Interleukin-17 as Predictor Mortality of Septic Patients: A Systematic Review and Meta-Analysis
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1
Department of Clinical Pathology, Faculty of Medicine, Universitas Diponegoro, Indonesia
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Department of Clinical Pathology and Laboratory Medicine, Faculty of Medicine, Public Health and Nursing, Gadjah Mada University, Indonesia
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Department of Clinical Pathology, Dr. Kariadi Hospital, Indonesia
Submission date: 2023-12-24
Acceptance date: 2024-02-27
Publication date: 2024-07-24
Corresponding author
Dwi Retnoningrum
Department of Clinical Pathology, Faculty of Medicine, Universitas Diponegoro, Indonesia
Wiadomości Lekarskie 2024;77(6):1134-1140
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ABSTRACT
Background: Sepsis is a condition in patients with systemic infections that leads to organ dysfunction. High mortality in sepsis requires better markers for initial treatment. Interleukin-17 is a pro-inflammatory cytokine produced by Th-17 cells that play a role in inflammation processes. There are different study results regarding the role of IL-17 in septic patients. This study aimed to prove the role of IL-17 on the clinical outcomes of septic patients.
Methods: This study used a systematic review and meta-analysis design. Data were obtained by searching articles published between January 2001 and June 2022 in Pubmed, ScienceDirect, Scopus, and Medline databases to evaluate Interleukin-17 on clinical outcomes in septic patients. Only human studies were used in this study. Meta-analysis was undertaken using random effects models.
Results: Fourteen published studies were eligible, and four studies were included in the meta-analysis. Meta-analysis of the ratio of means (RoM) IL-17 concentration demonstrated a 5.96-fold higher level in non-survivor septic patients compared with survivors (four studies; n = 194 patients; RoM=5.96; 95% CI, 3.51-10.31; p < 0.00001; I2 = 92%)
Conclusion: IL-17 levels were significantly elevated in non-survivor and predicted mortality of septic patients.