Yénifer Gamarra-Morales, Jorge Molina-López, Lourdes Herrera-Quintana, Héctor Vázquez-Lorente, Elena Planells
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Introduction and objective: a study was made of the folic acid (Fol) and vitamin B12 (B12) serum concentrations in critical patients with septic shock upon admission and after three days of stay in the Intensive Care Unit (ICU), with an analysis of their association to inflammatory parameters and patient morbidity-mortality. Methods: a prospective analytical study was made of 30 critically ill patients with septic shock. Demographic data, comorbidities, clinical information and severity scores were recorded. Data collected included serum Fol and B12 levels using the DxI® Autoanalyzer (Beckman Coulter) based on a competitive electrochemoluminescence immunoassay. Results: mean serum Fol was within the reference range stipulated by the laboratory on the first day. Nevertheless, a total of 21.4 % of the patients had high Fol levels, with 14.2 % being Fol deficient. An association was observed between Fol (p ˂ 0.012) status and 28-day mortality, and the number of days of mechanical ventilation, fraction of inspired oxygen (FiO2) and fibrinogen increased in patients with higher Fol levels (p ˂ 0.05). In addition, 85.7 % of cases had B12 levels above the reference values, with a correlation being observed between B12 and Fol. Conclusions: this study proposes Fol as a novel morbidity-mortality biomarker in critical septic patients, and reinforces the usefulness of B12 as a morbidity biomarker. It is thus suggested that the measurement of Fol upon admission and over the first 72 hours of hospital stay could provide prognostic information about the clinical course and outcome of septic shock patients.
Palabras Clave: Septic shock. Folic acid. Vitamin B12. Morbidity. Mortality.
Gisela Cruz , Karina Maeshiro
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Gonçalo Nunes , Mariana Brito , Marta Patita , Carla Adriana Santos , Jorge Fonseca
Alejandro Martínez , Gaspar Ros , Gema Nieto
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Bruna Morais Faleiros de Paula , Paula Lumy Takeuchi , Helio Vannucchi
Yuanfeng Gong , Fengying Dong , Yan Geng , Hongkai Zhuang , Zuyi Ma , Zixuan Zhou , Bowen Huang , Zhonghai Sun , Baohua Hou
Alejandra Mora Mendoza , Francisca Pereyra-García Castro , José Gregorio Oliva García , José Pablo Suárez Llanos , Antonio Medina Rodriguez , Nieves Caracena Castellanos , María Aracelí García Nuñez , José Enrique Palacio Abizanda
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Renata Ferreira Silva , Maria Rita Carvalho Garbi Novaes , Dirce Bellezi Guilhem
Sheila Alejandra Campos León , Agustín Ramiro Urzua González , Manuel José Rivera Chávez , María de Lourdes Reyes Escogido , Jaime Rivera Morales , Rodolfo Guardado-Mendoza
Sonia Junquera Bañares , Luis Ramírez Real , Juan Camuñas Segovia , Mercedes Martín García-Almenta , Katiuska Llanos Egüez , José Ignacio Botella Carretero
Natalia García-Vazquez , Samara Palma Milla , Bricia López Plaza , Marlhyn Valero Pérez , Marina Morato Martínez , Carmen Gómez Candela
Javier Blasco-Alonso , Raquel Gil-Gómez , Ana García Ruiz , Marta Cortés Hernández , Guiomar Gutiérrez Schiaffino
Carlos Adrián González Cortés , Patricia Elizabeth Cossío-Torres , Juan Manuel Vargas-Morales , Marisol Vidal-Batres , Gicela de Jesús Galván Almazán , Diana Patricia Portales Pérez , Aldanely Padrón Salas , Celia Aradillas-García
Marina Redruello Requejo , Alejandra Carretero Krug , María de Lourdes Samaniego Vaesken , Teresa Partearroyo Cediel , Gregorio Varela Moreiras
Dana Aline Pérez Camargo , Gaspar Vargas Gutiérrez , Mónica M. Rivera Franco , Anabel Labana Ramírez , Monserrat Castro Herrera , Víctor Itaí Urbalejo Ceniceros , Erika Thalia Copca Mendoza , Osiris Loyola Serrano , Eréndira Baltazar Luna , Abelardo Meneses García , Ángel Herrera Gómez , Aarón González Enciso , María de la Luz Sevilla González
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Andrés Luciano Nicolás Martinuzzi , William Manzanares , Eliana Quesada , María Jimena Reberendo , Fernando Baccaro , Irina Aversa , Caludia Elisabeth Kecskes , Lorena Magnífico , Victoria González , Daniela Bolzico , Nancy Baraglia , Priscila Navarrete , Ezequiel Manrique , María Fernanda Cascarón , Ailen Dietrich , Jesica Asparch , Leticia Betiana Peralta , Cayetano Galleti , María Laura Capria , Yamila Lombi , Marian Celia Rodríguez , Camila Ester Luna , Sebastián Pablo Chapela
Joana Nicolau , Pilar Sanchís , Keyla Dotres Fallat , Andrea Romano , Irene Rodríguez , Lluís Masmiquel
Alan Espinosa-Marrón , Orlando Andrés Núñez-Issac , Angélica Moreno-Enríquez , Irving Sosa-Crespo , Jesús Alfredo Araujo-León , Fernanda Molina-Segui , Hugo Laviada-Molina
Manuel Ferreiro Ardións , Juan Lezaun Valdubieco
Emre Yılmaz , Devrim Kurt , Aslı Vural , Ertan Aydın , Sencer Çamcı , Ercan Aydın
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