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A metabolomic endotype of bioenergetic dysfunction predicts mortality in critically ill patients with acute respiratory failure.


ABSTRACT: Acute respiratory failure (ARF) requiring mechanical ventilation, a complicating factor in sepsis and other disorders, is associated with high morbidity and mortality. Despite its severity and prevalence, treatment options are limited. In light of accumulating evidence that mitochondrial abnormalities are common in ARF, here we applied broad spectrum quantitative and semiquantitative metabolomic analyses of serum from ARF patients to detect bioenergetic dysfunction and determine its association with survival. Plasma samples from surviving and non-surviving patients (N = 15/group) were taken at day 1 and day 3 after admission to the medical intensive care unit and, in survivors, at hospital discharge. Significant differences between survivors and non-survivors (ANOVA, 5% FDR) include bioene

SUBMITTER: Langley RJ 

PROVIDER: S-EPMC8131588 | biostudies-literature | 2021 May

REPOSITORIES: biostudies-literature