Early prognostic prediction of
sepsis is essential in adjusting therapeutic protocols to prevent deterioration and reduce mortality. We compared the predictive value of the serum concentration of the soluble
triggering receptor expressed on myeloid cells 1 (sTREM-1) for 28-day mortality and for the development of
severe sepsis or
septic shock on the third day with the levels of
interleukin (IL)-6,
C-reactive protein (CRP) and
procalcitonin (PCT). The study was conducted on 85 patients with
sepsis. sTREM-1, CRP, PCT and
IL-6 concentrations were measured upon study inclusion (day 0) and on days 1, 2, 3 and 5. APACHE II, SAPS II and SOFA scores were analyzed. The sTREM-1 levels (pg/ml) were higher in non-survivors than in survivors at admission (773 vs. 391, p < 0.001) and on days 1, 2, 3 and 5. In predicting the development of
severe sepsis, the highest AUCs were found for PCT (0.744, 95% CI 0.638-0.85) and sTREM-1 (0.664, 95% CI 0.55-0.778); and in
septic shock prediction, for PCT (0.766, 95% CI 0.665-0.867) and
IL-6 (0.707, 95% CI 0.595-0.819). sTREM-1 positively correlated with APACHE II, SAPS II and SOFA scores. At inclusion, significant AUC for predicting 28-day mortality was 0.772 for the sTREM-1 (95% CI 0.672-0.871), 0.858 for APACHE II (95% CI 0.768-0.948), 0.847 for SAPS II (95% CI 0.733-0.96), 0.806 for SOFA score (95% CI 0.698-0.915). sTREM-1 can early predict the 28-day
sepsis mortality, although its effectiveness is lower in comparison with clinical severity scores.