Perioperative presepsin as a potential early predictor for postoperative infectious complications in cardiac surgery

Hiroto Suzuki; Hiroto Narimatsu; Masaki Nakane; Mitsuaki Sadahiro; Kaneyuki Kawamae

doi:10.5114/ait.2021.108159

eISSN: 1731-2531
ISSN: 1642-5758

Anaesthesiology Intensive Therapy

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Publication charge Ethical standards and procedures

Editorial System

Submit your Manuscript

Open access

Journal integrated with

3/2021
vol. 53

Send email

Copy url:

abstract:

Original paper

Perioperative presepsin as a potential early predictor for postoperative infectious complications in cardiac surgery

Hiroto Suzuki

¹

,

Hiroto Narimatsu

²

,

Masaki Nakane

³

,

Mitsuaki Sadahiro

⁴

,

Kaneyuki Kawamae

¹

Department of Anaesthesiology, Yamagata University Faculty of Medicine, Yamagata, Japan
Cancer Prevention and Cancer Control Division, Kanagawa Cancer Center Research Institute, Yokohama, Japan
Department of Emergency and Critical Care Medicine, Yamagata University Faculty of Medicine, Yamagata, Japan
Department of Cardiovascular, Thoracic and Pediatric Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan

Anaesthesiol Intensive Ther 2021; 53, 3: 215–222

DOI: https://doi.org/10.5114/ait.2021.108159

Online publish date: 2021/08/03

View full text Get citation

PlumX metrics:

Introduction
Postoperative infection remains a serious complication of cardiac surgery; however, no existing biomarkers can detect infection in the early perioperative period. We investigated the usefulness of presepsin, a novel biomarker, in predicting postoperative infectious complications in cardiac surgery with cardiopulmonary bypass.

Material and methods
For patients aged > 18 years who underwent elective cardiac surgery with cardiopulmonary bypass between 2015 and 2017, data of clinical features, perioperative presepsin levels, and infectious complications were collected. We compared the perioperative presepsin levels between the infected and non-infected groups, performed a risk factor analysis for postoperative infection, and calculated the cut-off value of presepsin with postoperative infection.

Results
Among the 73 included patients, 20 developed postoperative infectious complications. The presepsin levels pre-operatively and on post-operative day (POD) zero were significantly higher in the infected than in the non-infected group (145.2 vs. 93.2, 514.0 vs. 328.1 [pg mL-1], p < 0.05, respectively). The odds ratio (OR) for postoperative infection included pre-operative presepsin (OR; 1.22 [confidence interval; 1.07–1.40]/10 pg mL-1) and presepsin on POD zero (OR; 1.31 [confidence interval; 1.05–1.64] /100 pg mL-1). The cut-off predictive values for postoperative infectious complications of pre-operative presepsin and on POD zero were 132 and 347 [pg mL-1], respectively.

Conclusions
Perioperative presepsin levels could be an early predictor for postoperative infectious complications in cardiac surgery.

keywords:

Perioperative presepsin as a potential early predictor for postoperative infectious complications in cardiac surgery

Hiroto Suzuki 1 , Hiroto Narimatsu 2 , Masaki Nakane 3 , Mitsuaki Sadahiro 4 , Kaneyuki Kawamae 1

cardiac surgery, presepsin, postoperative infection, soluble CD14 subtype, predictable marker

Hiroto Suzuki

¹

,

Hiroto Narimatsu

²

,

Masaki Nakane

³

,

Mitsuaki Sadahiro

⁴

,

Kaneyuki Kawamae

¹