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Plasminogen Activator Inhibitor-1 as a Predictive Marker of Severity and Mortality in Sepsis: A Systematic Review and Meta-Analysis
Vol 37, Issue 6, 2023
Abstract
Background: Sepsis is an abnormal immune response to infection with unknown pathogenesis, seeing unacceptably mortality. Identifying biomarkers could help to diagnose sepsis and monitor its progress. Objective: We aimed to assess the correlation between plasminogen activator inhibitor-1 (PAI-1) levels, and the severity of sepsis and mortality. Methods: PubMed, Cochrane Library, and Excerpta Medica dataBASE (EMBASE) databases were searched based on “plasminogen activator inhibitor-1/PAI-1” and “sepsis”. Weighted mean difference (WMD) with its 95% confidence intervals (CIs) were computed on the eligible trials. Results: 11 trials encompassing 1606 sepsis patients were included. The PAI-1 levels were significantly higher in patients with sepsis-related death than in survivors (p < 0.001) and significantly higher in severe sepsis patients than in nonsevere patients (p = 0.001). Conclusions: PAI-1 could be considered a pivotal biomarker for the severity of sepsis and mortality.
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Medical Genetics, University of Torino Medical School, Italy

Department of Biomedical, Surgical and Dental Sciences, University of Milan, Italy