Citrulline and arginine kinetics and its value as a prognostic factor in pediatric critically ill patients
Copyright © 2015. Published by Elsevier España, S.L.U..
INTRODUCTION: Low concentrations of plasma citrulline and arginine have been reported in children under various pathological conditions.
HYPOTHESIS: Plasma citrulline and arginine levels undergo different kinetics during the early days of critical illness in children according to the severity of symptoms and can be correlated with other clinical and laboratory parameters associated with the SIR.
PATIENTS AND METHODS: A single-center prospective observational study in patients 7 days to 14 years admitted to pediatric intensive care unit (PICU). Citrulline and arginine blood levels (blood in dry paper, analysis by mass spectrometry in tandem), acute phase reactants and clinical data were collected on admission, at 12 h, 24 h, 3 and 7 days.
RESULTS: A total of 44 critically ill patients were included and control group was formed by 42 healthy children. The citrulline and arginine kinetic analysis showed: 1) Citrulline falls significantly (P<.05) at 12 h of admission; levels remain low until day 7 and begin progressive increase again. 2) Arginine is already lowered at 6h, although an earlier rise occurs (3rd day). 3. The decrease of citrulline in the first 3 days of admission positively correlates with arginine kinetics. Bivariate analysis showed: 1) Correlation of elevated citrulline on the 7th day with shorter duration of mechanical ventilation, lower PICU stay and lower occurrence of complications. The levels of citrulline still descended at day 7 are associated with increased CRP/procalcitonin elevation at first 24 h. 2) The greatest decrease of arginine in the first 12 h is associated with a longer PICU stay and greater number of complications and increase of acute phase reactants at 3 days.
CONCLUSIONS: There are decreased levels of arginine and citrulline in the first days at PICU, with recovery at the 3rd and 7th day respectively, and a relationship between a greater decrease and a worse outcome and between a longer income and a higher serum CRP/procalcitonin.
| Errataetall: |
CommentIn: An Pediatr (Barc). 2016 Mar;84(3):183. - PMID 26724256 |
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| Medienart: |
E-Artikel |
| Erscheinungsjahr: |
2015 |
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| Erschienen: |
2015 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:83 |
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| Enthalten in: |
Anales de pediatria (Barcelona, Spain : 2003) - 83(2015), 4 vom: 25. Okt., Seite 257-63 |
| Sprache: |
Spanisch |
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| Weiterer Titel: |
La cinética de la citrulina y la arginina y su valor como factor pronóstico en pacientes pediátricos críticamente enfermos |
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| Beteiligte Personen: |
Blasco-Alonso, J [VerfasserIn] |
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| Links: |
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| Anmerkungen: |
Date Completed 11.08.2017 Date Revised 11.08.2017 published: Print-Electronic CommentIn: An Pediatr (Barc). 2016 Mar;84(3):183. - PMID 26724256 Citation Status MEDLINE |
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| doi: |
10.1016/j.anpedi.2014.10.032 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| 245 | 1 | 0 | |a Citrulline and arginine kinetics and its value as a prognostic factor in pediatric critically ill patients |
| 246 | 3 | 3 | |a La cinética de la citrulina y la arginina y su valor como factor pronóstico en pacientes pediátricos críticamente enfermos |
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| 500 | |a Date Revised 11.08.2017 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a CommentIn: An Pediatr (Barc). 2016 Mar;84(3):183. - PMID 26724256 | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2015. Published by Elsevier España, S.L.U. | ||
| 520 | |a INTRODUCTION: Low concentrations of plasma citrulline and arginine have been reported in children under various pathological conditions | ||
| 520 | |a HYPOTHESIS: Plasma citrulline and arginine levels undergo different kinetics during the early days of critical illness in children according to the severity of symptoms and can be correlated with other clinical and laboratory parameters associated with the SIR | ||
| 520 | |a PATIENTS AND METHODS: A single-center prospective observational study in patients 7 days to 14 years admitted to pediatric intensive care unit (PICU). Citrulline and arginine blood levels (blood in dry paper, analysis by mass spectrometry in tandem), acute phase reactants and clinical data were collected on admission, at 12 h, 24 h, 3 and 7 days | ||
| 520 | |a RESULTS: A total of 44 critically ill patients were included and control group was formed by 42 healthy children. The citrulline and arginine kinetic analysis showed: 1) Citrulline falls significantly (P<.05) at 12 h of admission; levels remain low until day 7 and begin progressive increase again. 2) Arginine is already lowered at 6h, although an earlier rise occurs (3rd day). 3. The decrease of citrulline in the first 3 days of admission positively correlates with arginine kinetics. Bivariate analysis showed: 1) Correlation of elevated citrulline on the 7th day with shorter duration of mechanical ventilation, lower PICU stay and lower occurrence of complications. The levels of citrulline still descended at day 7 are associated with increased CRP/procalcitonin elevation at first 24 h. 2) The greatest decrease of arginine in the first 12 h is associated with a longer PICU stay and greater number of complications and increase of acute phase reactants at 3 days | ||
| 520 | |a CONCLUSIONS: There are decreased levels of arginine and citrulline in the first days at PICU, with recovery at the 3rd and 7th day respectively, and a relationship between a greater decrease and a worse outcome and between a longer income and a higher serum CRP/procalcitonin | ||
| 650 | 4 | |a Journal Article | |
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| 650 | 4 | |a Paediatrics | |
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| 650 | 4 | |a Systemic inflammatory response syndrome | |
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| 700 | 1 | |a Gil-Gómez, R |e verfasserin |4 aut | |
| 700 | 1 | |a Milano Manso, G |e verfasserin |4 aut | |
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