Post-sepsis syndrome - an evolving entity that afflicts survivors of sepsis.


Journal

Molecular medicine (Cambridge, Mass.)
ISSN: 1528-3658
Titre abrégé: Mol Med
Pays: England
ID NLM: 9501023

Informations de publication

Date de publication:
31 12 2019
Historique:
received: 01 08 2019
accepted: 20 12 2019
entrez: 2 1 2020
pubmed: 2 1 2020
medline: 19 6 2020
Statut: epublish

Résumé

The sequelae of sepsis were once thought to be independent of sepsis itself and assumed to be either comorbid to sick patients or complications of critical illness. Recent studies have reported consistent patterns of functional disabilities in sepsis survivors that can last from months to years after symptoms of active sepsis had resolved. BODY: Post-sepsis syndrome is an emerging pathological entity that has garnered significant interest amongst clinicians and researchers over the last two decades. It is marked by a significantly increased risk of death and a poor health-related quality of life associated with a constellation of long-term effects that persist following the patient's bout with sepsis. These include neurocognitive impairment, functional disability, psychological deficits, and worsening medical conditions. This "post-sepsis syndrome" has been the subject of active preclinical and clinical research providing new mechanistic insights and approaches linked to survivor well-being. Here we review important aspects of these research efforts and goals of care for patients who survive sepsis.

Sections du résumé

BACKGROUND
The sequelae of sepsis were once thought to be independent of sepsis itself and assumed to be either comorbid to sick patients or complications of critical illness. Recent studies have reported consistent patterns of functional disabilities in sepsis survivors that can last from months to years after symptoms of active sepsis had resolved. BODY: Post-sepsis syndrome is an emerging pathological entity that has garnered significant interest amongst clinicians and researchers over the last two decades. It is marked by a significantly increased risk of death and a poor health-related quality of life associated with a constellation of long-term effects that persist following the patient's bout with sepsis. These include neurocognitive impairment, functional disability, psychological deficits, and worsening medical conditions.
CONCLUSION
This "post-sepsis syndrome" has been the subject of active preclinical and clinical research providing new mechanistic insights and approaches linked to survivor well-being. Here we review important aspects of these research efforts and goals of care for patients who survive sepsis.

Identifiants

pubmed: 31892321
doi: 10.1186/s10020-019-0132-z
pii: 10.1186/s10020-019-0132-z
pmc: PMC6938630
doi:

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

6

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Auteurs

Zachary Mostel (Z)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA. zacharym@mail.tau.ac.il.
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel. zacharym@mail.tau.ac.il.

Abraham Perl (A)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Matthew Marck (M)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.

Syed F Mehdi (SF)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.

Barbara Lowell (B)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.

Sagar Bathija (S)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.

Ramchandani Santosh (R)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.

Valentin A Pavlov (VA)

Center for Bioelectronic Medicine and Biomedical Science, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.

Sangeeta S Chavan (SS)

Center for Bioelectronic Medicine and Biomedical Science, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.

Jesse Roth (J)

Laboratory of Diabetes and Diabetes-Related Research, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
Center for Bioelectronic Medicine and Biomedical Science, Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, USA.
Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Manhasset, NY, USA.

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