title: [The value of determination of serum myoglobin in estimation of degree of illness and prognosis of patients with sepsis in Xining area].
abstract: OBJECTIVE
  To investigate the value of determination of serum myoglobin (MYO) in estimation of the degree of illness and prognosis of patients with sepsis in Xining area.
  
  
  METHODS
  Serum MYO was measured and acute physiological and chronic health estimationII (APACHEII) score was evaluated in 30 cases with sepsis within 24 hours of admission to emergency intensive care unit (EICU), and their correlation was analyzed. The patients were divided into two groups, survival group and death group according to the result within 28 days. The MYO and APACHEII score were analyzed in both groups. All cases were divided into three groups: namely <500 (n=10), 500-1 000 (n=14), >1 000 μg/L (n=6) groups, according to serum MYO value, and APACHEII score and dead case were compared among three groups.
  
  
  RESULTS
  Sixteen patients survived, and 14 patients died. The level of serum MYO and APACHEII score were significantly lower in survival group than death group [MYO (μg/L): 607.85±499.40 vs. 976.21±370.10, APACHEII score: 15.50±4.43 vs. 18.93±3.63, t(1)=2.28, t(2)=2.29, both P<0.05]. With the elevation of serum MYO, the dead case was increased in sepsis patients (the dead case in MYO<500, 500-1 000, >1 000 μg/L groups was 2, 7, 5 cases, respectively,χ(2)=5.94, P<0.05), but there was no difference in APACHEII score among three groups. There was significant positive correlation between serum MYO and APACHEII score (r=0.407, P<0.05).
  
  
  CONCLUSIONS
  Determination of serum MYO can reflect degree of illness and prognosis of sepsis patients in Xining area.
authors.affiliation: Emergency Intensive Care Unit, the Affiliated Hospital of Qinghai University, Xining 810100, Qinghai, China. liumei19761205@163.com
authors.forename: Mei
authors.initials: M
authors.lastname: Liu
authors.forename: Ming
authors.initials: M
authors.lastname: Hou
authors.forename: Ling-Ping
authors.initials: LP
authors.lastname: Liu
authors.forename: Cheng-Xiang
authors.initials: CX
authors.lastname: Zhang
authors.forename: Cheng-Yu
authors.initials: CY
authors.lastname: Zhao
authors.forename: Chun-Jian
authors.initials: CJ
authors.lastname: Ma
authors.forename: Sheng-Nian
authors.initials: SN
authors.lastname: Zhong
authors.forename: Yu
authors.initials: Y
authors.lastname: Song
mesh_terms: D018806:APACHE; D000293:Adolescent; D000328:Adult; D000368:Aged; D002681:China; D005260:Female; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009211:Myoglobin / Q000097:blood*; D011379:Prognosis; D018805:Sepsis / Q000097:blood* / Q000175:diagnosis*; D055815:Young Adult
chemical_list: D009211:Myoglobin