Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.

<h4>Aims</h4>To evaluate the prognostic role of procalcitonin(PCT) on all-cause mortality in acute exacerbation of chronic obstructive pulmonary disease (AECOPD).<h4>Methods</h4>Database including PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials were sea...

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Main Authors: Pang Qiyuan, Lin Changyang, Li Gaigai, Qiu Ju, Zhou Xun
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2024-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0312099
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author Pang Qiyuan
Lin Changyang
Li Gaigai
Qiu Ju
Zhou Xun
author_facet Pang Qiyuan
Lin Changyang
Li Gaigai
Qiu Ju
Zhou Xun
author_sort Pang Qiyuan
collection DOAJ
description <h4>Aims</h4>To evaluate the prognostic role of procalcitonin(PCT) on all-cause mortality in acute exacerbation of chronic obstructive pulmonary disease (AECOPD).<h4>Methods</h4>Database including PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials were searched to find relevant trials. We included studies with patients hospitalized for AECOPD, which assessed procalcitonin levels and reported on the association between procalcitonin and mortality..<h4>Results</h4>Fourteen trials involving 2983 patients were included. We found PCT levels in patients hospitalized for AECOPD are not associated with increased risk of mortality (RR 1.03, 95%CI 0.99-1.08). However, subgroup analysis showed PCT levels are indeed associated with an increased risk of mortality in mild to moderate AECOPD(RR 1.74, 95%CI 1.11-2.73). Deceased patients had significantly higher PCT levels, compared to survivors (MD 0.61, 95%CI 0.30-0.92). In PCT positive group, there was a significant increase in all-cause mortality(OR 3.21, 95%CI 1.84-5.61).<h4>Conclusions</h4>Results from this meta-analysis suggest that procalcitonin levels at the time of hospital admission for mild to moderate AECOPD are positively correlated with mortality.
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spelling doaj-art-27c743b549394e749762a1d7cc3d4b112025-01-17T05:31:57ZengPublic Library of Science (PLoS)PLoS ONE1932-62032024-01-011912e031209910.1371/journal.pone.0312099Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.Pang QiyuanLin ChangyangLi GaigaiQiu JuZhou Xun<h4>Aims</h4>To evaluate the prognostic role of procalcitonin(PCT) on all-cause mortality in acute exacerbation of chronic obstructive pulmonary disease (AECOPD).<h4>Methods</h4>Database including PubMed, EMBASE, and the Cochrane Central Register of Controlled Trials were searched to find relevant trials. We included studies with patients hospitalized for AECOPD, which assessed procalcitonin levels and reported on the association between procalcitonin and mortality..<h4>Results</h4>Fourteen trials involving 2983 patients were included. We found PCT levels in patients hospitalized for AECOPD are not associated with increased risk of mortality (RR 1.03, 95%CI 0.99-1.08). However, subgroup analysis showed PCT levels are indeed associated with an increased risk of mortality in mild to moderate AECOPD(RR 1.74, 95%CI 1.11-2.73). Deceased patients had significantly higher PCT levels, compared to survivors (MD 0.61, 95%CI 0.30-0.92). In PCT positive group, there was a significant increase in all-cause mortality(OR 3.21, 95%CI 1.84-5.61).<h4>Conclusions</h4>Results from this meta-analysis suggest that procalcitonin levels at the time of hospital admission for mild to moderate AECOPD are positively correlated with mortality.https://doi.org/10.1371/journal.pone.0312099
spellingShingle Pang Qiyuan
Lin Changyang
Li Gaigai
Qiu Ju
Zhou Xun
Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.
PLoS ONE
title Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.
title_full Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.
title_fullStr Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.
title_full_unstemmed Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.
title_short Prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease: A systematic review and meta-analysis.
title_sort prognostic value of procalcitonin in acute exacerbation of chronic obstructive pulmonary disease a systematic review and meta analysis
url https://doi.org/10.1371/journal.pone.0312099
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