Serum procalcitonin predicting the mortality in exertional heatstroke
童华生1
广州军区广州总医院
Objective: To test PCT value a diagnostic marker of concomitant infection in exertional heatstroke.
Design and Methods: 68 patients with heatstroke were included. PCT was detected within 2 hrs of admission.
Results:PCT levels between concomitant infection and non-infection patients (1.98±1.02 μg/L vs. 1.85±1.08μg/L,p=0.712). PCT values in MODS group and in non-MODS group (2.29±1.04μg/L vs. 1.51±0.83μg/L,respectively,p=0.007.). PCT values in non-survivors and in survivors .( 2.39±1.12μg/L vs. 1.67±0.90,P= 0.017). PCT concentration remained an independent determinant of mortality (OR,2.98;95% CI,1.02-4.41;P=0.039).The area under the curve for PCT concentration (0.705;95% CI,0.547-0.862) was statistical significantly(P=0.019).
Conclusions: PCT value maybe not a good indicator of concomitant infection in exertional heatstroke.