Chromogranin A levels and mortality in patients with severe sepsis

Biomarkers. 2015;20(3):171-6. doi: 10.3109/1354750X.2015.1046932. Epub 2015 Jul 8.

Abstract

Context: Chromogranin A (CgA) is a novel biomarker with potential to assess mortality risk of patients with severe sepsis.

Objective: Assess association of CgA levels and mortality risk of severely septic patients.

Methods: Serum CgA levels were measured in 50 hospitalized, severely septic patients with organ failure <48 h.

Results: Higher CgA levels trended toward higher ICU and hospital mortality. Patients without cardiovascular disease who died in the ICU had higher median (IQR) CgA levels 602.3 (343.3, 1134.3) ng/ml versus 205.5 (130.7, 325.9) ng/ml, p = 0.01.

Conclusions: High CgA levels predict ICU mortality in severely septic patients without prior cardiovascular disease.

Keywords: Biological marker; Chromogranin A; cardiovascular diseases; mortality; sepsis.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Aged
  • Biomarkers / blood
  • Chromogranin A / blood*
  • Cohort Studies
  • Female
  • Hospital Mortality
  • Humans
  • Intensive Care Units
  • Male
  • Middle Aged
  • Multiple Organ Failure / blood
  • Multiple Organ Failure / diagnosis*
  • Multiple Organ Failure / mortality*
  • Multiple Organ Failure / pathology
  • Prognosis
  • Sepsis / blood
  • Sepsis / diagnosis*
  • Sepsis / mortality*
  • Sepsis / pathology
  • Survival Analysis

Substances

  • Biomarkers
  • Chromogranin A