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The assessment of ADMA as a prognostic marker for haemodynamic instability in patients with sepsis Felicity Dempsey  Student No. 30478703 Assignment Date  September 30th 2005 MSc in Biomedical Science
Introduction to ADMA ,[object Object],[object Object],[object Object],Fig 1. ,[object Object],[object Object]
Pathophysiological  Role of ADMA ,[object Object],[object Object],[object Object],[object Object],[object Object],(Adapted from Boger R et al  1998) ,[object Object],ADMA inhibition of NOS  ,[object Object],functions ,[object Object],these biological ,[object Object],an increase in ,[object Object],causes
Aims of Study ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods (1) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Methods (2) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Results ADMA and CRP Day 1 and Day 7 in patients with Sepsis  Comparison of ADMA levels in Sepsis and Control Groups *All values are quoted as median and interquartile ranges* 0.05 0.88 (1.09-0.59 0.63 (0.71-0.57) ADMA umol/L p Sepsis Day 1 46 Control 10 Group n <0.0001 7.39 (13.6-3.89) 18.32(26.1-10.9) CRP  mg/dL =0.01 1.06 (1.34-0.73) 0.88 (1.09-0.59) ADMA  umol/L p Day 7 n = 32 Day 1 n= 46
ADMA levels in relation to Outcome Measures All values are quoted as median and interquartile range 0.03 1.04 (1.15-0.67) n =24 1.53 (1.59-1.14) n =5 ADMA umol/L Discharge Death Day 7 <0.0001 0.56 (0.98-0.49) n =15 0.91 (1.25-0.69) N =29 ADMA umol/L p No Inotrope Inotrope group Day 1
Results Correlation coefficients between ADMA levels, SOFA scores and CRP values There was no relationship between CRP and SOFA score on Day 1 or Day 7 0.95 0.012 CRP  Day 7 0.0008 -0.53 CRP  Day 1 0.02 0.44 SOFA  Day 7 0.0007 0.49 SOFA  Day 1 p Spearman’s Rho
Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Discussion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Metabolism of ADMA in Critical Illness
 

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The Assessment Of Adma 1

  • 1. The assessment of ADMA as a prognostic marker for haemodynamic instability in patients with sepsis Felicity Dempsey Student No. 30478703 Assignment Date September 30th 2005 MSc in Biomedical Science
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  • 7. Results ADMA and CRP Day 1 and Day 7 in patients with Sepsis Comparison of ADMA levels in Sepsis and Control Groups *All values are quoted as median and interquartile ranges* 0.05 0.88 (1.09-0.59 0.63 (0.71-0.57) ADMA umol/L p Sepsis Day 1 46 Control 10 Group n <0.0001 7.39 (13.6-3.89) 18.32(26.1-10.9) CRP mg/dL =0.01 1.06 (1.34-0.73) 0.88 (1.09-0.59) ADMA umol/L p Day 7 n = 32 Day 1 n= 46
  • 8. ADMA levels in relation to Outcome Measures All values are quoted as median and interquartile range 0.03 1.04 (1.15-0.67) n =24 1.53 (1.59-1.14) n =5 ADMA umol/L Discharge Death Day 7 <0.0001 0.56 (0.98-0.49) n =15 0.91 (1.25-0.69) N =29 ADMA umol/L p No Inotrope Inotrope group Day 1
  • 9. Results Correlation coefficients between ADMA levels, SOFA scores and CRP values There was no relationship between CRP and SOFA score on Day 1 or Day 7 0.95 0.012 CRP Day 7 0.0008 -0.53 CRP Day 1 0.02 0.44 SOFA Day 7 0.0007 0.49 SOFA Day 1 p Spearman’s Rho
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  • 14. Metabolism of ADMA in Critical Illness
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