Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Original article / research
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : OC10 - OC12

Fasting Lipid Profile and Disease Severity in Sepsis Patients

P Sunayana, B Renymol, NR Ambili

1. Junior Consultant, Department of General Medicine, Taluk Hospital Payyannur, Payyannur, Kerala, India. 2. Associate Professor, Department of General Medicine, Government T.D. Medical College, Alappuzha, Kerala, India. 3. Assistant Professor, Department of General Medicine, Government T.D. Medical College, Alappuzha, Kerala, India.

Correspondence Address :
Dr. B Renymol,
Associate Professor, Department of General Medicine, Government T.D. Medical College, Vandanam,
Alappuzha-688005, Kerala, India.
E-mail: renideepu@gmail.com

Abstract

Introduction: Sepsis is a systemic inflammatory response syndrome that has a proven or suspected microbial aetiology. Sepsis carries significant morbidity and mortality. During sepsis many changes occur in plasma lipids and lipoproteins. These changes help in fighting inflammation and contribute to host defence. Studies have shown that there is are relationship between low cholesterol and sepsis and the levels of total cholesterol and HDL decline during sepsis.

Aim: To assess lipid profile abnormalities in patients with sepsis and to study the relation between fasting lipid profile and disease severity and mortality in patients with sepsis.

Materials and Methods: This descriptive study was done at Government TD Medical College, Alappuzha, Kerala. The duration of study was one year. A total of 70 patients who were admitted to the medical intensive care unit who satisfied the American College of Chest Physicians/ Society of Critical Care Medicine (ACCP/SCCM) criteria for the diagnosis of sepsis were included in the study. Depending on the severity of sepsis, these patients were grouped into three groups-sepsis, severe sepsis and septic shock group.

Results: Significantly lower values of HDL cholesterol and LDL cholesterol were observed in patients with severe sepsis and septic shock compared to patients with sepsis. Total cholesterol also showed lower values in patients with septic shock but this observation was statistically not significant. Triglycerides showed an inverse pattern with higher values in septic shock group.

Conclusion: It is observed that low LDL cholesterol and high Triglycerides were associated with a significantly higher mortality in patients with sepsis.

Keywords

HDL cholesterol, LDL cholesterol, Triglycerides

How to cite this article :

P Sunayana, B Renymol, NR Ambili. FASTING LIPID PROFILE AND DISEASE SEVERITY IN SEPSIS PATIENTS. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 19 ]; 11:OC10-OC12. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=OC10-OC12&id=10820

DOI and Others

DOI: 10.7860/JCDR/2017/30268.10820

Date of Submission: May 20, 2017
Date of Peer Review: Jun 22, 2017
Date of Acceptance: Aug 29, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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