Both high and low plasma glutamine levels predict mortality in critically ill patients View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2017-04-03

AUTHORS

Takae Tsujimoto, Kentaro Shimizu, Nobuaki Hata, Tatsuya Takagi, Etsuko Uejima, Hiroshi Ogura, Masafumi Wasa, Takeshi Shimazu

ABSTRACT

PurposePlasma amino acids are important indicators for understanding human kinetics and amino acid dynamics. We aimed to investigate the association between the plasma glutamine levels and the mortality rates and determine whether plasma glutamine can predict the prognosis of critically ill patients.MethodsThe clinical records of adult patients who were admitted to an ICU were retrospectively evaluated to investigate the plasma levels of amino acids, including glutamine.ResultsTwo hundred fourteen patients were included in this study (male, 62%; median age, 64 years; range 20–97 years). The patients’ diagnoses included sepsis (45%), trauma (14%), cardiovascular disease (9%), fulminant hepatitis (9%), burns (4%), and others (19%). The mortality rates in patients with plasma glutamine <400 nmol/mL (group L; 39%, 28/71) or ≥700 nmol/mL (group H; 50%, 15/30) were significantly higher (p < 0.05 and p < 0.01, respectively) than those in patients with plasma glutamine levels of 400–700 nmol/mL (group M; 21%, 24/113). Among patients with sepsis, the mortality rates of group L (46%) and group H (67%) were significantly higher (p < 0.05 or p < 0.01, respectively) in comparison with group M (26%).ConclusionBoth lower and higher plasma glutamine levels were risk factors for mortality in critically ill patients. More... »

PAGES

1331-1338

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00595-017-1511-0

DOI

http://dx.doi.org/10.1007/s00595-017-1511-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1084510935

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/28374265


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