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12 August 2022: Clinical Research

Clinical Value of Metagenomic Next-Generation Sequencing in Immunocompromised Patients with Sepsis

Zheng Cheng ABCDEFG , Feng Yu ABCDEFG*

DOI: 10.12659/MSM.937041

Med Sci Monit 2022; 28:e937041

Table 1 Characteristics of cases.

Clinical featuresICOICHP value
Number of cases6030NA
Sex, male38150.226
Age (mean±SD)57.35±19.4953.56±16.300.363
COPD430.889
Hypertension25110.648
Diabetes1270.715
Chronic hepatic disease330.654
Chronic renal disease560.211
APACHE-II (mean±SD)18.43±5.9721.76±5.100.011
SOFA (mean±SD)9.90±3.6010.66±3.660.346
WBC (×10/L)* 10.68 (7.91, 17.52)7.10 (3.38, 12.69)0.006
Lymphocyte (×10/L)* 7.08 (4.21, 8.81)7.31 (4.87, 19.69)0.168
Platelet (×10/L)* 125 (63.50, 178.25)65 (23.25, 133.25)0.035
C-reactive protein (mg/L)* 114.91 (69.18, 178.96)141.79 (31.61, 200)0.624
Procalcitonin (ng/ml)* 4.25 (0.70, 13.50)1.10 (0.43, 17.50)0.175
HBP (ng/ml)* 42.05 (12.65, 157.47)39.88 (9.55, 80.95)0.406
Cholerythrin (μmol/L)* 15.25 (12.12, 30.07)14.05 (9.40, 27.45)0.424
ALT(U/L)* 24.00 (15.00, 58.75)36.00 (21.75, 77.75)0.224
AST(U/L)* 36.50 (22.25, 97.75)64.50 (26.75, 102.50)0.071
Urea nitrogen (mmol/L)* 10.01 (6.19, 16.69)10.31 (7.86, 16.58)0.932
SCr (μmol/L)* 83.00 (55.12, 150.75)89.80 (48.47, 160.90)0.561
Oxygenation index* 252.50 (164.25, 312.25)206.00 (97.50, 268.00.087
ICU length of stay (in days)* 11.50 (7.00, 19.75)11.50 (5.00, 14.50)0.186
Death29240.004
* Median (interquartile range).
ALT – alanine aminotransferase; AST – aspartate aminotransferase; BALF :– bronchoalveolar lavage fluid; EICU – Emergency Intensive Care Unit; HBP – heparin-binding protein; ICH – immunocompromised; ICO – immunocompetent; NA – not applicable; NGS – next-generation sequencing; SCr – serum creatinine; SD – standard deviation; TDM – traditional detection methods; WBC – white blood cell counts.

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750