OBJECTIVE: To assess correlates of hypocholesterolemia in moderate to critical surgical illness. DESIGN: Prospective analysis of laboratory and clinical data. SETTING: Department of surgery in a university hospital. PATIENTS: 135 patients undergoing uncomplicated abdominal surgery or with sepsis, liver failure, hemorrhage, severe cholestasis, or multiple organ dysfunction syndrome (MODS). INTERVENTIONS: Surgical and/or medical therapy according to clinical status. MEASUREMENTS AND MAIN RESULTS: Determinations of total cholesterol, additional variables, and clinical data. Cholesterol decreased after surgery, in sepsis, liver failure, acute hemorrhage, and MODS and increased in cholestasis. Hypocholesterolemia correlated with decreases in plasma proteins and indices of hepatic protein synthetic adequacy, with hemodilution from blood loss, and was moderated or prevented by cholestasis. CONCLUSIONS: These results help to explain the dynamics of the development, clinical relevance, and negative prognostic value of hypocholesterolemia in critical illness.

Giovannini, I., Boldrini, G., Chiarla, C., Giuliante, F., Vellone, M., Nuzzo, G., Pathophysiologic correlates of hypocholesterolemia in critically ill surgical patients, <<INTENSIVE CARE MEDICINE>>, 1999; 25 (7): 748-751 [http://hdl.handle.net/10807/14623]

Pathophysiologic correlates of hypocholesterolemia in critically ill surgical patients

Giovannini, Ivo;Boldrini, Giuseppe;Chiarla, Carlo;Giuliante, Felice;Vellone, Maria;Nuzzo, Gennaro
1999

Abstract

OBJECTIVE: To assess correlates of hypocholesterolemia in moderate to critical surgical illness. DESIGN: Prospective analysis of laboratory and clinical data. SETTING: Department of surgery in a university hospital. PATIENTS: 135 patients undergoing uncomplicated abdominal surgery or with sepsis, liver failure, hemorrhage, severe cholestasis, or multiple organ dysfunction syndrome (MODS). INTERVENTIONS: Surgical and/or medical therapy according to clinical status. MEASUREMENTS AND MAIN RESULTS: Determinations of total cholesterol, additional variables, and clinical data. Cholesterol decreased after surgery, in sepsis, liver failure, acute hemorrhage, and MODS and increased in cholestasis. Hypocholesterolemia correlated with decreases in plasma proteins and indices of hepatic protein synthetic adequacy, with hemodilution from blood loss, and was moderated or prevented by cholestasis. CONCLUSIONS: These results help to explain the dynamics of the development, clinical relevance, and negative prognostic value of hypocholesterolemia in critical illness.
Inglese
Giovannini, I., Boldrini, G., Chiarla, C., Giuliante, F., Vellone, M., Nuzzo, G., Pathophysiologic correlates of hypocholesterolemia in critically ill surgical patients, <<INTENSIVE CARE MEDICINE>>, 1999; 25 (7): 748-751 [http://hdl.handle.net/10807/14623]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10807/14623
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