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Clinical Sepsis Phenotypes in Critically Ill Patients.
Papathanakos, Georgios; Andrianopoulos, Ioannis; Xenikakis, Menelaos; Papathanasiou, Athanasios; Koulenti, Despoina; Blot, Stijn; Koulouras, Vasilios.
Afiliación
  • Papathanakos G; Department of Intensive Care Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece.
  • Andrianopoulos I; Department of Intensive Care Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece.
  • Xenikakis M; Department of Intensive Care Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece.
  • Papathanasiou A; Department of Intensive Care Medicine, University Hospital of Ioannina, 45500 Ioannina, Greece.
  • Koulenti D; UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, QL 4029, Australia.
  • Blot S; Second Critical Care Department, Attikon University Hospital, Rimini Street, 12462 Athens, Greece.
  • Koulouras V; Department of Internal Medicine & Pediatrics, Ghent University, 9000 Ghent, Belgium.
Microorganisms ; 11(9)2023 Aug 27.
Article en En | MEDLINE | ID: mdl-37764009
Sepsis, defined as the life-threatening dysregulated host response to an infection leading to organ dysfunction, is considered as one of the leading causes of mortality worldwide, especially in intensive care units (ICU). Moreover, sepsis remains an enigmatic clinical syndrome, with complex pathophysiology incompletely understood and a great heterogeneity both in terms of clinical expression, patient response to currently available therapeutic interventions and outcomes. This heterogeneity proves to be a major obstacle in our quest to deliver improved treatment in septic critical care patients; thus, identification of clinical phenotypes is absolutely necessary. Although this might be seen as an extremely difficult task, nowadays, artificial intelligence and machine learning techniques can be recruited to quantify similarities between individuals within sepsis population and differentiate them into distinct phenotypes regarding not only temperature, hemodynamics or type of organ dysfunction, but also fluid status/responsiveness, trajectories in ICU and outcome. Hopefully, we will eventually manage to determine both the subgroup of septic patients that will benefit from a therapeutic intervention and the correct timing of applying the intervention during the disease process.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Microorganisms Año: 2023 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Suiza

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Microorganisms Año: 2023 Tipo del documento: Article País de afiliación: Grecia Pais de publicación: Suiza