Increased serum interleukin-8: correlation with poor prognosis in patients with postoperative multiple organ failure.
This study investigated whether cytokines and colony-stimulating factors can predict prognosis in patients with postoperative multiple organ failure (MOF). We evaluated 14 patients with postoperative MOF who underwent operation for cardiovascular disease. Seven patients recovered from MOF (survivors) and seven did not recover and died (nonsurvivors). The white blood cell (WBC) count, granulocyte colony-stimulating factor, monocytic colony-stimulating factor, interleukin-6 (IL-6), and IL-8 were measured on the day the patients were judged to be in MOF and each week thereafter until the patients recovered or died. Survivors and nonsurvivors were equivalent in terms of age, gender, proportion of use of extracorporeal circulation, operation time, volume of blood transfusion, time from operation to the onset of MOF, the MOF score, proportion of bacteremia, duration of MOF, and number of failed organs. The mean duration of MOF was less than 2 weeks in both groups; therefore the measurements were compared on the first day of MOF and 1 week later. No significant differences between the two groups in terms of WBC counts, colony-stimulating factors, and IL-6 levels were noted. However, the serum level of IL-8 was significantly higher in nonsurvivors than in survivors. Patients with a high serum levels of IL-8 at the time of MOF had a poor prognosis.
Hamano
K
K
First Department of Surgery, Yamaguchi University, School of Medicine, Japan.
Gohra
H
H
Noda
H
H
Katoh
T
T
Fujimura
Y
Y
Zempo
N
N
Esato
K
K
D000368:Aged; D000369:Aged, 80 and over; D016470:Bacteremia / Q000382:microbiology; D001803:Blood Transfusion; D002423:Cause of Death; D005112:Extracorporeal Circulation; D005260:Female; D005500:Follow-Up Studies; D005544:Forecasting; D016179:Granulocyte Colony-Stimulating Factor / Q000097:blood; D006331:Heart Diseases / Q000601:surgery; D006801:Humans; D015850:Interleukin-6 / Q000097:blood; D016209:Interleukin-8 / Q000097:blood*; D007958:Leukocyte Count; D016173:Macrophage Colony-Stimulating Factor / Q000097:blood; D008297:Male; D008875:Middle Aged; D009102:Multiple Organ Failure / Q000097:blood* / Q000276:immunology; D011183:Postoperative Complications; D011379:Prognosis; D015996:Survival Rate; D013997:Time Factors
D015850:Interleukin-6; D016209:Interleukin-8; D016179:Granulocyte Colony-Stimulating Factor; D016173:Macrophage Colony-Stimulating Factor