Plasma Antioxidant Potential at Admission is Associated with Length of ICU Stay in Child with Sepsis: A Pilot Study

Fetal Pediatr Pathol. 2018 Oct;37(5):348-358. doi: 10.1080/15513815.2018.1517845. Epub 2018 Oct 19.

Abstract

Objective: To assess the relationship between biomarkers of oxidative stress (OS) and the length of stay in intensive care units (LSICU) in septic children.

Methods: Clinical parameters and biomarkers of OS were measured in 16 children admitted for sepsis in an intensive care unit. The associations between biomarkers of OS and the LSICU were assessed by linear correlation. Multiple linear regression models were constructed to adjust other variables.

Results: The mean of LSICU was 7.13 ± 4.17 days. LSICU was associated with the catalase activity (rho =0.56, p-value =0.024) and the ferric reducing ability of plasma (FRAP, r = 0.73, p-value =0.001). However, only FRAP at ICU admission was independently associated with LSICU, which rose 0.21 days for each 10 µmol/l of increase in the FRAP level.

Conclusion: We conclude for first time that FRAP level at ICU admission is independently associated with LSICU in pediatric patients.

Keywords: Oxidative stress; biomarkers; intensive care; length of stay; pediatrics; sepsis.

MeSH terms

  • Antioxidants / metabolism*
  • Biomarkers / blood
  • Child, Preschool
  • Female
  • Humans
  • Infant
  • Intensive Care Units, Pediatric / statistics & numerical data*
  • Length of Stay / statistics & numerical data*
  • Male
  • Oxidative Stress / physiology
  • Pilot Projects
  • Sepsis / blood*

Substances

  • Antioxidants
  • Biomarkers