title: Intercellular adhesion molecules and mortality for sepsis in infants younger than 1 year of life.
abstract: BACKGROUND
  Adhesion molecules in sepsis syndrome are correlated with the severity of illness and may be considered as predictors of survival outcome in adults. However, only few studies have been performed in infants and none using international criteria for sepsis.
  
  
  OBJECTIVE
  To determine whether adhesion molecules during the first 7 days of the disease could predict sepsis outcome and its severity.
  
  
  METHODS
  We performed a prospective study in 88 infants with sepsis and 30 controls. Soluble intercellular adhesion molecule (ICAM)-1, vascular cell adhesion molecule (VCAM)-1, and E-selectin levels were determined at days 1, 3 and 7 of follow-up in those patients with sepsis and only one determination in the control group. The main outcome measure was mortality during 10 days of monitoring.
  
  
  RESULTS
  Positive hemoculture was reported in 64(72.7%). ICAM-1, VCAM-1, and E-selectin levels were higher in the group of sepsis than in the control group. However, no association was found between ICAM-1, VCAM-1 or E-selectin levels with sepsis severity. Mortality linked to sepsis was observed in 9 patients (10.2%). In the logistic regression analysis, those variables positively associated with mortality were the increase in ICAM-1 levels > 250 ng/mL between day 1 to 3, number of amines and the baseline severity of sepsis. However, we did not identify in those patients who died a specific pattern in adhesion molecules levels during follow up.
  
  
  CONCLUSIONS
  ICAM-1 levels, number of amines and severity of sepsis levels predict mortality during 10 days of monitoring in infants younger than 1 year of age with sepsis.
authors: Instituto Mexicano del Seguro Social de León.
authors: Gloria Patricia
authors: GP
authors: Sosa-Bustamante
authors: Norma
authors: N
authors: Amador-Licona
authors: Gloria
authors: G
authors: Barbosa-Sabanero
authors: Juan Manuel
authors: JM
authors: Guízar-Mendoza
authors: Sergio
authors: S
authors: López-Briones
authors: Celia Isabel
authors: CI
authors: Mulgado-Aguas
authors: Ariadna
authors: A
authors: Torres-Pedroza
mesh_terms: D016470:Bacteremia / Q000097:blood / Q000401:mortality; D015415:Biomarkers; D019040:E-Selectin / Q000097:blood*; D004797:Enzyme-Linked Immunosorbent Assay; D005260:Female; D017052:Hospital Mortality; D006769:Hospitals, General / Q000706:statistics & numerical data; D006801:Humans; D007223:Infant; D015278:Intensive Care Units, Pediatric / Q000706:statistics & numerical data; D018799:Intercellular Adhesion Molecule-1 / Q000097:blood*; D016015:Logistic Models; D008297:Male; D008800:Mexico / Q000453:epidemiology; D009102:Multiple Organ Failure / Q000097:blood / Q000401:mortality; D011446:Prospective Studies; D018805:Sepsis / Q000097:blood* / Q000401:mortality; D012772:Shock, Septic / Q000097:blood / Q000401:mortality; D016896:Treatment Outcome; D019010:Vascular Cell Adhesion Molecule-1 / Q000097:blood*
chemical_list: D015415:Biomarkers; D019040:E-Selectin; C546936:SELE protein, human; D019010:Vascular Cell Adhesion Molecule-1; D018799:Intercellular Adhesion Molecule-1