Hypocholesterolemia in sepsis and critically ill or injured patients

Hypocholesterolemia is an important observation following trauma. In a study of critically ill trauma patients, mean cholesterol levels were significantly lower (119 ± 44 mg/dl) than expected values (201 ± 17 mg/dl). In patients who died, final cholesterol levels fell by 33% versus a 28% increase in...

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Bibliographic Details
Published in:Critical care (London, England) England), 2003-12, Vol.7 (6), p.413-414
Main Authors: Wilson, Robert F, Barletta, Jeffrey F, Tyburski, James G
Format: Article
Language:English
Subjects:
Animals
Cholesterol - blood
Humans
Injury Severity Score
Mice
Sepsis - blood
Sepsis - complications
Sepsis - mortality
Wounds and Injuries - blood
Wounds and Injuries - classification
Wounds and Injuries - mortality
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Summary:Hypocholesterolemia is an important observation following trauma. In a study of critically ill trauma patients, mean cholesterol levels were significantly lower (119 ± 44 mg/dl) than expected values (201 ± 17 mg/dl). In patients who died, final cholesterol levels fell by 33% versus a 28% increase in survivors. Cholesterol levels were also adversely affected by infection or organ system dysfunction. Other studies have illustrated the clinical significance of hypocholesterolemia. Because lipoproteins can bind and neutralize lipopolysaccharide, hypocholesterolemia can negatively impact outcome. New therapies directed at increasing low cholesterol levels may become important options for the treatment of sepsis.
ISSN:1364-8535
1466-609X
DOI:10.1186/cc2390