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Biomarkers in Medicine 2018-11

Real-life data patterns of C-reactive protein and albumin level trajectories around bacteremia.

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Kim Gradel
Pedro Póvoa
Pernille Vinholt
Bjarne Magnussen
Court Pedersen
Thøger Jensen
Hans Kolmos
Annmarie Lassen

Keywords

Abstract

To assess trajectory patterns of C-reactive protein (CRP) and plasma albumin (PA) levels around bacteremia.Population-based study, 2418 community-acquired bacteremia patients, CRP and PA specimens from 30 days before through 30 days after bacteremia (day 0). A pattern was based on specimen occurring or not in days -30/-1, 0, 1/7 or 8/30. Mean daily CRP and PA levels on day -30/30 were computed for pattern subgroups.Mean CRP rose on day -5 and reached its peak on day 1. Mean steady PA on day -30/0 declined abruptly on day 1, increasing slowly thereafter. Trajectories did not differ between subgroups. We conclude that longitudinal analysis results can be extrapolated to all community-acquired bacteremia patients.

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