Prognostic Role of Soluble Urokinase Plasminogen Activator Receptor at the Emergency Department: A Position Paper by the Hellenic Sepsis Study Group.

Emergency department Mortality Triage suPAR

Journal

Infectious diseases and therapy
ISSN: 2193-8229
Titre abrégé: Infect Dis Ther
Pays: New Zealand
ID NLM: 101634499

Informations de publication

Date de publication:
Sep 2020
Historique:
received: 05 03 2020
pubmed: 14 5 2020
medline: 14 5 2020
entrez: 14 5 2020
Statut: ppublish

Résumé

In light of the accumulating evidence on the negative predictive value of soluble urokinase plasminogen activator receptor (suPAR), a group of experts from the fields of intensive care medicine, emergency medicine, internal medicine and infectious diseases frame a position statement on the role of suPAR in the screening of patients admitted to the emergency department. The statement is framed taking into consideration existing publications and our own research experience. The main content of this statement is that sUPAR is a non-specific marker associated with a high negative predictive value for unfavourable outcomes; levels < 4 ng/ml indicate that it is safe to discharge the patient, whereas levels > 6 ng/ml are an alarming sign of risk for unfavourable outcomes. However, the suPAR levels should always be interpreted in light of the patient's history.

Identifiants

pubmed: 32399855
doi: 10.1007/s40121-020-00301-w
pii: 10.1007/s40121-020-00301-w
pmc: PMC7217599
doi:

Types de publication

Letter

Langues

eng

Pagination

407-416

Références

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Auteurs

Dimitrios Velissaris (D)

Department of Internal Medicine and Department of Emergency Medicine, University of Patras, Patras, Greece.

George Dimopoulos (G)

Second Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

John Parissis (J)

Department of Emergency Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Zoi Alexiou (Z)

Second Department of Internal Medicine, Thriasio Elefsis General Hospital, Elefsina, Greece.

Nikolaos Antonakos (N)

Fourth Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Dimitrios Babalis (D)

Department of Emergency Medicine, Larissa General Hospital Koutlibaneion-Triantafyllion, Larissa, Greece.

Styliani Gerakari (S)

Department of Emergency Medicine, Tzaneion Piraeus General Hospital, Piraeus, Greece.

Vassileios Kaldis (V)

Department of Emergency Medicine, Sismanogleion Athens General Hospital, Athens, Greece.

Pantelis Koutoukas (P)

Department of Emergency Medicine, Sparti General Hospital, Sparti, Greece.

Malvina Lada (M)

Second Department of Internal Medicine, Sismanogleion General Hospital, Athens, Greece.

Konstantinos Leventogiannis (K)

Fourth Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Ioannis Pantazopoulos (I)

Department of Emergency Medicine, University General Hospital of Larissa, School of Medicine, University of Thessaly, Larisa, Greece.

Antonios Papadopoulos (A)

Fourth Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Eftihia Polyzogopoulou (E)

Department of Emergency Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Charalambos Gogos (C)

Department of Internal Medicine and Department of Emergency Medicine, University of Patras, Patras, Greece.

Apostolos Armaganidis (A)

Second Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.

Evangelos J Giamarellos-Bourboulis (EJ)

Fourth Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece. egiamarel@med.uoa.gr.

Classifications MeSH