Articles producció científica> Medicina i Cirurgia

HDL-c levels predict the presence of pleural effusion and the clinical outcome of community-acquired pneumonia

  • Identification data

    Identifier: imarina:6388822
    Authors:
    Saballs, MParra, SSahun, PPellejà, JFeliu, MVasco, CGumà, JBorràs, JLMasana, LCastro, A
    Abstract:
    © 2016, The Author(s). Objectives: To investigate if HDL cholesterol (HDL-c) could be a biomarker of the degree of severity according to prognostic prediction scores in community-acquired pneumonia (CAP) or the development of clinical complications such as pleural effusion. Methods: We included in a retrospective study 107 patients admitted to the hospital that fulfilled diagnostic criteria for CAP between the 30th October 2011 and 1st September 2012. HDL-c levels at admission, CAP prognosis scores (PSI and CURB65) and clinical outcomes were recorded for the study. Results: Basal HDL-c levels were not statistically different according to prognostics scores neither PSI nor CURB-65. Significantly lower levels of HDL-c were also associated to the development of septic shock and admission to the intensive care unit. HDL-c were inversely correlated with acute phase reactants CRP (r = −0.585, P < 0.001), ESR (r = −0.477, P < 0.001), and leukocytes cell count (r = −0.254, P < 0.009). Patients with pleural effusion showed significant lower levels of HDL-c [28.9 (15.5) mg/dl vs. 44.6 (21.1) mg/dl]; P = 0.007. HDL-c is a good predictor of the presence of pleural effusion in multivariate analyses and using ROC analyses [AUC = 0.712 (0.591–0.834), P = 0.006]. HDL-c levels of 10 mg/dl showed a sensitivity of 97.6 % and a specificity of 82.4 % for the presence of pleural effusion. Conclusion: Monitoring HDL-c in CAP is an useful serum marker of acute phase response, clinical outcome and the presence of pleural effusion.
  • Others:

    Author, as appears in the article.: Saballs, M; Parra, S; Sahun, P; Pellejà, J; Feliu, M; Vasco, C; Gumà, J; Borràs, JL; Masana, L; Castro, A
    Department: Medicina i Cirurgia
    URV's Author/s: BORRAS BALADA, JOAN LLUÍS / Castro Salomó, Antoni / Feliu Masgoret, Mireia / Gumà Padró, José / Masana Marín, Luis / Parra Pérez, Sandra / Pelleja Carnasa, Joan / Vasco Lopez, Carlos Arturo
    Keywords: Statins Simvastatin Severity Severe sepsis Rule Pleural effusion Mechanisms Inhibitors Inflammatory responses Hdl Disease Community-acquired pneumonia Cholesterol
    Abstract: © 2016, The Author(s). Objectives: To investigate if HDL cholesterol (HDL-c) could be a biomarker of the degree of severity according to prognostic prediction scores in community-acquired pneumonia (CAP) or the development of clinical complications such as pleural effusion. Methods: We included in a retrospective study 107 patients admitted to the hospital that fulfilled diagnostic criteria for CAP between the 30th October 2011 and 1st September 2012. HDL-c levels at admission, CAP prognosis scores (PSI and CURB65) and clinical outcomes were recorded for the study. Results: Basal HDL-c levels were not statistically different according to prognostics scores neither PSI nor CURB-65. Significantly lower levels of HDL-c were also associated to the development of septic shock and admission to the intensive care unit. HDL-c were inversely correlated with acute phase reactants CRP (r = −0.585, P < 0.001), ESR (r = −0.477, P < 0.001), and leukocytes cell count (r = −0.254, P < 0.009). Patients with pleural effusion showed significant lower levels of HDL-c [28.9 (15.5) mg/dl vs. 44.6 (21.1) mg/dl]; P = 0.007. HDL-c is a good predictor of the presence of pleural effusion in multivariate analyses and using ROC analyses [AUC = 0.712 (0.591–0.834), P = 0.006]. HDL-c levels of 10 mg/dl showed a sensitivity of 97.6 % and a specificity of 82.4 % for the presence of pleural effusion. Conclusion: Monitoring HDL-c in CAP is an useful serum marker of acute phase response, clinical outcome and the presence of pleural effusion.
    Thematic Areas: Zootecnia / recursos pesqueiros Saúde coletiva Química Psicología Odontología Multidisciplinary sciences Multidisciplinary Medicina veterinaria Medicina iii Medicina ii Medicina i Materiais Matemática / probabilidade e estatística Interdisciplinar Geociências Farmacia Engenharias iv Engenharias iii Engenharias ii Engenharias i Educação física Educação Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Ciências ambientais Ciências agrárias i Ciência de alimentos Ciência da computação Biotecnología Biodiversidade Astronomia / física
    licence for use: https://creativecommons.org/licenses/by/3.0/es/
    ISSN: 21931801
    Author's mail: carlosarturo.vasco@urv.cat joan.pelleja@urv.cat mireia.feliu@urv.cat luis.masana@urv.cat antoni.castro@urv.cat jose.guma@urv.cat sandra.parra@urv.cat
    Author identifier: 0000-0002-0789-4954 0000-0001-5441-6333 0000-0001-7541-9832 0000-0001-9363-6574
    Record's date: 2024-01-27
    Papper version: info:eu-repo/semantics/publishedVersion
    Link to the original source: https://springerplus.springeropen.com/articles/10.1186/s40064-016-3145-x
    Papper original source: Springerplus. 5 (1): 1491-
    APA: Saballs, M; Parra, S; Sahun, P; Pellejà, J; Feliu, M; Vasco, C; Gumà, J; Borràs, JL; Masana, L; Castro, A (2016). HDL-c levels predict the presence of pleural effusion and the clinical outcome of community-acquired pneumonia. Springerplus, 5(1), 1491-. DOI: 10.1186/s40064-016-3145-x
    Licence document URL: https://repositori.urv.cat/ca/proteccio-de-dades/
    Article's DOI: 10.1186/s40064-016-3145-x
    Entity: Universitat Rovira i Virgili
    Journal publication year: 2016
    Publication Type: Journal Publications
  • Keywords:

    Multidisciplinary,Multidisciplinary Sciences
    Statins
    Simvastatin
    Severity
    Severe sepsis
    Rule
    Pleural effusion
    Mechanisms
    Inhibitors
    Inflammatory responses
    Hdl
    Disease
    Community-acquired pneumonia
    Cholesterol
    Zootecnia / recursos pesqueiros
    Saúde coletiva
    Química
    Psicología
    Odontología
    Multidisciplinary sciences
    Multidisciplinary
    Medicina veterinaria
    Medicina iii
    Medicina ii
    Medicina i
    Materiais
    Matemática / probabilidade e estatística
    Interdisciplinar
    Geociências
    Farmacia
    Engenharias iv
    Engenharias iii
    Engenharias ii
    Engenharias i
    Educação física
    Educação
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Ciências ambientais
    Ciências agrárias i
    Ciência de alimentos
    Ciência da computação
    Biotecnología
    Biodiversidade
    Astronomia / física
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