Hypocholesterolemia in sepsis and critically ill or injured patients

被引：0
作者：
Robert F Wilson
Jeffrey F Barletta
James G Tyburski
机构：
[1] Detroit Receiving Hospital,Professor of Surgery, Department of Surgery
[2] Wayne State University School of Medicine,Department of Pharmacology
[3] Wayne State University School of Medicine,Associate Professor of Surgery, Department of Surgery
[4] Detroit Receiving Hospital,undefined
[5] Wayne State University School of Medicine,undefined
[6] Detroit Receiving Hospital,undefined
来源：
Critical Care | / 7卷
关键词：
endotoxemia; hypocholesterolemia; hypolipidemia; outcome; trauma;
D O I：
暂无
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学科分类号：
摘要：
Hypocholesterolemia is an important observation following trauma. In a study of critically ill trauma patients, mean cholesterol levels were significantly lower (119 ± 44 mg/dl) than expected values (201 ± 17 mg/dl). In patients who died, final cholesterol levels fell by 33% versus a 28% increase in survivors. Cholesterol levels were also adversely affected by infection or organ system dysfunction. Other studies have illustrated the clinical significance of hypocholesterolemia. Because lipoproteins can bind and neutralize lipopolysaccharide, hypocholesterolemia can negatively impact outcome. New therapies directed at increasing low cholesterol levels may become important options for the treatment of sepsis.
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