes
- Department of Sports Science, Exercise and Health, University of Trás-os-Montes e Alto Douro, Vila Real, Portugal.,Research Center in Sports Sciences, Health Sciences and Human Development (CIDESD), Vila Real, Portugal
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Du XF, Zhang LL, Zhang DZ, Yang L, Fan YY, Dong SP. Clinical significance of serum total oxidant/antioxidant status in patients with operable and advanced gastric cancer. Onco Targets Ther 2018; 11:6767-6775. [PMID: 30349309 PMCID: PMC6187998 DOI: 10.2147/ott.s153946] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023] Open
Abstract
Purpose Oxidative stress was significantly associated with the development of malignancies. The purpose of this study was to evaluate the significance of serum total oxidant/antioxidant status in operable advanced gastric cancer patients. Materials and methods A total of 284 patients who underwent curative resection for primary stage III gastric cancer were enrolled. Total oxidant status, total antioxidant status, and oxidative stress index (OSI) were evaluated within 24 hours before surgery, and compared with 120 healthy donors. The correlation between the OSI and survival outcome was analyzed by the Kaplan–Meier method with log-rank test and Cox’s regression methods, respectively. Results Mean OSI of gastric cancer patients was higher than healthy controls (1.41±0.96 vs 0.78±0.42, P<0.001). All patients were stratified into two groups using the optimal cutoff value (1.42) of OSI using a sensitivity of 94.1% and a specificity of 64.0% as optimal conditions from receiver operating curve analysis. Patients with an OSI ≥1.42 had poorer mean overall survival (45.6 vs 29.8 months, P=0.022) and mean recurrence-free survival (43.3 vs 28.1 months, P=0.011) than patients with an OSI <1.42 in univariate analysis, and OSI was also confirmed as an independent predictor for survival for gastric cancer in multivariate analysis (hazard ratio, 0.541; 95% CI: 0.127–1.102; P=0.01). Conclusion Preoperative OSI can be considered as an independent prognostic factor for operable and advanced gastric cancer.
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Affiliation(s)
- Xue-Fang Du
- Department of Gastroenterology, First Affiliated Hospital of Xin-Xiang Medical University, Henan, People's Republic of China,
| | - Li-Li Zhang
- Department of Gastroenterology, First Affiliated Hospital of Xin-Xiang Medical University, Henan, People's Republic of China,
| | - De-Zhong Zhang
- Gastrointestinal Surgery, The First Affiliated Hospital of Xin-Xiang Medical University, Henan, People's Republic of China
| | - Lu Yang
- Department of Gastroenterology, First Affiliated Hospital of Xin-Xiang Medical University, Henan, People's Republic of China,
| | - Ying-Ying Fan
- Department of Gastroenterology, First Affiliated Hospital of Xin-Xiang Medical University, Henan, People's Republic of China,
| | - Shu-Ping Dong
- Department of Gastroenterology, First Affiliated Hospital of Xin-Xiang Medical University, Henan, People's Republic of China,
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Gardner A, Menon D. Moving to human trials for argon neuroprotection in neurological injury: a narrative review. Br J Anaesth 2018; 120:453-468. [DOI: 10.1016/j.bja.2017.10.017] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/08/2017] [Revised: 09/11/2017] [Accepted: 10/02/2017] [Indexed: 12/12/2022] Open
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Cournot M, Burillo E, Saulnier PJ, Planesse C, Gand E, Rehman M, Ragot S, Rondeau P, Catan A, Gonthier MP, Feigerlova E, Meilhac O, Hadjadj S. Circulating Concentrations of Redox Biomarkers Do Not Improve the Prediction of Adverse Cardiovascular Events in Patients With Type 2 Diabetes Mellitus. J Am Heart Assoc 2018; 7:JAHA.117.007397. [PMID: 29478972 PMCID: PMC5866317 DOI: 10.1161/jaha.117.007397] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022]
Abstract
Background Despite pathophysiological relevance and promising experimental data, the usefulness of biomarkers of oxidative stress for cardiac risk prediction is unclear. The aim of our study was to investigate the prognostic value of 6 biomarkers exploring different pathways of oxidative stress for predicting adverse cardiovascular outcomes in patients with type 2 diabetes mellitus beyond established risk factors. Methods and Results The SURDIAGENE (Survie, Diabete de type 2 et Genetique) prospective cohort study consecutively recruited 1468 patients with type 2 diabetes mellitus. Assays were performed at baseline, and incident cases of major adverse cardiovascular events (MACE)—first occurrence of cardiovascular death, nonfatal myocardial infarction, or stroke—were recorded during a median of 64 months. Advanced oxidation protein products, oxidative hemolysis inhibition assay, ischemia‐modified albumin, and total reductive capacity of plasma were not associated with the risk of MACE in univariate analyses. Fluorescent advanced glycation end products and carbonyls were associated with MACE (hazard ratio=1.38 per SD, 95% confidence interval 1.24‐1.54, P<0.001 and hazard ratio=1.15 per SD, 95% confidence interval 1.04‐1.27, P=0.006, respectively) in univariate analysis, but when added to a multivariate predictive model including traditional risk factors for MACE, these markers did not significantly improve c‐statistics or integrated discrimination index of the model. Conclusions These plasma concentrations of 6 markers, which cover a broad spectrum of oxidative processes, were not significantly associated with MACE occurrence and were not able to improve MACE risk discrimination and classification beyond classical risk factors in type 2 diabetes mellitus patients.
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Affiliation(s)
- Maxime Cournot
- INSERM UMR 1188 DéTROI (Diabète Athérothrombose Thérapies Réunion Océan Indien) Université de La Réunion, Saint Denis de La Réunion, France .,Centre d'Investigation Clinique, CHU de La Réunion, Saint Denis de La Réunion, France.,Service de Cardiologie, Centre Hospitalier Gabriel Martin, Saint-Paul, France
| | - Elena Burillo
- INSERM UMR 1188 DéTROI (Diabète Athérothrombose Thérapies Réunion Océan Indien) Université de La Réunion, Saint Denis de La Réunion, France
| | - Pierre-Jean Saulnier
- Centre d'Investigation Clinique, CHU de Poitiers, France.,INSERM, CIC 1402, Poitiers, France.,UFR Médecine Pharmacie, Université de Poitiers, France
| | - Cynthia Planesse
- INSERM UMR 1188 DéTROI (Diabète Athérothrombose Thérapies Réunion Océan Indien) Université de La Réunion, Saint Denis de La Réunion, France
| | | | | | - Stéphanie Ragot
- Centre d'Investigation Clinique, CHU de Poitiers, France.,Pole Dune, CHU de Poitiers, France.,INSERM, CIC 1402, Poitiers, France
| | - Philippe Rondeau
- INSERM UMR 1188 DéTROI (Diabète Athérothrombose Thérapies Réunion Océan Indien) Université de La Réunion, Saint Denis de La Réunion, France
| | - Aurélie Catan
- INSERM UMR 1188 DéTROI (Diabète Athérothrombose Thérapies Réunion Océan Indien) Université de La Réunion, Saint Denis de La Réunion, France
| | - Marie-Paule Gonthier
- INSERM UMR 1188 DéTROI (Diabète Athérothrombose Thérapies Réunion Océan Indien) Université de La Réunion, Saint Denis de La Réunion, France
| | - Eva Feigerlova
- Centre d'Investigation Clinique, CHU de Poitiers, France.,Endocrinologie-Diabétologie, CHU de Poitiers, France.,INSERM, CIC 1402, Poitiers, France.,UFR Médecine Pharmacie, Université de Poitiers, France.,INSERM U1082, Poitiers, France
| | - Olivier Meilhac
- INSERM UMR 1188 DéTROI (Diabète Athérothrombose Thérapies Réunion Océan Indien) Université de La Réunion, Saint Denis de La Réunion, France.,Centre d'Investigation Clinique, CHU de La Réunion, Saint Denis de La Réunion, France
| | - Samy Hadjadj
- Centre d'Investigation Clinique, CHU de Poitiers, France.,Endocrinologie-Diabétologie, CHU de Poitiers, France.,INSERM, CIC 1402, Poitiers, France.,UFR Médecine Pharmacie, Université de Poitiers, France.,INSERM U1082, Poitiers, France
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Lima AHRA, Correia MA, Soares AHG, Farah BQ, Forjaz CLM, Silva AS, Brasileiro-Santos MS, Santos AC, Ritti-Dias RM. Acute effects of walking and combined exercise on oxidative stress and vascular function in peripheral artery disease. Clin Physiol Funct Imaging 2016; 38:69-75. [DOI: 10.1111/cpf.12384] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2016] [Accepted: 07/04/2016] [Indexed: 12/14/2022]
Affiliation(s)
- Aluísio H. R. A. Lima
- Exercise Hemodynamic Laboratory; School of Physical Education and Sport; University of São Paulo; São Paulo Brazil
| | - Marilia A. Correia
- Graduate Program in Physical Education; University of Pernambuco and University Federal of Paraiba; Paraiba Brazil
| | - Antônio H. G. Soares
- Graduate Program in Physical Education; University of Pernambuco and University Federal of Paraiba; Paraiba Brazil
| | - Breno Q. Farah
- Graduate Program in Physical Education; University of Pernambuco and University Federal of Paraiba; Paraiba Brazil
| | - Cláudia L. M. Forjaz
- Exercise Hemodynamic Laboratory; School of Physical Education and Sport; University of São Paulo; São Paulo Brazil
| | - Alexandre S. Silva
- Israel Institute of Education and Research Albert Einstein; Hospital Israelita Albert Einstein; São Paulo Brazil
| | - Maria S. Brasileiro-Santos
- Graduate Program in Physical Education; University of Pernambuco and University Federal of Paraiba; Paraiba Brazil
| | - Amilton C. Santos
- Graduate Program in Physical Education; University of Pernambuco and University Federal of Paraiba; Paraiba Brazil
| | - Raphael M. Ritti-Dias
- Israel Institute of Education and Research Albert Einstein; Hospital Israelita Albert Einstein; São Paulo Brazil
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