[Impact of continuous blood purification on T cell subsets in children with severe sepsis]. Yuan, Y., Yuan, Y., Xiao, Z., Zhang, H., Fan, J., Zhang, X., Lu, X., Xu, Z., & Luo, H. Chinese journal of contemporary pediatrics, 16(2):194 – 197, February, 2014.
[Impact of continuous blood purification on T cell subsets in children with severe sepsis]. [link]Paper  abstract   bibtex   
OBJECTIVE:To investigate the impact of continuous blood purification (CBP) on T-cell subsets and prognosis in children with severe sepsis. METHODS:A total of 42 children with severe sepsis were randomly divided into a control group (n=22) and a CBP group (n=20). The patients in the control group received conventional treatment, while those in the CBP group underwent continuous veno-venous hemofiltration daily 12-24 hours for 3 days besides conventional treatment. Changes in clinical variables and in peripheral blood regulatory T cell subsets were assessed 3 and 7 days after treatment. RESULTS:The pediatric intensive care unit length of stay and duration of mechanical ventilation were significantly shortened and the 28-day mortality rate was significantly lower in the CPB treatment group as compared with the control group (P\textless0.05). In the CBP treatment group, the percentage of CD3(+), CD4(+), CD8(+) T cell populations and PCIS scores were significantly higher at 3 and 7 days after treatment than before treatment (P\textless0.05). At 7 days after treatment, the percentage of CD3(+), CD4(+), CD8(+) T cell populations, CD4(+)/CD8(+) ratio and PCIS scores were significantly higher in the CBP group than in the control group (P\textless0.05). CONCLUSIONS:The CBP treatment may counteract the suppression of immune function and thus improve prognosis in children with severe sepsis.
@article{yuan_impact_2014,
	title = {[{Impact} of continuous blood purification on {T} cell subsets in children with severe sepsis].},
	volume = {16},
	url = {https://app.readcube.com/library/d55a0da2-06b3-4d90-8ff1-3099d227a5b8/item/6401b46f-8d34-4c4f-b295-606cf723a216},
	abstract = {OBJECTIVE:To investigate the impact of continuous blood purification (CBP) on T-cell subsets and prognosis in children with severe sepsis.

METHODS:A total of 42 children with severe sepsis were randomly divided into a control group (n=22) and a CBP group (n=20). The patients in the control group received conventional treatment, while those in the CBP group underwent continuous veno-venous hemofiltration daily 12-24 hours for 3 days besides conventional treatment. Changes in clinical variables and in peripheral blood regulatory T cell subsets were assessed 3 and 7 days after treatment.

RESULTS:The pediatric intensive care unit length of stay and duration of mechanical ventilation were significantly shortened and the 28-day mortality rate was significantly lower in the CPB treatment group as compared with the control group (P{\textless}0.05). In the CBP treatment group, the percentage of CD3(+), CD4(+), CD8(+) T cell populations and PCIS scores were significantly higher at 3 and 7 days after treatment than before treatment (P{\textless}0.05). At 7 days after treatment, the percentage of CD3(+), CD4(+), CD8(+) T cell populations, CD4(+)/CD8(+) ratio and PCIS scores were significantly higher in the CBP group than in the control group (P{\textless}0.05).

CONCLUSIONS:The CBP treatment may counteract the suppression of immune function and thus improve prognosis in children with severe sepsis.},
	language = {Chinese},
	number = {2},
	journal = {Chinese journal of contemporary pediatrics},
	author = {Yuan, Yuan-Hong and Yuan, Yuan-Hong and Xiao, Zheng-Hui and Zhang, Hui and Fan, Jiang-Hua and Zhang, Xin-Ping and Lu, Xiu-Lan and Xu, Zhi-Yue and Luo, Hai-Yan},
	month = feb,
	year = {2014},
	pages = {194 -- 197},
}

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