Correlation between shock index and inflammation, oxidative stress as well as target organ damage in patients with sepsis

• Main Authors: Wei-Zhou Zhong, Qing-Shan Liu, Yuan-Tong Ou, Fu-Gang Gao
• Format: Article
• Language: English
• Published: Editorial Board of Journal of Hainan Medical University 2017-04-01
• Series: Journal of Hainan Medical University
• Subjects: Sepsis; Shock index; Inflammation; Oxidative stress; Target organ damage
• Online Access: http://www.hnykdxxb.com/PDF/201704/9.pdf

Objective: To study the correlation between shock index and inflammation, oxidative stress as well as target organ damage in patients with sepsis. Methods: A total of 70 patients with sepsis treated in our hospital between March 2013 and May 2016 were collected and divided into no shock group (SI<0.5) (n=11), general shock group (0.5≤SI≤2) (n=42) and severe shock group (SI>2.0) (n=17) according to the shock index (SI). Immediately after admission, serum levels of inflammatory factors, oxidative stress indexes and liver function indexes were detected. Results: Serum interleukin-1β (IL-1β), interleukin-8 (IL-8), tumor necrosis factor α (TNF-α), advanced oxidation protein products (AOPPs), total bilirubin (TB), γ-glutamyl transpeptidase (GGT) and alanine aminotransferase (ALT) levels of severe shock group and general shock group were higher than those of no shock group while anti-inflammatory factors interleukin-10 (IL-10), interleukin-13 (IL-13), soluble tumor necrosis factor receptor Ⅰ (sTNF-RI), glutathione peroxidase (GSH-Px) and superoxide dismutase (SOD) and catalase (CAT) levels were lower than those of no shock group; serum IL-1β, IL-8, TNF-α, AOPPs, TB, GGT and ALT levels of severe shock group were higher than those of general shock group while IL-10, IL-13, sTNF-RI, CAT, GSH-Px and SOD levels were lower than those of general shock group. Conclusion: The higher the shock index in patients with sepsis, the more severe the inflammation, oxidative stress and target organ damage, and the two are positively correlated.