id sid tid token lemma pos cord-017337-vq3edhxn 1 1 key key NN cord-017337-vq3edhxn 1 2 : : : cord-017337-vq3edhxn 2 1 cord-017337-vq3edhxn cord-017337-vq3edhxn : cord-017337-vq3edhxn 2 2 authors author NNS cord-017337-vq3edhxn 2 3 : : : cord-017337-vq3edhxn 2 4 Vincent Vincent NNP cord-017337-vq3edhxn 2 5 , , , cord-017337-vq3edhxn 2 6 Jean Jean NNP cord-017337-vq3edhxn 2 7 - - HYPH cord-017337-vq3edhxn 2 8 Louis Louis NNP cord-017337-vq3edhxn 2 9 title title NN cord-017337-vq3edhxn 2 10 : : : cord-017337-vq3edhxn 2 11 PIRO PIRO NNP cord-017337-vq3edhxn 2 12 : : : cord-017337-vq3edhxn 3 1 The the DT cord-017337-vq3edhxn 3 2 Key Key NNP cord-017337-vq3edhxn 3 3 to to IN cord-017337-vq3edhxn 3 4 Success Success NNP cord-017337-vq3edhxn 3 5 ? ? . cord-017337-vq3edhxn 4 1 date date NN cord-017337-vq3edhxn 4 2 : : : cord-017337-vq3edhxn 5 1 2009 2009 CD cord-017337-vq3edhxn 5 2 journal journal NN cord-017337-vq3edhxn 5 3 : : : cord-017337-vq3edhxn 5 4 Management Management NNP cord-017337-vq3edhxn 5 5 of of IN cord-017337-vq3edhxn 5 6 Sepsis Sepsis NNP cord-017337-vq3edhxn 5 7 : : : cord-017337-vq3edhxn 6 1 The the DT cord-017337-vq3edhxn 6 2 PIRO PIRO NNP cord-017337-vq3edhxn 6 3 Approach Approach NNP cord-017337-vq3edhxn 6 4 DOI doi NN cord-017337-vq3edhxn 6 5 : : : cord-017337-vq3edhxn 7 1 10.1007/978 10.1007/978 LS cord-017337-vq3edhxn 7 2 - - SYM cord-017337-vq3edhxn 7 3 3 3 CD cord-017337-vq3edhxn 7 4 - - HYPH cord-017337-vq3edhxn 7 5 642 642 CD cord-017337-vq3edhxn 7 6 - - HYPH cord-017337-vq3edhxn 7 7 00479 00479 CD cord-017337-vq3edhxn 7 8 - - HYPH cord-017337-vq3edhxn 7 9 7_1 7_1 CD cord-017337-vq3edhxn 7 10 sha sha NNP cord-017337-vq3edhxn 7 11 : : : cord-017337-vq3edhxn 8 1 65475038f09a4ecfb8b68cad3426d9f0e2605f16 65475038f09a4ecfb8b68cad3426d9f0e2605f16 CD cord-017337-vq3edhxn 8 2 doc_id doc_id CD cord-017337-vq3edhxn 8 3 : : : cord-017337-vq3edhxn 9 1 17337 17337 CD cord-017337-vq3edhxn 9 2 cord_uid cord_uid NNS cord-017337-vq3edhxn 9 3 : : : cord-017337-vq3edhxn 9 4 vq3edhxn vq3edhxn . cord-017337-vq3edhxn 10 1 Sepsis sepsis NN cord-017337-vq3edhxn 10 2 continues continue VBZ cord-017337-vq3edhxn 10 3 to to TO cord-017337-vq3edhxn 10 4 represent represent VB cord-017337-vq3edhxn 10 5 a a DT cord-017337-vq3edhxn 10 6 major major JJ cord-017337-vq3edhxn 10 7 problem problem NN cord-017337-vq3edhxn 10 8 in in IN cord-017337-vq3edhxn 10 9 intensive intensive JJ cord-017337-vq3edhxn 10 10 care care NN cord-017337-vq3edhxn 10 11 units unit NNS cord-017337-vq3edhxn 10 12 worldwide worldwide RB cord-017337-vq3edhxn 10 13 . . . cord-017337-vq3edhxn 11 1 Diagnosis diagnosis NN cord-017337-vq3edhxn 11 2 and and CC cord-017337-vq3edhxn 11 3 management management NN cord-017337-vq3edhxn 11 4 are be VBP cord-017337-vq3edhxn 11 5 often often RB cord-017337-vq3edhxn 11 6 complex complex JJ cord-017337-vq3edhxn 11 7 due due JJ cord-017337-vq3edhxn 11 8 in in IN cord-017337-vq3edhxn 11 9 part part NN cord-017337-vq3edhxn 11 10 to to IN cord-017337-vq3edhxn 11 11 the the DT cord-017337-vq3edhxn 11 12 remarkably remarkably RB cord-017337-vq3edhxn 11 13 diverse diverse JJ cord-017337-vq3edhxn 11 14 nature nature NN cord-017337-vq3edhxn 11 15 of of IN cord-017337-vq3edhxn 11 16 the the DT cord-017337-vq3edhxn 11 17 septic septic JJ cord-017337-vq3edhxn 11 18 patient patient NN cord-017337-vq3edhxn 11 19 . . . cord-017337-vq3edhxn 12 1 Indeed indeed RB cord-017337-vq3edhxn 12 2 , , , cord-017337-vq3edhxn 12 3 sepsis sepsis NN cord-017337-vq3edhxn 12 4 can can MD cord-017337-vq3edhxn 12 5 range range VB cord-017337-vq3edhxn 12 6 in in IN cord-017337-vq3edhxn 12 7 severity severity NN cord-017337-vq3edhxn 12 8 from from IN cord-017337-vq3edhxn 12 9 mild mild JJ cord-017337-vq3edhxn 12 10 systemic systemic JJ cord-017337-vq3edhxn 12 11 inflammation inflammation NN cord-017337-vq3edhxn 12 12 of of IN cord-017337-vq3edhxn 12 13 little little JJ cord-017337-vq3edhxn 12 14 clinical clinical JJ cord-017337-vq3edhxn 12 15 importance importance NN cord-017337-vq3edhxn 12 16 through through IN cord-017337-vq3edhxn 12 17 to to IN cord-017337-vq3edhxn 12 18 a a DT cord-017337-vq3edhxn 12 19 widespread widespread JJ cord-017337-vq3edhxn 12 20 severe severe JJ cord-017337-vq3edhxn 12 21 inflammatory inflammatory JJ cord-017337-vq3edhxn 12 22 response response NN cord-017337-vq3edhxn 12 23 with with IN cord-017337-vq3edhxn 12 24 multiple multiple JJ cord-017337-vq3edhxn 12 25 organ organ NN cord-017337-vq3edhxn 12 26 failure failure NN cord-017337-vq3edhxn 12 27 and and CC cord-017337-vq3edhxn 12 28 a a DT cord-017337-vq3edhxn 12 29 mortality mortality NN cord-017337-vq3edhxn 12 30 rate rate NN cord-017337-vq3edhxn 12 31 in in IN cord-017337-vq3edhxn 12 32 excess excess NN cord-017337-vq3edhxn 12 33 of of IN cord-017337-vq3edhxn 12 34 50 50 CD cord-017337-vq3edhxn 12 35 % % NN cord-017337-vq3edhxn 12 36 . . . cord-017337-vq3edhxn 13 1 Sepsis sepsis NN cord-017337-vq3edhxn 13 2 can can MD cord-017337-vq3edhxn 13 3 affect affect VB cord-017337-vq3edhxn 13 4 individuals individual NNS cord-017337-vq3edhxn 13 5 of of IN cord-017337-vq3edhxn 13 6 any any DT cord-017337-vq3edhxn 13 7 age age NN cord-017337-vq3edhxn 13 8 group group NN cord-017337-vq3edhxn 13 9 , , , cord-017337-vq3edhxn 13 10 with with IN cord-017337-vq3edhxn 13 11 no no DT cord-017337-vq3edhxn 13 12 or or CC cord-017337-vq3edhxn 13 13 multiple multiple JJ cord-017337-vq3edhxn 13 14 co co NNS cord-017337-vq3edhxn 13 15 - - NNS cord-017337-vq3edhxn 13 16 morbidities morbidity NNS cord-017337-vq3edhxn 13 17 , , , cord-017337-vq3edhxn 13 18 and and CC cord-017337-vq3edhxn 13 19 with with IN cord-017337-vq3edhxn 13 20 many many JJ cord-017337-vq3edhxn 13 21 different different JJ cord-017337-vq3edhxn 13 22 ongoing ongoing JJ cord-017337-vq3edhxn 13 23 diagnoses diagnosis NNS cord-017337-vq3edhxn 13 24 . . . cord-017337-vq3edhxn 14 1 It -PRON- PRP cord-017337-vq3edhxn 14 2 can can MD cord-017337-vq3edhxn 14 3 occur occur VB cord-017337-vq3edhxn 14 4 as as IN cord-017337-vq3edhxn 14 5 the the DT cord-017337-vq3edhxn 14 6 result result NN cord-017337-vq3edhxn 14 7 of of IN cord-017337-vq3edhxn 14 8 infection infection NN cord-017337-vq3edhxn 14 9 by by IN cord-017337-vq3edhxn 14 10 one one CD cord-017337-vq3edhxn 14 11 or or CC cord-017337-vq3edhxn 14 12 more more JJR cord-017337-vq3edhxn 14 13 of of IN cord-017337-vq3edhxn 14 14 a a DT cord-017337-vq3edhxn 14 15 multitude multitude NN cord-017337-vq3edhxn 14 16 of of IN cord-017337-vq3edhxn 14 17 microbial microbial JJ cord-017337-vq3edhxn 14 18 pathogens pathogen NNS cord-017337-vq3edhxn 14 19 impacting impact VBG cord-017337-vq3edhxn 14 20 on on IN cord-017337-vq3edhxn 14 21 any any DT cord-017337-vq3edhxn 14 22 of of IN cord-017337-vq3edhxn 14 23 numerous numerous JJ cord-017337-vq3edhxn 14 24 different different JJ cord-017337-vq3edhxn 14 25 sites site NNS cord-017337-vq3edhxn 14 26 within within IN cord-017337-vq3edhxn 14 27 the the DT cord-017337-vq3edhxn 14 28 body body NN cord-017337-vq3edhxn 14 29 . . . cord-017337-vq3edhxn 15 1 Given give VBN cord-017337-vq3edhxn 15 2 the the DT cord-017337-vq3edhxn 15 3 huge huge JJ cord-017337-vq3edhxn 15 4 complexity complexity NN cord-017337-vq3edhxn 15 5 of of IN cord-017337-vq3edhxn 15 6 sepsis sepsis NN cord-017337-vq3edhxn 15 7 and and CC cord-017337-vq3edhxn 15 8 the the DT cord-017337-vq3edhxn 15 9 diverse diverse JJ cord-017337-vq3edhxn 15 10 populations population NNS cord-017337-vq3edhxn 15 11 of of IN cord-017337-vq3edhxn 15 12 patients patient NNS cord-017337-vq3edhxn 15 13 it -PRON- PRP cord-017337-vq3edhxn 15 14 affects affect VBZ cord-017337-vq3edhxn 15 15 , , , cord-017337-vq3edhxn 15 16 simple simple JJ cord-017337-vq3edhxn 15 17 definitions definition NNS cord-017337-vq3edhxn 15 18 are be VBP cord-017337-vq3edhxn 15 19 of of IN cord-017337-vq3edhxn 15 20 relatively relatively RB cord-017337-vq3edhxn 15 21 little little JJ cord-017337-vq3edhxn 15 22 use use NN cord-017337-vq3edhxn 15 23 and and CC cord-017337-vq3edhxn 15 24 a a DT cord-017337-vq3edhxn 15 25 more more RBR cord-017337-vq3edhxn 15 26 detailed detailed JJ cord-017337-vq3edhxn 15 27 framework framework NN cord-017337-vq3edhxn 15 28 which which WDT cord-017337-vq3edhxn 15 29 can can MD cord-017337-vq3edhxn 15 30 be be VB cord-017337-vq3edhxn 15 31 used use VBN cord-017337-vq3edhxn 15 32 to to TO cord-017337-vq3edhxn 15 33 better better RB cord-017337-vq3edhxn 15 34 characterize characterize VB cord-017337-vq3edhxn 15 35 patients patient NNS cord-017337-vq3edhxn 15 36 with with IN cord-017337-vq3edhxn 15 37 sepsis sepsis NN cord-017337-vq3edhxn 15 38 has have VBZ cord-017337-vq3edhxn 15 39 been be VBN cord-017337-vq3edhxn 15 40 proposed propose VBN cord-017337-vq3edhxn 15 41 , , , cord-017337-vq3edhxn 15 42 much much RB cord-017337-vq3edhxn 15 43 as as IN cord-017337-vq3edhxn 15 44 the the DT cord-017337-vq3edhxn 15 45 TNM TNM NNP cord-017337-vq3edhxn 15 46 classification classification NN cord-017337-vq3edhxn 15 47 ( ( -LRB- cord-017337-vq3edhxn 15 48 tumor tumor NN cord-017337-vq3edhxn 15 49 size size NN cord-017337-vq3edhxn 15 50 , , , cord-017337-vq3edhxn 15 51 nodal nodal JJ cord-017337-vq3edhxn 15 52 spread spread NN cord-017337-vq3edhxn 15 53 , , , cord-017337-vq3edhxn 15 54 metastases metastasis NNS cord-017337-vq3edhxn 15 55 ) ) -RRB- cord-017337-vq3edhxn 15 56 has have VBZ cord-017337-vq3edhxn 15 57 been be VBN cord-017337-vq3edhxn 15 58 successfully successfully RB cord-017337-vq3edhxn 15 59 used use VBN cord-017337-vq3edhxn 15 60 in in IN cord-017337-vq3edhxn 15 61 clinical clinical JJ cord-017337-vq3edhxn 15 62 oncology oncology NN cord-017337-vq3edhxn 15 63 . . . cord-017337-vq3edhxn 16 1 In in IN cord-017337-vq3edhxn 16 2 this this DT cord-017337-vq3edhxn 16 3 chapter chapter NN cord-017337-vq3edhxn 16 4 , , , cord-017337-vq3edhxn 16 5 we -PRON- PRP cord-017337-vq3edhxn 16 6 discuss discuss VBP cord-017337-vq3edhxn 16 7 the the DT cord-017337-vq3edhxn 16 8 development development NN cord-017337-vq3edhxn 16 9 of of IN cord-017337-vq3edhxn 16 10 this this DT cord-017337-vq3edhxn 16 11 PIRO PIRO NNP cord-017337-vq3edhxn 16 12 system system NN cord-017337-vq3edhxn 16 13 , , , cord-017337-vq3edhxn 16 14 and and CC cord-017337-vq3edhxn 16 15 suggest suggest VBP cord-017337-vq3edhxn 16 16 how how WRB cord-017337-vq3edhxn 16 17 it -PRON- PRP cord-017337-vq3edhxn 16 18 may may MD cord-017337-vq3edhxn 16 19 be be VB cord-017337-vq3edhxn 16 20 used use VBN cord-017337-vq3edhxn 16 21 in in IN cord-017337-vq3edhxn 16 22 the the DT cord-017337-vq3edhxn 16 23 future future NN cord-017337-vq3edhxn 16 24 to to TO cord-017337-vq3edhxn 16 25 aid aid VB cord-017337-vq3edhxn 16 26 diagnosis diagnosis NN cord-017337-vq3edhxn 16 27 , , , cord-017337-vq3edhxn 16 28 guide guide NN cord-017337-vq3edhxn 16 29 therapy therapy NN cord-017337-vq3edhxn 16 30 , , , cord-017337-vq3edhxn 16 31 and and CC cord-017337-vq3edhxn 16 32 improve improve VB cord-017337-vq3edhxn 16 33 prognostication prognostication NN cord-017337-vq3edhxn 16 34 . . . cord-017337-vq3edhxn 17 1 Over over IN cord-017337-vq3edhxn 17 2 the the DT cord-017337-vq3edhxn 17 3 years year NNS cord-017337-vq3edhxn 17 4 , , , cord-017337-vq3edhxn 17 5 there there EX cord-017337-vq3edhxn 17 6 has have VBZ cord-017337-vq3edhxn 17 7 been be VBN cord-017337-vq3edhxn 17 8 considerable considerable JJ cord-017337-vq3edhxn 17 9 confusion confusion NN cord-017337-vq3edhxn 17 10 regarding regard VBG cord-017337-vq3edhxn 17 11 the the DT cord-017337-vq3edhxn 17 12 defi defi NNP cord-017337-vq3edhxn 17 13 nition nition NN cord-017337-vq3edhxn 17 14 of of IN cord-017337-vq3edhxn 17 15 sepsis sepsis NN cord-017337-vq3edhxn 17 16 , , , cord-017337-vq3edhxn 17 17 with with IN cord-017337-vq3edhxn 17 18 terms term NNS cord-017337-vq3edhxn 17 19 such such JJ cord-017337-vq3edhxn 17 20 as as IN cord-017337-vq3edhxn 17 21 " " `` cord-017337-vq3edhxn 17 22 infection infection NN cord-017337-vq3edhxn 17 23 " " '' cord-017337-vq3edhxn 17 24 and and CC cord-017337-vq3edhxn 17 25 " " `` cord-017337-vq3edhxn 17 26 sepsis sepsis NN cord-017337-vq3edhxn 17 27 " " '' cord-017337-vq3edhxn 17 28 often often RB cord-017337-vq3edhxn 17 29 being be VBG cord-017337-vq3edhxn 17 30 used use VBN cord-017337-vq3edhxn 17 31 interchangeably interchangeably RB cord-017337-vq3edhxn 17 32 . . . cord-017337-vq3edhxn 18 1 While while IN cord-017337-vq3edhxn 18 2 obviously obviously RB cord-017337-vq3edhxn 18 3 related relate VBN cord-017337-vq3edhxn 18 4 , , , cord-017337-vq3edhxn 18 5 these these DT cord-017337-vq3edhxn 18 6 elements element NNS cord-017337-vq3edhxn 18 7 are be VBP cord-017337-vq3edhxn 18 8 not not RB cord-017337-vq3edhxn 18 9 exact exact JJ cord-017337-vq3edhxn 18 10 synonyms synonyms NN cord-017337-vq3edhxn 18 11 ; ; , cord-017337-vq3edhxn 18 12 sepsis sepsis NN cord-017337-vq3edhxn 18 13 is be VBZ cord-017337-vq3edhxn 18 14 the the DT cord-017337-vq3edhxn 18 15 host host NN cord-017337-vq3edhxn 18 16 response response NN cord-017337-vq3edhxn 18 17 to to IN cord-017337-vq3edhxn 18 18 an an DT cord-017337-vq3edhxn 18 19 infection infection NN cord-017337-vq3edhxn 18 20 by by IN cord-017337-vq3edhxn 18 21 an an DT cord-017337-vq3edhxn 18 22 invading invade VBG cord-017337-vq3edhxn 18 23 microorganism microorganism NN cord-017337-vq3edhxn 18 24 , , , cord-017337-vq3edhxn 18 25 be be VB cord-017337-vq3edhxn 18 26 it -PRON- PRP cord-017337-vq3edhxn 18 27 virus virus NN cord-017337-vq3edhxn 18 28 , , , cord-017337-vq3edhxn 18 29 bacteria bacteria NNS cord-017337-vq3edhxn 18 30 , , , cord-017337-vq3edhxn 18 31 or or CC cord-017337-vq3edhxn 18 32 fungus fungus NN cord-017337-vq3edhxn 18 33 . . . cord-017337-vq3edhxn 19 1 In in IN cord-017337-vq3edhxn 19 2 1992 1992 CD cord-017337-vq3edhxn 19 3 , , , cord-017337-vq3edhxn 19 4 as as IN cord-017337-vq3edhxn 19 5 the the DT cord-017337-vq3edhxn 19 6 links link NNS cord-017337-vq3edhxn 19 7 between between IN cord-017337-vq3edhxn 19 8 infl infl NN cord-017337-vq3edhxn 19 9 ammation ammation NN cord-017337-vq3edhxn 19 10 and and CC cord-017337-vq3edhxn 19 11 sepsis sepsis NN cord-017337-vq3edhxn 19 12 were be VBD cord-017337-vq3edhxn 19 13 becoming become VBG cord-017337-vq3edhxn 19 14 increasingly increasingly RB cord-017337-vq3edhxn 19 15 clear clear JJ cord-017337-vq3edhxn 19 16 , , , cord-017337-vq3edhxn 19 17 a a DT cord-017337-vq3edhxn 19 18 consensus consensus NN cord-017337-vq3edhxn 19 19 conference conference NN cord-017337-vq3edhxn 19 20 on on IN cord-017337-vq3edhxn 19 21 sepsis sepsis NNP cord-017337-vq3edhxn 19 22 defi defi NNP cord-017337-vq3edhxn 19 23 nitions nitions NNP cord-017337-vq3edhxn 19 24 introduced introduce VBD cord-017337-vq3edhxn 19 25 the the DT cord-017337-vq3edhxn 19 26 term term NN cord-017337-vq3edhxn 19 27 SIRS SIRS NNP cord-017337-vq3edhxn 19 28 ( ( -LRB- cord-017337-vq3edhxn 19 29 systemic systemic JJ cord-017337-vq3edhxn 19 30 infl infl NNP cord-017337-vq3edhxn 19 31 ammatory ammatory NNP cord-017337-vq3edhxn 19 32 response response NNP cord-017337-vq3edhxn 19 33 syndrome syndrome NN cord-017337-vq3edhxn 19 34 ) ) -RRB- cord-017337-vq3edhxn 19 35 in in IN cord-017337-vq3edhxn 19 36 an an DT cord-017337-vq3edhxn 19 37 attempt attempt NN cord-017337-vq3edhxn 19 38 to to TO cord-017337-vq3edhxn 19 39 clarify clarify VB cord-017337-vq3edhxn 19 40 and and CC cord-017337-vq3edhxn 19 41 simplify simplify VB cord-017337-vq3edhxn 19 42 the the DT cord-017337-vq3edhxn 19 43 defi defi NNP cord-017337-vq3edhxn 19 44 nitions nition NNS cord-017337-vq3edhxn 19 45 of of IN cord-017337-vq3edhxn 19 46 sepsis sepsis NN cord-017337-vq3edhxn 19 47 [ [ -LRB- cord-017337-vq3edhxn 19 48 1 1 CD cord-017337-vq3edhxn 19 49 ] ] -RRB- cord-017337-vq3edhxn 19 50 . . . cord-017337-vq3edhxn 20 1 A a DT cord-017337-vq3edhxn 20 2 patient patient NN cord-017337-vq3edhxn 20 3 was be VBD cord-017337-vq3edhxn 20 4 classifi classifi NNP cord-017337-vq3edhxn 20 5 ed ed NNP cord-017337-vq3edhxn 20 6 as as IN cord-017337-vq3edhxn 20 7 having have VBG cord-017337-vq3edhxn 20 8 SIRS SIRS NNP cord-017337-vq3edhxn 20 9 if if IN cord-017337-vq3edhxn 20 10 he -PRON- PRP cord-017337-vq3edhxn 20 11 / / SYM cord-017337-vq3edhxn 20 12 she -PRON- PRP cord-017337-vq3edhxn 20 13 had have VBD cord-017337-vq3edhxn 20 14 at at RB cord-017337-vq3edhxn 20 15 least least RBS cord-017337-vq3edhxn 20 16 two two CD cord-017337-vq3edhxn 20 17 of of IN cord-017337-vq3edhxn 20 18 four four CD cord-017337-vq3edhxn 20 19 parameters parameter NNS cord-017337-vq3edhxn 20 20 ( ( -LRB- cord-017337-vq3edhxn 20 21 temperature temperature NN cord-017337-vq3edhxn 20 22 > > XX cord-017337-vq3edhxn 20 23 38 38 CD cord-017337-vq3edhxn 20 24 or or CC cord-017337-vq3edhxn 20 25 < < XX cord-017337-vq3edhxn 20 26 36 36 CD cord-017337-vq3edhxn 20 27 ° ° NN cord-017337-vq3edhxn 20 28 C c NN cord-017337-vq3edhxn 20 29 ; ; : cord-017337-vq3edhxn 20 30 heart heart NN cord-017337-vq3edhxn 20 31 rate rate NN cord-017337-vq3edhxn 20 32 > > XX cord-017337-vq3edhxn 20 33 90 90 CD cord-017337-vq3edhxn 20 34 beats beat NNS cord-017337-vq3edhxn 20 35 / / SYM cord-017337-vq3edhxn 20 36 min min NN cord-017337-vq3edhxn 20 37 ; ; , cord-017337-vq3edhxn 20 38 respiratory respiratory JJ cord-017337-vq3edhxn 20 39 rate rate NN cord-017337-vq3edhxn 20 40 > > XX cord-017337-vq3edhxn 20 41 20 20 CD cord-017337-vq3edhxn 20 42 breaths breath NNS cord-017337-vq3edhxn 20 43 per per IN cord-017337-vq3edhxn 20 44 minute minute NN cord-017337-vq3edhxn 20 45 or or CC cord-017337-vq3edhxn 20 46 PCO PCO NNP cord-017337-vq3edhxn 20 47 2 2 CD cord-017337-vq3edhxn 20 48 < < XX cord-017337-vq3edhxn 20 49 32 32 CD cord-017337-vq3edhxn 20 50 mmHg mmHg NNS cord-017337-vq3edhxn 20 51 ; ; : cord-017337-vq3edhxn 20 52 white white JJ cord-017337-vq3edhxn 20 53 blood blood NN cord-017337-vq3edhxn 20 54 cell cell NN cord-017337-vq3edhxn 20 55 count count NN cord-017337-vq3edhxn 20 56 > > XX cord-017337-vq3edhxn 21 1 12 12 CD cord-017337-vq3edhxn 21 2 or or CC cord-017337-vq3edhxn 21 3 < < XX cord-017337-vq3edhxn 21 4 4 4 CD cord-017337-vq3edhxn 21 5 × × NN cord-017337-vq3edhxn 21 6 10 10 CD cord-017337-vq3edhxn 21 7 9 9 CD cord-017337-vq3edhxn 21 8 /l /l NN cord-017337-vq3edhxn 21 9 ) ) -RRB- cord-017337-vq3edhxn 21 10 . . . cord-017337-vq3edhxn 22 1 Sepsis sepsis NN cord-017337-vq3edhxn 22 2 was be VBD cord-017337-vq3edhxn 22 3 defi defi NNP cord-017337-vq3edhxn 22 4 ned ned NNP cord-017337-vq3edhxn 22 5 as as IN cord-017337-vq3edhxn 22 6 SIRS SIRS NNP cord-017337-vq3edhxn 22 7 plus plus CC cord-017337-vq3edhxn 22 8 infection infection NN cord-017337-vq3edhxn 22 9 . . . cord-017337-vq3edhxn 23 1 However however RB cord-017337-vq3edhxn 23 2 , , , cord-017337-vq3edhxn 23 3 it -PRON- PRP cord-017337-vq3edhxn 23 4 soon soon RB cord-017337-vq3edhxn 23 5 became become VBD cord-017337-vq3edhxn 23 6 apparent apparent JJ cord-017337-vq3edhxn 23 7 that that IN cord-017337-vq3edhxn 23 8 nearly nearly RB cord-017337-vq3edhxn 23 9 all all DT cord-017337-vq3edhxn 23 10 intensive intensive JJ cord-017337-vq3edhxn 23 11 care care NN cord-017337-vq3edhxn 23 12 unit unit NN cord-017337-vq3edhxn 23 13 ( ( -LRB- cord-017337-vq3edhxn 23 14 ICU ICU NNP cord-017337-vq3edhxn 23 15 ) ) -RRB- cord-017337-vq3edhxn 23 16 patients patient NNS cord-017337-vq3edhxn 23 17 meet meet VBP cord-017337-vq3edhxn 23 18 the the DT cord-017337-vq3edhxn 23 19 SIRS SIRS NNP cord-017337-vq3edhxn 23 20 criteria criterion NNS cord-017337-vq3edhxn 23 21 at at IN cord-017337-vq3edhxn 23 22 some some DT cord-017337-vq3edhxn 23 23 point point NN cord-017337-vq3edhxn 23 24 during during IN cord-017337-vq3edhxn 23 25 their -PRON- PRP$ cord-017337-vq3edhxn 23 26 ICU ICU NNP cord-017337-vq3edhxn 23 27 stay stay VBP cord-017337-vq3edhxn 23 28 [ [ -LRB- cord-017337-vq3edhxn 23 29 2 2 CD cord-017337-vq3edhxn 23 30 , , , cord-017337-vq3edhxn 23 31 3 3 CD cord-017337-vq3edhxn 23 32 ] ] -RRB- cord-017337-vq3edhxn 23 33 , , , cord-017337-vq3edhxn 23 34 making make VBG cord-017337-vq3edhxn 23 35 this this DT cord-017337-vq3edhxn 23 36 approach approach NN cord-017337-vq3edhxn 23 37 too too RB cord-017337-vq3edhxn 23 38 sensitive sensitive JJ cord-017337-vq3edhxn 23 39 to to TO cord-017337-vq3edhxn 23 40 be be VB cord-017337-vq3edhxn 23 41 useful useful JJ cord-017337-vq3edhxn 23 42 in in IN cord-017337-vq3edhxn 23 43 diagnosing diagnose VBG cord-017337-vq3edhxn 23 44 sepsis sepsis NN cord-017337-vq3edhxn 23 45 [ [ -LRB- cord-017337-vq3edhxn 23 46 4 4 CD cord-017337-vq3edhxn 23 47 ] ] -RRB- cord-017337-vq3edhxn 23 48 . . . cord-017337-vq3edhxn 24 1 Almost almost RB cord-017337-vq3edhxn 24 2 10 10 CD cord-017337-vq3edhxn 24 3 years year NNS cord-017337-vq3edhxn 24 4 later later RB cord-017337-vq3edhxn 24 5 , , , cord-017337-vq3edhxn 24 6 a a DT cord-017337-vq3edhxn 24 7 second second JJ cord-017337-vq3edhxn 24 8 consensus consensus NN cord-017337-vq3edhxn 24 9 conference conference NN cord-017337-vq3edhxn 24 10 on on IN cord-017337-vq3edhxn 24 11 sepsis sepsis NNP cord-017337-vq3edhxn 24 12 defi defi NNP cord-017337-vq3edhxn 24 13 nitions nitions NNP cord-017337-vq3edhxn 24 14 was be VBD cord-017337-vq3edhxn 24 15 convened convene VBN cord-017337-vq3edhxn 24 16 , , , cord-017337-vq3edhxn 24 17 sponsored sponsor VBN cord-017337-vq3edhxn 24 18 by by IN cord-017337-vq3edhxn 24 19 the the DT cord-017337-vq3edhxn 24 20 Society Society NNP cord-017337-vq3edhxn 24 21 of of IN cord-017337-vq3edhxn 24 22 Critical Critical NNP cord-017337-vq3edhxn 24 23 Care Care NNP cord-017337-vq3edhxn 24 24 Medicine Medicine NNP cord-017337-vq3edhxn 24 25 ( ( -LRB- cord-017337-vq3edhxn 24 26 SCCM SCCM NNP cord-017337-vq3edhxn 24 27 ) ) -RRB- cord-017337-vq3edhxn 24 28 , , , cord-017337-vq3edhxn 24 29 the the DT cord-017337-vq3edhxn 24 30 European European NNP cord-017337-vq3edhxn 24 31 Society Society NNP cord-017337-vq3edhxn 24 32 of of IN cord-017337-vq3edhxn 24 33 Intensive Intensive NNP cord-017337-vq3edhxn 24 34 Care Care NNP cord-017337-vq3edhxn 24 35 Medicine Medicine NNP cord-017337-vq3edhxn 24 36 ( ( -LRB- cord-017337-vq3edhxn 24 37 ESICM ESICM NNP cord-017337-vq3edhxn 24 38 ) ) -RRB- cord-017337-vq3edhxn 24 39 , , , cord-017337-vq3edhxn 24 40 the the DT cord-017337-vq3edhxn 24 41 American American NNP cord-017337-vq3edhxn 24 42 College College NNP cord-017337-vq3edhxn 24 43 of of IN cord-017337-vq3edhxn 24 44 Chest Chest NNP cord-017337-vq3edhxn 24 45 Physicians Physicians NNPS cord-017337-vq3edhxn 24 46 ( ( -LRB- cord-017337-vq3edhxn 24 47 ACCP ACCP NNP cord-017337-vq3edhxn 24 48 ) ) -RRB- cord-017337-vq3edhxn 24 49 , , , cord-017337-vq3edhxn 24 50 the the DT cord-017337-vq3edhxn 24 51 American American NNP cord-017337-vq3edhxn 24 52 Thoracic Thoracic NNP cord-017337-vq3edhxn 24 53 Society Society NNP cord-017337-vq3edhxn 24 54 ( ( -LRB- cord-017337-vq3edhxn 24 55 ATS ATS NNP cord-017337-vq3edhxn 24 56 ) ) -RRB- cord-017337-vq3edhxn 24 57 , , , cord-017337-vq3edhxn 24 58 and and CC cord-017337-vq3edhxn 24 59 the the DT cord-017337-vq3edhxn 24 60 Surgical surgical JJ cord-017337-vq3edhxn 24 61 Infection infection NN cord-017337-vq3edhxn 24 62 Societies Societies NNPS cord-017337-vq3edhxn 24 63 ( ( -LRB- cord-017337-vq3edhxn 24 64 SIS SIS NNP cord-017337-vq3edhxn 24 65 ) ) -RRB- cord-017337-vq3edhxn 25 1 [ [ -LRB- cord-017337-vq3edhxn 25 2 5 5 CD cord-017337-vq3edhxn 25 3 ] ] -RRB- cord-017337-vq3edhxn 25 4 . . . cord-017337-vq3edhxn 26 1 The the DT cord-017337-vq3edhxn 26 2 participants participant NNS cord-017337-vq3edhxn 26 3 at at IN cord-017337-vq3edhxn 26 4 this this DT cord-017337-vq3edhxn 26 5 meeting meeting NN cord-017337-vq3edhxn 26 6 agreed agree VBD cord-017337-vq3edhxn 26 7 that that IN cord-017337-vq3edhxn 26 8 the the DT cord-017337-vq3edhxn 26 9 SIRS SIRS NNP cord-017337-vq3edhxn 26 10 concept concept NN cord-017337-vq3edhxn 26 11 was be VBD cord-017337-vq3edhxn 26 12 not not RB cord-017337-vq3edhxn 26 13 helpful helpful JJ cord-017337-vq3edhxn 26 14 and and CC cord-017337-vq3edhxn 26 15 should should MD cord-017337-vq3edhxn 26 16 no no RB cord-017337-vq3edhxn 26 17 longer longer RB cord-017337-vq3edhxn 26 18 be be VB cord-017337-vq3edhxn 26 19 used use VBN cord-017337-vq3edhxn 26 20 per per IN cord-017337-vq3edhxn 26 21 se se FW cord-017337-vq3edhxn 26 22 , , , cord-017337-vq3edhxn 26 23 but but CC cord-017337-vq3edhxn 26 24 that that IN cord-017337-vq3edhxn 26 25 the the DT cord-017337-vq3edhxn 26 26 SIRS SIRS NNP cord-017337-vq3edhxn 26 27 criteria criterion NNS cord-017337-vq3edhxn 26 28 be be VB cord-017337-vq3edhxn 26 29 incorporated incorporate VBN cord-017337-vq3edhxn 26 30 into into IN cord-017337-vq3edhxn 26 31 a a DT cord-017337-vq3edhxn 26 32 longer long JJR cord-017337-vq3edhxn 26 33 list list NN cord-017337-vq3edhxn 26 34 of of IN cord-017337-vq3edhxn 26 35 signs sign NNS cord-017337-vq3edhxn 26 36 of of IN cord-017337-vq3edhxn 26 37 sepsis sepsis NN cord-017337-vq3edhxn 26 38 that that WDT cord-017337-vq3edhxn 26 39 could could MD cord-017337-vq3edhxn 26 40 be be VB cord-017337-vq3edhxn 26 41 employed employ VBN cord-017337-vq3edhxn 26 42 to to TO cord-017337-vq3edhxn 26 43 support support VB cord-017337-vq3edhxn 26 44 a a DT cord-017337-vq3edhxn 26 45 diagnosis diagnosis NN cord-017337-vq3edhxn 26 46 of of IN cord-017337-vq3edhxn 26 47 sepsis sepsis NN cord-017337-vq3edhxn 26 48 . . . cord-017337-vq3edhxn 27 1 This this DT cord-017337-vq3edhxn 27 2 list list NN cord-017337-vq3edhxn 27 3 includes include VBZ cord-017337-vq3edhxn 27 4 biologic biologic JJ cord-017337-vq3edhxn 27 5 signs sign NNS cord-017337-vq3edhxn 27 6 of of IN cord-017337-vq3edhxn 27 7 infl infl NN cord-017337-vq3edhxn 27 8 ammation ammation NNP cord-017337-vq3edhxn 27 9 ( ( -LRB- cord-017337-vq3edhxn 27 10 e.g. e.g. RB cord-017337-vq3edhxn 27 11 , , , cord-017337-vq3edhxn 27 12 increased increase VBN cord-017337-vq3edhxn 27 13 serum serum NN cord-017337-vq3edhxn 27 14 concentrations concentration NNS cord-017337-vq3edhxn 27 15 of of IN cord-017337-vq3edhxn 27 16 C c NN cord-017337-vq3edhxn 27 17 - - HYPH cord-017337-vq3edhxn 27 18 reactive reactive JJ cord-017337-vq3edhxn 27 19 protein protein NN cord-017337-vq3edhxn 27 20 [ [ -LRB- cord-017337-vq3edhxn 27 21 CRP CRP NNP cord-017337-vq3edhxn 27 22 ] ] -RRB- cord-017337-vq3edhxn 27 23 or or CC cord-017337-vq3edhxn 27 24 procalcitonin procalcitonin NNS cord-017337-vq3edhxn 27 25 ) ) -RRB- cord-017337-vq3edhxn 27 26 , , , cord-017337-vq3edhxn 27 27 hemodynamic hemodynamic JJ cord-017337-vq3edhxn 27 28 parameters parameter NNS cord-017337-vq3edhxn 27 29 ( ( -LRB- cord-017337-vq3edhxn 27 30 e.g. e.g. RB cord-017337-vq3edhxn 27 31 , , , cord-017337-vq3edhxn 27 32 increased increase VBN cord-017337-vq3edhxn 27 33 cardiac cardiac JJ cord-017337-vq3edhxn 27 34 output output NN cord-017337-vq3edhxn 27 35 , , , cord-017337-vq3edhxn 27 36 low low JJ cord-017337-vq3edhxn 27 37 systemic systemic JJ cord-017337-vq3edhxn 27 38 vascular vascular JJ cord-017337-vq3edhxn 27 39 resistance resistance NN cord-017337-vq3edhxn 27 40 [ [ -LRB- cord-017337-vq3edhxn 27 41 SVR SVR NNP cord-017337-vq3edhxn 27 42 ] ] -RRB- cord-017337-vq3edhxn 27 43 , , , cord-017337-vq3edhxn 27 44 low low JJ cord-017337-vq3edhxn 27 45 oxygen oxygen NN cord-017337-vq3edhxn 27 46 extraction extraction NN cord-017337-vq3edhxn 27 47 ratio ratio NN cord-017337-vq3edhxn 27 48 ) ) -RRB- cord-017337-vq3edhxn 27 49 , , , cord-017337-vq3edhxn 27 50 signs sign NNS cord-017337-vq3edhxn 27 51 of of IN cord-017337-vq3edhxn 27 52 altered alter VBN cord-017337-vq3edhxn 27 53 tissue tissue NN cord-017337-vq3edhxn 27 54 perfusion perfusion NN cord-017337-vq3edhxn 27 55 ( ( -LRB- cord-017337-vq3edhxn 27 56 e.g. e.g. RB cord-017337-vq3edhxn 27 57 , , , cord-017337-vq3edhxn 27 58 altered alter VBN cord-017337-vq3edhxn 27 59 skin skin NN cord-017337-vq3edhxn 27 60 perfusion perfusion NN cord-017337-vq3edhxn 27 61 , , , cord-017337-vq3edhxn 27 62 reduced reduce VBN cord-017337-vq3edhxn 27 63 urine urine NN cord-017337-vq3edhxn 27 64 output output NN cord-017337-vq3edhxn 27 65 ) ) -RRB- cord-017337-vq3edhxn 27 66 , , , cord-017337-vq3edhxn 27 67 and and CC cord-017337-vq3edhxn 27 68 signs sign NNS cord-017337-vq3edhxn 27 69 of of IN cord-017337-vq3edhxn 27 70 organ organ NN cord-017337-vq3edhxn 27 71 dysfunction dysfunction NN cord-017337-vq3edhxn 27 72 ( ( -LRB- cord-017337-vq3edhxn 27 73 e.g. e.g. RB cord-017337-vq3edhxn 27 74 , , , cord-017337-vq3edhxn 27 75 increased increase VBN cord-017337-vq3edhxn 27 76 urea urea NN cord-017337-vq3edhxn 27 77 and and CC cord-017337-vq3edhxn 27 78 creatinine creatinine NN cord-017337-vq3edhxn 27 79 , , , cord-017337-vq3edhxn 27 80 low low JJ cord-017337-vq3edhxn 27 81 platelet platelet NN cord-017337-vq3edhxn 27 82 count count NN cord-017337-vq3edhxn 27 83 or or CC cord-017337-vq3edhxn 27 84 other other JJ cord-017337-vq3edhxn 27 85 coagulation coagulation NN cord-017337-vq3edhxn 27 86 abnormalities abnormality NNS cord-017337-vq3edhxn 27 87 , , , cord-017337-vq3edhxn 27 88 1 1 CD cord-017337-vq3edhxn 27 89 hyperbilirubinemia hyperbilirubinemia NN cord-017337-vq3edhxn 27 90 ) ) -RRB- cord-017337-vq3edhxn 27 91 . . . cord-017337-vq3edhxn 28 1 The the DT cord-017337-vq3edhxn 28 2 participants participant NNS cord-017337-vq3edhxn 28 3 also also RB cord-017337-vq3edhxn 28 4 suggested suggest VBD cord-017337-vq3edhxn 28 5 that that IN cord-017337-vq3edhxn 28 6 as as IN cord-017337-vq3edhxn 28 7 the the DT cord-017337-vq3edhxn 28 8 defi defi NNP cord-017337-vq3edhxn 28 9 nitions nitions NNP cord-017337-vq3edhxn 28 10 did do VBD cord-017337-vq3edhxn 28 11 not not RB cord-017337-vq3edhxn 28 12 allow allow VB cord-017337-vq3edhxn 28 13 for for IN cord-017337-vq3edhxn 28 14 precise precise JJ cord-017337-vq3edhxn 28 15 characterization characterization NN cord-017337-vq3edhxn 28 16 and and CC cord-017337-vq3edhxn 28 17 staging staging NN cord-017337-vq3edhxn 28 18 of of IN cord-017337-vq3edhxn 28 19 patients patient NNS cord-017337-vq3edhxn 28 20 with with IN cord-017337-vq3edhxn 28 21 sepsis sepsis NN cord-017337-vq3edhxn 28 22 , , , cord-017337-vq3edhxn 28 23 a a DT cord-017337-vq3edhxn 28 24 clinically clinically RB cord-017337-vq3edhxn 28 25 useful useful JJ cord-017337-vq3edhxn 28 26 staging staging NN cord-017337-vq3edhxn 28 27 system system NN cord-017337-vq3edhxn 28 28 that that WDT cord-017337-vq3edhxn 28 29 could could MD cord-017337-vq3edhxn 28 30 stratify stratify VB cord-017337-vq3edhxn 28 31 patients patient NNS cord-017337-vq3edhxn 28 32 by by IN cord-017337-vq3edhxn 28 33 both both DT cord-017337-vq3edhxn 28 34 their -PRON- PRP$ cord-017337-vq3edhxn 28 35 baseline baseline JJ cord-017337-vq3edhxn 28 36 risk risk NN cord-017337-vq3edhxn 28 37 of of IN cord-017337-vq3edhxn 28 38 an an DT cord-017337-vq3edhxn 28 39 adverse adverse JJ cord-017337-vq3edhxn 28 40 outcome outcome NN cord-017337-vq3edhxn 28 41 and and CC cord-017337-vq3edhxn 28 42 their -PRON- PRP$ cord-017337-vq3edhxn 28 43 potential potential NN cord-017337-vq3edhxn 28 44 to to TO cord-017337-vq3edhxn 28 45 respond respond VB cord-017337-vq3edhxn 28 46 to to IN cord-017337-vq3edhxn 28 47 therapy therapy NN cord-017337-vq3edhxn 28 48 was be VBD cord-017337-vq3edhxn 28 49 needed need VBN cord-017337-vq3edhxn 28 50 . . . cord-017337-vq3edhxn 29 1 Building build VBG cord-017337-vq3edhxn 29 2 on on IN cord-017337-vq3edhxn 29 3 a a DT cord-017337-vq3edhxn 29 4 system system NN cord-017337-vq3edhxn 29 5 that that WDT cord-017337-vq3edhxn 29 6 had have VBD cord-017337-vq3edhxn 29 7 emerged emerge VBN cord-017337-vq3edhxn 29 8 at at IN cord-017337-vq3edhxn 29 9 the the DT cord-017337-vq3edhxn 29 10 Fifth Fifth NNP cord-017337-vq3edhxn 29 11 Toronto Toronto NNP cord-017337-vq3edhxn 29 12 Sepsis Sepsis NNP cord-017337-vq3edhxn 29 13 Roundtable Roundtable NNP cord-017337-vq3edhxn 29 14 held hold VBN cord-017337-vq3edhxn 29 15 in in IN cord-017337-vq3edhxn 29 16 Toronto Toronto NNP cord-017337-vq3edhxn 29 17 , , , cord-017337-vq3edhxn 29 18 Canada Canada NNP cord-017337-vq3edhxn 29 19 , , , cord-017337-vq3edhxn 29 20 in in IN cord-017337-vq3edhxn 29 21 2000 2000 CD cord-017337-vq3edhxn 29 22 [ [ -LRB- cord-017337-vq3edhxn 29 23 6 6 CD cord-017337-vq3edhxn 29 24 ] ] -RRB- cord-017337-vq3edhxn 29 25 , , , cord-017337-vq3edhxn 29 26 the the DT cord-017337-vq3edhxn 29 27 sepsis sepsis NN cord-017337-vq3edhxn 29 28 defi defi NNP cord-017337-vq3edhxn 29 29 nitions nitions NNP cord-017337-vq3edhxn 29 30 conference conference NN cord-017337-vq3edhxn 29 31 participants participant NNS cord-017337-vq3edhxn 29 32 , , , cord-017337-vq3edhxn 29 33 therefore therefore RB cord-017337-vq3edhxn 29 34 , , , cord-017337-vq3edhxn 29 35 proposed propose VBD cord-017337-vq3edhxn 29 36 the the DT cord-017337-vq3edhxn 29 37 PIRO PIRO NNP cord-017337-vq3edhxn 29 38 system system NN cord-017337-vq3edhxn 29 39 [ [ -LRB- cord-017337-vq3edhxn 29 40 5 5 CD cord-017337-vq3edhxn 29 41 ] ] -RRB- cord-017337-vq3edhxn 29 42 , , , cord-017337-vq3edhxn 29 43 which which WDT cord-017337-vq3edhxn 29 44 can can MD cord-017337-vq3edhxn 29 45 classify classify VB cord-017337-vq3edhxn 29 46 patients patient NNS cord-017337-vq3edhxn 29 47 on on IN cord-017337-vq3edhxn 29 48 the the DT cord-017337-vq3edhxn 29 49 basis basis NN cord-017337-vq3edhxn 29 50 of of IN cord-017337-vq3edhxn 29 51 their -PRON- PRP$ cord-017337-vq3edhxn 29 52 predisposing predisposing JJ cord-017337-vq3edhxn 29 53 conditions condition NNS cord-017337-vq3edhxn 29 54 , , , cord-017337-vq3edhxn 29 55 the the DT cord-017337-vq3edhxn 29 56 nature nature NN cord-017337-vq3edhxn 29 57 and and CC cord-017337-vq3edhxn 29 58 extent extent NN cord-017337-vq3edhxn 29 59 of of IN cord-017337-vq3edhxn 29 60 the the DT cord-017337-vq3edhxn 29 61 infection infection NN cord-017337-vq3edhxn 29 62 , , , cord-017337-vq3edhxn 29 63 the the DT cord-017337-vq3edhxn 29 64 nature nature NN cord-017337-vq3edhxn 29 65 and and CC cord-017337-vq3edhxn 29 66 magnitude magnitude NN cord-017337-vq3edhxn 29 67 of of IN cord-017337-vq3edhxn 29 68 the the DT cord-017337-vq3edhxn 29 69 host host NN cord-017337-vq3edhxn 29 70 response response NN cord-017337-vq3edhxn 29 71 , , , cord-017337-vq3edhxn 29 72 and and CC cord-017337-vq3edhxn 29 73 the the DT cord-017337-vq3edhxn 29 74 degree degree NN cord-017337-vq3edhxn 29 75 of of IN cord-017337-vq3edhxn 29 76 concomitant concomitant JJ cord-017337-vq3edhxn 29 77 organ organ NN cord-017337-vq3edhxn 29 78 dysfunction dysfunction NN cord-017337-vq3edhxn 29 79 . . . cord-017337-vq3edhxn 30 1 Disease Disease NNP cord-017337-vq3edhxn 30 2 stratifi stratifi NN cord-017337-vq3edhxn 30 3 cations cation NNS cord-017337-vq3edhxn 30 4 systems system NNS cord-017337-vq3edhxn 30 5 are be VBP cord-017337-vq3edhxn 30 6 widely widely RB cord-017337-vq3edhxn 30 7 used use VBN cord-017337-vq3edhxn 30 8 in in IN cord-017337-vq3edhxn 30 9 clinical clinical JJ cord-017337-vq3edhxn 30 10 medicine medicine NN cord-017337-vq3edhxn 30 11 , , , cord-017337-vq3edhxn 30 12 but but CC cord-017337-vq3edhxn 30 13 perhaps perhaps RB cord-017337-vq3edhxn 30 14 the the DT cord-017337-vq3edhxn 30 15 most most RBS cord-017337-vq3edhxn 30 16 familiar familiar JJ cord-017337-vq3edhxn 30 17 and and CC cord-017337-vq3edhxn 30 18 frequently frequently RB cord-017337-vq3edhxn 30 19 employed employ VBN cord-017337-vq3edhxn 30 20 is be VBZ cord-017337-vq3edhxn 30 21 the the DT cord-017337-vq3edhxn 30 22 TNM TNM NNP cord-017337-vq3edhxn 30 23 system system NN cord-017337-vq3edhxn 30 24 , , , cord-017337-vq3edhxn 30 25 which which WDT cord-017337-vq3edhxn 30 26 was be VBD cord-017337-vq3edhxn 30 27 developed develop VBN cord-017337-vq3edhxn 30 28 by by IN cord-017337-vq3edhxn 30 29 Pierre Pierre NNP cord-017337-vq3edhxn 30 30 Denoix Denoix NNP cord-017337-vq3edhxn 30 31 in in IN cord-017337-vq3edhxn 30 32 the the DT cord-017337-vq3edhxn 30 33 1940s 1940 NNS cord-017337-vq3edhxn 30 34 [ [ -LRB- cord-017337-vq3edhxn 30 35 7 7 CD cord-017337-vq3edhxn 30 36 ] ] -RRB- cord-017337-vq3edhxn 30 37 , , , cord-017337-vq3edhxn 30 38 and and CC cord-017337-vq3edhxn 30 39 is be VBZ cord-017337-vq3edhxn 30 40 universally universally RB cord-017337-vq3edhxn 30 41 recognized recognize VBN cord-017337-vq3edhxn 30 42 as as IN cord-017337-vq3edhxn 30 43 a a DT cord-017337-vq3edhxn 30 44 standard standard NN cord-017337-vq3edhxn 30 45 for for IN cord-017337-vq3edhxn 30 46 classifying classify VBG cord-017337-vq3edhxn 30 47 patients patient NNS cord-017337-vq3edhxn 30 48 with with IN cord-017337-vq3edhxn 30 49 cancer cancer NN cord-017337-vq3edhxn 30 50 . . . cord-017337-vq3edhxn 31 1 The the DT cord-017337-vq3edhxn 31 2 TNM TNM NNP cord-017337-vq3edhxn 31 3 system system NN cord-017337-vq3edhxn 31 4 classifi classifi NNP cord-017337-vq3edhxn 31 5 es es XX cord-017337-vq3edhxn 31 6 malignant malignant JJ cord-017337-vq3edhxn 31 7 tumors tumor NNS cord-017337-vq3edhxn 31 8 based base VBN cord-017337-vq3edhxn 31 9 on on IN cord-017337-vq3edhxn 31 10 descriptors descriptor NNS cord-017337-vq3edhxn 31 11 of of IN cord-017337-vq3edhxn 31 12 the the DT cord-017337-vq3edhxn 31 13 extent extent NN cord-017337-vq3edhxn 31 14 of of IN cord-017337-vq3edhxn 31 15 the the DT cord-017337-vq3edhxn 31 16 primary primary JJ cord-017337-vq3edhxn 31 17 tumor tumor NN cord-017337-vq3edhxn 31 18 ( ( -LRB- cord-017337-vq3edhxn 31 19 T T NNP cord-017337-vq3edhxn 31 20 ) ) -RRB- cord-017337-vq3edhxn 31 21 , , , cord-017337-vq3edhxn 31 22 on on IN cord-017337-vq3edhxn 31 23 the the DT cord-017337-vq3edhxn 31 24 presence presence NN cord-017337-vq3edhxn 31 25 , , , cord-017337-vq3edhxn 31 26 absence absence NN cord-017337-vq3edhxn 31 27 , , , cord-017337-vq3edhxn 31 28 and and CC cord-017337-vq3edhxn 31 29 extent extent NN cord-017337-vq3edhxn 31 30 of of IN cord-017337-vq3edhxn 31 31 metastases metastasis NNS cord-017337-vq3edhxn 31 32 to to IN cord-017337-vq3edhxn 31 33 regional regional JJ cord-017337-vq3edhxn 31 34 lymph lymph NN cord-017337-vq3edhxn 31 35 nodes node NNS cord-017337-vq3edhxn 31 36 ( ( -LRB- cord-017337-vq3edhxn 31 37 N N NNP cord-017337-vq3edhxn 31 38 ) ) -RRB- cord-017337-vq3edhxn 31 39 , , , cord-017337-vq3edhxn 31 40 and and CC cord-017337-vq3edhxn 31 41 on on IN cord-017337-vq3edhxn 31 42 the the DT cord-017337-vq3edhxn 31 43 presence presence NN cord-017337-vq3edhxn 31 44 or or CC cord-017337-vq3edhxn 31 45 absence absence NN cord-017337-vq3edhxn 31 46 of of IN cord-017337-vq3edhxn 31 47 distant distant JJ cord-017337-vq3edhxn 31 48 metastases metastasis NNS cord-017337-vq3edhxn 31 49 ( ( -LRB- cord-017337-vq3edhxn 31 50 M M NNP cord-017337-vq3edhxn 31 51 ) ) -RRB- cord-017337-vq3edhxn 32 1 ( ( -LRB- cord-017337-vq3edhxn 32 2 Table table NN cord-017337-vq3edhxn 32 3 1 1 CD cord-017337-vq3edhxn 32 4 ) ) -RRB- cord-017337-vq3edhxn 32 5 . . . cord-017337-vq3edhxn 33 1 Each each DT cord-017337-vq3edhxn 33 2 patient patient JJ cord-017337-vq3edhxn 33 3 with with IN cord-017337-vq3edhxn 33 4 a a DT cord-017337-vq3edhxn 33 5 tumor tumor NN cord-017337-vq3edhxn 33 6 will will MD cord-017337-vq3edhxn 33 7 , , , cord-017337-vq3edhxn 33 8 therefore therefore RB cord-017337-vq3edhxn 33 9 , , , cord-017337-vq3edhxn 33 10 receive receive VB cord-017337-vq3edhxn 33 11 a a DT cord-017337-vq3edhxn 33 12 specifi specifi NN cord-017337-vq3edhxn 33 13 c c NNP cord-017337-vq3edhxn 33 14 classifi classifi NNP cord-017337-vq3edhxn 33 15 cation cation NNP cord-017337-vq3edhxn 33 16 , , , cord-017337-vq3edhxn 33 17 e.g. e.g. RB cord-017337-vq3edhxn 33 18 , , , cord-017337-vq3edhxn 33 19 T1 T1 NNP cord-017337-vq3edhxn 33 20 , , , cord-017337-vq3edhxn 33 21 N0 N0 NNP cord-017337-vq3edhxn 33 22 , , , cord-017337-vq3edhxn 33 23 M0 m0 NN cord-017337-vq3edhxn 33 24 , , , cord-017337-vq3edhxn 33 25 for for IN cord-017337-vq3edhxn 33 26 that that DT cord-017337-vq3edhxn 33 27 tumor tumor NN cord-017337-vq3edhxn 33 28 . . . cord-017337-vq3edhxn 34 1 TNM TNM NNP cord-017337-vq3edhxn 34 2 classifi classifi NNP cord-017337-vq3edhxn 34 3 cations cation NNS cord-017337-vq3edhxn 34 4 are be VBP cord-017337-vq3edhxn 34 5 then then RB cord-017337-vq3edhxn 34 6 grouped group VBN cord-017337-vq3edhxn 34 7 into into IN cord-017337-vq3edhxn 34 8 stages stage NNS cord-017337-vq3edhxn 34 9 , , , cord-017337-vq3edhxn 34 10 usually usually RB cord-017337-vq3edhxn 34 11 from from IN cord-017337-vq3edhxn 34 12 I -PRON- PRP cord-017337-vq3edhxn 34 13 to to IN cord-017337-vq3edhxn 34 14 IV IV NNP cord-017337-vq3edhxn 34 15 , , , cord-017337-vq3edhxn 34 16 which which WDT cord-017337-vq3edhxn 34 17 provide provide VBP cord-017337-vq3edhxn 34 18 valuable valuable JJ cord-017337-vq3edhxn 34 19 prognostic prognostic JJ cord-017337-vq3edhxn 34 20 information information NN cord-017337-vq3edhxn 34 21 . . . cord-017337-vq3edhxn 35 1 Importantly importantly RB cord-017337-vq3edhxn 35 2 , , , cord-017337-vq3edhxn 35 3 staging stage VBG cord-017337-vq3edhxn 35 4 systems system NNS cord-017337-vq3edhxn 35 5 in in IN cord-017337-vq3edhxn 35 6 cancer cancer NN cord-017337-vq3edhxn 35 7 stratify stratify VBP cord-017337-vq3edhxn 35 8 patients patient NNS cord-017337-vq3edhxn 35 9 not not RB cord-017337-vq3edhxn 35 10 only only RB cord-017337-vq3edhxn 35 11 according accord VBG cord-017337-vq3edhxn 35 12 to to IN cord-017337-vq3edhxn 35 13 prognosis prognosis NN cord-017337-vq3edhxn 35 14 , , , cord-017337-vq3edhxn 35 15 but but CC cord-017337-vq3edhxn 35 16 also also RB cord-017337-vq3edhxn 35 17 according accord VBG cord-017337-vq3edhxn 35 18 to to IN cord-017337-vq3edhxn 35 19 the the DT cord-017337-vq3edhxn 35 20 probability probability NN cord-017337-vq3edhxn 35 21 that that IN cord-017337-vq3edhxn 35 22 they -PRON- PRP cord-017337-vq3edhxn 35 23 will will MD cord-017337-vq3edhxn 35 24 respond respond VB cord-017337-vq3edhxn 35 25 to to IN cord-017337-vq3edhxn 35 26 a a DT cord-017337-vq3edhxn 35 27 particular particular JJ cord-017337-vq3edhxn 35 28 therapy therapy NN cord-017337-vq3edhxn 35 29 . . . cord-017337-vq3edhxn 36 1 Sepsis sepsis NN cord-017337-vq3edhxn 36 2 is be VBZ cord-017337-vq3edhxn 36 3 in in IN cord-017337-vq3edhxn 36 4 many many JJ cord-017337-vq3edhxn 36 5 ways way NNS cord-017337-vq3edhxn 36 6 very very RB cord-017337-vq3edhxn 36 7 similar similar JJ cord-017337-vq3edhxn 36 8 to to IN cord-017337-vq3edhxn 36 9 cancer cancer NN cord-017337-vq3edhxn 36 10 . . . cord-017337-vq3edhxn 37 1 Both both DT cord-017337-vq3edhxn 37 2 disease disease NN cord-017337-vq3edhxn 37 3 processes process NNS cord-017337-vq3edhxn 37 4 are be VBP cord-017337-vq3edhxn 37 5 common common JJ cord-017337-vq3edhxn 37 6 , , , cord-017337-vq3edhxn 37 7 with with IN cord-017337-vq3edhxn 37 8 high high JJ cord-017337-vq3edhxn 37 9 mortality mortality NN cord-017337-vq3edhxn 37 10 rates rate NNS cord-017337-vq3edhxn 37 11 . . . cord-017337-vq3edhxn 38 1 Both both DT cord-017337-vq3edhxn 38 2 are be VBP cord-017337-vq3edhxn 38 3 the the DT cord-017337-vq3edhxn 38 4 result result NN cord-017337-vq3edhxn 38 5 of of IN cord-017337-vq3edhxn 38 6 a a DT cord-017337-vq3edhxn 38 7 complex complex JJ cord-017337-vq3edhxn 38 8 pathophysiological pathophysiological JJ cord-017337-vq3edhxn 38 9 process process NN cord-017337-vq3edhxn 38 10 involving involve VBG cord-017337-vq3edhxn 38 11 cellular cellular JJ cord-017337-vq3edhxn 38 12 dysregulation dysregulation NN cord-017337-vq3edhxn 38 13 . . . cord-017337-vq3edhxn 39 1 Both both DT cord-017337-vq3edhxn 39 2 can can MD cord-017337-vq3edhxn 39 3 develop develop VB cord-017337-vq3edhxn 39 4 in in IN cord-017337-vq3edhxn 39 5 ( ( -LRB- cord-017337-vq3edhxn 39 6 almost almost RB cord-017337-vq3edhxn 39 7 ) ) -RRB- cord-017337-vq3edhxn 39 8 any any DT cord-017337-vq3edhxn 39 9 organ organ NN cord-017337-vq3edhxn 39 10 , , , cord-017337-vq3edhxn 39 11 and and CC cord-017337-vq3edhxn 39 12 both both DT cord-017337-vq3edhxn 39 13 frequently frequently RB cord-017337-vq3edhxn 39 14 require require VBP cord-017337-vq3edhxn 39 15 surgical surgical JJ cord-017337-vq3edhxn 39 16 and and CC cord-017337-vq3edhxn 39 17 medical medical JJ cord-017337-vq3edhxn 39 18 therapies therapy NNS cord-017337-vq3edhxn 39 19 . . . cord-017337-vq3edhxn 40 1 Treatments treatment NNS cord-017337-vq3edhxn 40 2 for for IN cord-017337-vq3edhxn 40 3 both both DT cord-017337-vq3edhxn 40 4 are be VBP cord-017337-vq3edhxn 40 5 expensive expensive JJ cord-017337-vq3edhxn 40 6 and and CC cord-017337-vq3edhxn 40 7 often often RB cord-017337-vq3edhxn 40 8 involve involve VBP cord-017337-vq3edhxn 40 9 several several JJ cord-017337-vq3edhxn 40 10 pharmacological pharmacological JJ cord-017337-vq3edhxn 40 11 agents agent NNS cord-017337-vq3edhxn 40 12 . . . cord-017337-vq3edhxn 41 1 Finally finally RB cord-017337-vq3edhxn 41 2 , , , cord-017337-vq3edhxn 41 3 when when WRB cord-017337-vq3edhxn 41 4 treatment treatment NN cord-017337-vq3edhxn 41 5 is be VBZ cord-017337-vq3edhxn 41 6 successful successful JJ cord-017337-vq3edhxn 41 7 , , , cord-017337-vq3edhxn 41 8 it -PRON- PRP cord-017337-vq3edhxn 41 9 is be VBZ cord-017337-vq3edhxn 41 10 associated associate VBN cord-017337-vq3edhxn 41 11 with with IN cord-017337-vq3edhxn 41 12 slow slow JJ cord-017337-vq3edhxn 41 13 step step NN cord-017337-vq3edhxn 41 14 - - HYPH cord-017337-vq3edhxn 41 15 by by IN cord-017337-vq3edhxn 41 16 - - HYPH cord-017337-vq3edhxn 41 17 step step NN cord-017337-vq3edhxn 41 18 improvement improvement NN cord-017337-vq3edhxn 41 19 . . . cord-017337-vq3edhxn 42 1 Size size NN cord-017337-vq3edhxn 42 2 and/or and/or CC cord-017337-vq3edhxn 42 3 extent extent NN cord-017337-vq3edhxn 42 4 of of IN cord-017337-vq3edhxn 42 5 the the DT cord-017337-vq3edhxn 42 6 primary primary JJ cord-017337-vq3edhxn 42 7 tumor tumor NN cord-017337-vq3edhxn 42 8 Regional regional JJ cord-017337-vq3edhxn 42 9 lymph lymph NN cord-017337-vq3edhxn 42 10 nodes node NNS cord-017337-vq3edhxn 43 1 ( ( -LRB- cord-017337-vq3edhxn 43 2 N n NN cord-017337-vq3edhxn 43 3 ) ) -RRB- cord-017337-vq3edhxn 44 1 Nx Nx NNP cord-017337-vq3edhxn 44 2 Regional regional JJ cord-017337-vq3edhxn 44 3 lymph lymph NN cord-017337-vq3edhxn 44 4 nodes node NNS cord-017337-vq3edhxn 44 5 not not RB cord-017337-vq3edhxn 44 6 evaluated evaluate VBN cord-017337-vq3edhxn 44 7 N0 N0 NNP cord-017337-vq3edhxn 44 8 No no DT cord-017337-vq3edhxn 44 9 regional regional JJ cord-017337-vq3edhxn 44 10 lymph lymph NN cord-017337-vq3edhxn 44 11 node node NN cord-017337-vq3edhxn 44 12 involvement involvement NN cord-017337-vq3edhxn 44 13 N1 N1 NNP cord-017337-vq3edhxn 44 14 , , , cord-017337-vq3edhxn 44 15 2 2 CD cord-017337-vq3edhxn 44 16 , , , cord-017337-vq3edhxn 44 17 3 3 CD cord-017337-vq3edhxn 44 18 Number number NN cord-017337-vq3edhxn 44 19 and and CC cord-017337-vq3edhxn 44 20 extent extent NN cord-017337-vq3edhxn 44 21 of of IN cord-017337-vq3edhxn 44 22 regional regional JJ cord-017337-vq3edhxn 44 23 lymph lymph NN cord-017337-vq3edhxn 44 24 node node NN cord-017337-vq3edhxn 44 25 involvement involvement NN cord-017337-vq3edhxn 45 1 These these DT cord-017337-vq3edhxn 45 2 similarities similarity NNS cord-017337-vq3edhxn 45 3 between between IN cord-017337-vq3edhxn 45 4 sepsis sepsis NN cord-017337-vq3edhxn 45 5 and and CC cord-017337-vq3edhxn 45 6 cancer cancer NN cord-017337-vq3edhxn 45 7 led lead VBD cord-017337-vq3edhxn 45 8 to to IN cord-017337-vq3edhxn 45 9 the the DT cord-017337-vq3edhxn 45 10 suggestion suggestion NN cord-017337-vq3edhxn 45 11 that that IN cord-017337-vq3edhxn 45 12 a a DT cord-017337-vq3edhxn 45 13 disease disease NN cord-017337-vq3edhxn 45 14 stratifi stratifi NNP cord-017337-vq3edhxn 45 15 cation cation NN cord-017337-vq3edhxn 45 16 system system NN cord-017337-vq3edhxn 45 17 , , , cord-017337-vq3edhxn 45 18 similar similar JJ cord-017337-vq3edhxn 45 19 to to IN cord-017337-vq3edhxn 45 20 the the DT cord-017337-vq3edhxn 45 21 TNM TNM NNP cord-017337-vq3edhxn 45 22 system system NN cord-017337-vq3edhxn 45 23 for for IN cord-017337-vq3edhxn 45 24 cancer cancer NN cord-017337-vq3edhxn 45 25 , , , cord-017337-vq3edhxn 45 26 could could MD cord-017337-vq3edhxn 45 27 be be VB cord-017337-vq3edhxn 45 28 developed develop VBN cord-017337-vq3edhxn 45 29 for for IN cord-017337-vq3edhxn 45 30 sepsis sepsis NN cord-017337-vq3edhxn 45 31 [ [ -LRB- cord-017337-vq3edhxn 45 32 5 5 CD cord-017337-vq3edhxn 45 33 ] ] -RRB- cord-017337-vq3edhxn 45 34 . . . cord-017337-vq3edhxn 46 1 The the DT cord-017337-vq3edhxn 46 2 PIRO PIRO NNP cord-017337-vq3edhxn 46 3 system system NN cord-017337-vq3edhxn 46 4 for for IN cord-017337-vq3edhxn 46 5 the the DT cord-017337-vq3edhxn 46 6 grading grading NN cord-017337-vq3edhxn 46 7 of of IN cord-017337-vq3edhxn 46 8 sepsis sepsis NN cord-017337-vq3edhxn 46 9 uses use VBZ cord-017337-vq3edhxn 46 10 clinical clinical JJ cord-017337-vq3edhxn 46 11 and and CC cord-017337-vq3edhxn 46 12 laboratory laboratory NN cord-017337-vq3edhxn 46 13 parameters parameter NNS cord-017337-vq3edhxn 46 14 to to TO cord-017337-vq3edhxn 46 15 aid aid VB cord-017337-vq3edhxn 46 16 diagnosis diagnosis NN cord-017337-vq3edhxn 46 17 and and CC cord-017337-vq3edhxn 46 18 patient patient JJ cord-017337-vq3edhxn 46 19 classifi classifi NNP cord-017337-vq3edhxn 46 20 cation cation NNP cord-017337-vq3edhxn 46 21 , , , cord-017337-vq3edhxn 46 22 with with IN cord-017337-vq3edhxn 46 23 each each DT cord-017337-vq3edhxn 46 24 element element NN cord-017337-vq3edhxn 46 25 being be VBG cord-017337-vq3edhxn 46 26 divided divide VBN cord-017337-vq3edhxn 46 27 according accord VBG cord-017337-vq3edhxn 46 28 to to IN cord-017337-vq3edhxn 46 29 the the DT cord-017337-vq3edhxn 46 30 degree degree NN cord-017337-vq3edhxn 46 31 of of IN cord-017337-vq3edhxn 46 32 involvement involvement NN cord-017337-vq3edhxn 46 33 ( ( -LRB- cord-017337-vq3edhxn 46 34 e.g. e.g. RB cord-017337-vq3edhxn 46 35 , , , cord-017337-vq3edhxn 46 36 infection infection NN cord-017337-vq3edhxn 47 1 can can MD cord-017337-vq3edhxn 47 2 be be VB cord-017337-vq3edhxn 47 3 classifi classifi NNP cord-017337-vq3edhxn 47 4 ed ed NN cord-017337-vq3edhxn 47 5 as as IN cord-017337-vq3edhxn 47 6 localized localize VBN cord-017337-vq3edhxn 47 7 , , , cord-017337-vq3edhxn 47 8 extended extended JJ cord-017337-vq3edhxn 47 9 , , , cord-017337-vq3edhxn 47 10 or or CC cord-017337-vq3edhxn 47 11 generalized generalize VBN cord-017337-vq3edhxn 47 12 ; ; : cord-017337-vq3edhxn 47 13 immune immune JJ cord-017337-vq3edhxn 47 14 response response NN cord-017337-vq3edhxn 47 15 can can MD cord-017337-vq3edhxn 47 16 be be VB cord-017337-vq3edhxn 47 17 classifi classifi NNP cord-017337-vq3edhxn 47 18 ed ed NN cord-017337-vq3edhxn 47 19 as as IN cord-017337-vq3edhxn 47 20 limited limited JJ cord-017337-vq3edhxn 47 21 , , , cord-017337-vq3edhxn 47 22 extensive extensive JJ cord-017337-vq3edhxn 47 23 , , , cord-017337-vq3edhxn 47 24 or or CC cord-017337-vq3edhxn 47 25 excessive excessive JJ cord-017337-vq3edhxn 47 26 ; ; : cord-017337-vq3edhxn 47 27 organ organ NN cord-017337-vq3edhxn 47 28 dysfunction dysfunction NN cord-017337-vq3edhxn 47 29 can can MD cord-017337-vq3edhxn 47 30 be be VB cord-017337-vq3edhxn 47 31 classifi classifi NNP cord-017337-vq3edhxn 47 32 ed ed NNP cord-017337-vq3edhxn 47 33 as as RB cord-017337-vq3edhxn 47 34 mild mild JJ cord-017337-vq3edhxn 47 35 , , , cord-017337-vq3edhxn 47 36 moderate moderate JJ cord-017337-vq3edhxn 47 37 , , , cord-017337-vq3edhxn 47 38 severe severe JJ cord-017337-vq3edhxn 47 39 ) ) -RRB- cord-017337-vq3edhxn 47 40 . . . cord-017337-vq3edhxn 48 1 As as IN cord-017337-vq3edhxn 48 2 with with IN cord-017337-vq3edhxn 48 3 the the DT cord-017337-vq3edhxn 48 4 TNM TNM NNP cord-017337-vq3edhxn 48 5 system system NN cord-017337-vq3edhxn 48 6 , , , cord-017337-vq3edhxn 48 7 it -PRON- PRP cord-017337-vq3edhxn 48 8 has have VBZ cord-017337-vq3edhxn 48 9 been be VBN cord-017337-vq3edhxn 48 10 proposed propose VBN cord-017337-vq3edhxn 48 11 that that IN cord-017337-vq3edhxn 48 12 points point NNS cord-017337-vq3edhxn 48 13 could could MD cord-017337-vq3edhxn 48 14 be be VB cord-017337-vq3edhxn 48 15 allocated allocate VBN cord-017337-vq3edhxn 48 16 such such JJ cord-017337-vq3edhxn 48 17 that that IN cord-017337-vq3edhxn 48 18 a a DT cord-017337-vq3edhxn 48 19 patient patient NN cord-017337-vq3edhxn 48 20 with with IN cord-017337-vq3edhxn 48 21 sepsis sepsis NN cord-017337-vq3edhxn 48 22 could could MD cord-017337-vq3edhxn 48 23 , , , cord-017337-vq3edhxn 48 24 for for IN cord-017337-vq3edhxn 48 25 example example NN cord-017337-vq3edhxn 48 26 , , , cord-017337-vq3edhxn 48 27 be be VB cord-017337-vq3edhxn 48 28 staged stage VBN cord-017337-vq3edhxn 48 29 as as IN cord-017337-vq3edhxn 48 30 P p NN cord-017337-vq3edhxn 48 31 1 1 CD cord-017337-vq3edhxn 48 32 I i NN cord-017337-vq3edhxn 48 33 2 2 CD cord-017337-vq3edhxn 48 34 R r NN cord-017337-vq3edhxn 48 35 1 1 CD cord-017337-vq3edhxn 48 36 O o NN cord-017337-vq3edhxn 48 37 0 0 CD cord-017337-vq3edhxn 48 38 [ [ -LRB- cord-017337-vq3edhxn 48 39 6 6 CD cord-017337-vq3edhxn 48 40 ] ] -RRB- cord-017337-vq3edhxn 48 41 , , , cord-017337-vq3edhxn 48 42 depending depend VBG cord-017337-vq3edhxn 48 43 on on IN cord-017337-vq3edhxn 48 44 the the DT cord-017337-vq3edhxn 48 45 features feature NNS cord-017337-vq3edhxn 48 46 present present JJ cord-017337-vq3edhxn 48 47 for for IN cord-017337-vq3edhxn 48 48 each each DT cord-017337-vq3edhxn 48 49 of of IN cord-017337-vq3edhxn 48 50 the the DT cord-017337-vq3edhxn 48 51 four four CD cord-017337-vq3edhxn 48 52 PIRO PIRO NNP cord-017337-vq3edhxn 48 53 components component NNS cord-017337-vq3edhxn 48 54 . . . cord-017337-vq3edhxn 49 1 All all DT cord-017337-vq3edhxn 49 2 aspects aspect NNS cord-017337-vq3edhxn 49 3 of of IN cord-017337-vq3edhxn 49 4 the the DT cord-017337-vq3edhxn 49 5 four four CD cord-017337-vq3edhxn 49 6 components component NNS cord-017337-vq3edhxn 49 7 of of IN cord-017337-vq3edhxn 49 8 the the DT cord-017337-vq3edhxn 49 9 PIRO PIRO NNP cord-017337-vq3edhxn 49 10 system system NN cord-017337-vq3edhxn 49 11 impact impact NN cord-017337-vq3edhxn 49 12 on on IN cord-017337-vq3edhxn 49 13 outcome outcome NN cord-017337-vq3edhxn 49 14 and and CC cord-017337-vq3edhxn 49 15 can can MD cord-017337-vq3edhxn 49 16 infl infl VB cord-017337-vq3edhxn 49 17 uence uence NN cord-017337-vq3edhxn 49 18 therapeutic therapeutic JJ cord-017337-vq3edhxn 49 19 choices choice NNS cord-017337-vq3edhxn 49 20 . . . cord-017337-vq3edhxn 50 1 As as IN cord-017337-vq3edhxn 50 2 the the DT cord-017337-vq3edhxn 50 3 TNM TNM NNP cord-017337-vq3edhxn 50 4 system system NN cord-017337-vq3edhxn 50 5 is be VBZ cord-017337-vq3edhxn 50 6 divided divide VBN cord-017337-vq3edhxn 50 7 into into IN cord-017337-vq3edhxn 50 8 clinical clinical JJ cord-017337-vq3edhxn 50 9 ( ( -LRB- cord-017337-vq3edhxn 50 10 cTcNcM ctcncm UH cord-017337-vq3edhxn 50 11 ) ) -RRB- cord-017337-vq3edhxn 50 12 and and CC cord-017337-vq3edhxn 50 13 pathological pathological JJ cord-017337-vq3edhxn 50 14 ( ( -LRB- cord-017337-vq3edhxn 50 15 pTpNpM pTpNpM NNP cord-017337-vq3edhxn 50 16 ) ) -RRB- cord-017337-vq3edhxn 50 17 classifi classifi NN cord-017337-vq3edhxn 50 18 cations cation NNS cord-017337-vq3edhxn 50 19 , , , cord-017337-vq3edhxn 50 20 so so IN cord-017337-vq3edhxn 50 21 each each DT cord-017337-vq3edhxn 50 22 component component NN cord-017337-vq3edhxn 50 23 of of IN cord-017337-vq3edhxn 50 24 PIRO PIRO NNP cord-017337-vq3edhxn 50 25 can can MD cord-017337-vq3edhxn 50 26 be be VB cord-017337-vq3edhxn 50 27 considered consider VBN cord-017337-vq3edhxn 50 28 to to TO cord-017337-vq3edhxn 50 29 have have VB cord-017337-vq3edhxn 50 30 potentially potentially RB cord-017337-vq3edhxn 50 31 relevant relevant JJ cord-017337-vq3edhxn 50 32 clinical clinical JJ cord-017337-vq3edhxn 50 33 and and CC cord-017337-vq3edhxn 50 34 laboratory laboratory NN cord-017337-vq3edhxn 50 35 variables variable NNS cord-017337-vq3edhxn 50 36 ( ( -LRB- cord-017337-vq3edhxn 50 37 Table table NN cord-017337-vq3edhxn 50 38 2 2 CD cord-017337-vq3edhxn 50 39 ) ) -RRB- cord-017337-vq3edhxn 50 40 . . . cord-017337-vq3edhxn 51 1 Predisposition predisposition NN cord-017337-vq3edhxn 51 2 can can MD cord-017337-vq3edhxn 51 3 include include VB cord-017337-vq3edhxn 51 4 multiple multiple JJ cord-017337-vq3edhxn 51 5 factors factor NNS cord-017337-vq3edhxn 51 6 such such JJ cord-017337-vq3edhxn 51 7 as as IN cord-017337-vq3edhxn 51 8 age age NN cord-017337-vq3edhxn 51 9 , , , cord-017337-vq3edhxn 51 10 sex sex NN cord-017337-vq3edhxn 51 11 , , , cord-017337-vq3edhxn 51 12 presence presence NN cord-017337-vq3edhxn 51 13 of of IN cord-017337-vq3edhxn 51 14 certain certain JJ cord-017337-vq3edhxn 51 15 premorbid premorbid NN cord-017337-vq3edhxn 51 16 diseases disease NNS cord-017337-vq3edhxn 51 17 , , , cord-017337-vq3edhxn 51 18 prolonged prolong VBN cord-017337-vq3edhxn 51 19 immunosuppressant immunosuppressant JJ cord-017337-vq3edhxn 51 20 or or CC cord-017337-vq3edhxn 51 21 antimicrobial antimicrobial JJ cord-017337-vq3edhxn 51 22 medication medication NN cord-017337-vq3edhxn 51 23 , , , cord-017337-vq3edhxn 51 24 even even RB cord-017337-vq3edhxn 51 25 cultural cultural JJ cord-017337-vq3edhxn 51 26 and and CC cord-017337-vq3edhxn 51 27 religious religious JJ cord-017337-vq3edhxn 51 28 beliefs belief NNS cord-017337-vq3edhxn 51 29 [ [ -LRB- cord-017337-vq3edhxn 51 30 8 8 CD cord-017337-vq3edhxn 51 31 ] ] -RRB- cord-017337-vq3edhxn 51 32 . . . cord-017337-vq3edhxn 52 1 All all PDT cord-017337-vq3edhxn 52 2 these these DT cord-017337-vq3edhxn 52 3 factors factor NNS cord-017337-vq3edhxn 52 4 individually individually RB cord-017337-vq3edhxn 52 5 and and CC cord-017337-vq3edhxn 52 6 collectively collectively RB cord-017337-vq3edhxn 52 7 can can MD cord-017337-vq3edhxn 52 8 impact impact VB cord-017337-vq3edhxn 52 9 on on IN cord-017337-vq3edhxn 52 10 outcome outcome NN cord-017337-vq3edhxn 52 11 , , , cord-017337-vq3edhxn 52 12 modifying modify VBG cord-017337-vq3edhxn 52 13 both both CC cord-017337-vq3edhxn 52 14 the the DT cord-017337-vq3edhxn 52 15 disease disease NN cord-017337-vq3edhxn 52 16 process process NN cord-017337-vq3edhxn 52 17 and and CC cord-017337-vq3edhxn 52 18 the the DT cord-017337-vq3edhxn 52 19 approach approach NN cord-017337-vq3edhxn 52 20 to to IN cord-017337-vq3edhxn 52 21 therapy therapy NN cord-017337-vq3edhxn 52 22 . . . cord-017337-vq3edhxn 53 1 Recent recent JJ cord-017337-vq3edhxn 53 2 advances advance NNS cord-017337-vq3edhxn 53 3 in in IN cord-017337-vq3edhxn 53 4 genetic genetic JJ cord-017337-vq3edhxn 53 5 techniques technique NNS cord-017337-vq3edhxn 53 6 have have VBP cord-017337-vq3edhxn 53 7 enabled enable VBN cord-017337-vq3edhxn 53 8 several several JJ cord-017337-vq3edhxn 53 9 factors factor NNS cord-017337-vq3edhxn 53 10 associated associate VBN cord-017337-vq3edhxn 53 11 with with IN cord-017337-vq3edhxn 53 12 an an DT cord-017337-vq3edhxn 53 13 increased increase VBN cord-017337-vq3edhxn 53 14 risk risk NN cord-017337-vq3edhxn 53 15 of of IN cord-017337-vq3edhxn 53 16 infection infection NN cord-017337-vq3edhxn 53 17 and and CC cord-017337-vq3edhxn 53 18 of of IN cord-017337-vq3edhxn 53 19 mortality mortality NN cord-017337-vq3edhxn 53 20 from from IN cord-017337-vq3edhxn 53 21 sepsis sepsis NN cord-017337-vq3edhxn 53 22 to to TO cord-017337-vq3edhxn 53 23 be be VB cord-017337-vq3edhxn 53 24 identifi identifi VBN cord-017337-vq3edhxn 53 25 ed ed NNP cord-017337-vq3edhxn 53 26 . . . cord-017337-vq3edhxn 54 1 Single single JJ cord-017337-vq3edhxn 54 2 nucleotide nucleotide JJ cord-017337-vq3edhxn 54 3 polymorphisms polymorphism NNS cord-017337-vq3edhxn 54 4 , , , cord-017337-vq3edhxn 54 5 microsatellites microsatellite NNS cord-017337-vq3edhxn 54 6 , , , cord-017337-vq3edhxn 54 7 insertion insertion NN cord-017337-vq3edhxn 54 8 and and CC cord-017337-vq3edhxn 54 9 deletion deletion NN cord-017337-vq3edhxn 54 10 polymorphisms polymorphism NNS cord-017337-vq3edhxn 54 11 are be VBP cord-017337-vq3edhxn 54 12 all all DT cord-017337-vq3edhxn 54 13 forms form NNS cord-017337-vq3edhxn 54 14 of of IN cord-017337-vq3edhxn 54 15 genetic genetic JJ cord-017337-vq3edhxn 54 16 variation variation NN cord-017337-vq3edhxn 54 17 that that WDT cord-017337-vq3edhxn 54 18 can can MD cord-017337-vq3edhxn 54 19 characterize characterize VB cord-017337-vq3edhxn 54 20 an an DT cord-017337-vq3edhxn 54 21 individual individual NN cord-017337-vq3edhxn 54 22 's 's POS cord-017337-vq3edhxn 54 23 risk risk NN cord-017337-vq3edhxn 54 24 for for IN cord-017337-vq3edhxn 54 25 sepsis sepsis NN cord-017337-vq3edhxn 54 26 , , , cord-017337-vq3edhxn 54 27 organ organ NN cord-017337-vq3edhxn 54 28 dysfunction dysfunction NN cord-017337-vq3edhxn 54 29 , , , cord-017337-vq3edhxn 54 30 or or CC cord-017337-vq3edhxn 54 31 death death NN cord-017337-vq3edhxn 54 32 [ [ -LRB- cord-017337-vq3edhxn 54 33 9 9 CD cord-017337-vq3edhxn 54 34 ] ] -RRB- cord-017337-vq3edhxn 54 35 . . . cord-017337-vq3edhxn 55 1 Most Most JJS cord-017337-vq3edhxn 55 2 genetic genetic JJ cord-017337-vq3edhxn 55 3 traits trait NNS cord-017337-vq3edhxn 55 4 associated associate VBN cord-017337-vq3edhxn 55 5 with with IN cord-017337-vq3edhxn 55 6 severe severe JJ cord-017337-vq3edhxn 55 7 infection infection NN cord-017337-vq3edhxn 55 8 are be VBP cord-017337-vq3edhxn 55 9 associated associate VBN cord-017337-vq3edhxn 55 10 with with IN cord-017337-vq3edhxn 55 11 defects defect NNS cord-017337-vq3edhxn 55 12 in in IN cord-017337-vq3edhxn 55 13 innate innate JJ cord-017337-vq3edhxn 55 14 immune immune JJ cord-017337-vq3edhxn 55 15 responses response NNS cord-017337-vq3edhxn 55 16 . . . cord-017337-vq3edhxn 56 1 For for IN cord-017337-vq3edhxn 56 2 example example NN cord-017337-vq3edhxn 56 3 , , , cord-017337-vq3edhxn 56 4 a a DT cord-017337-vq3edhxn 56 5 polymorphism polymorphism NN cord-017337-vq3edhxn 56 6 of of IN cord-017337-vq3edhxn 56 7 the the DT cord-017337-vq3edhxn 56 8 tumor tumor NN cord-017337-vq3edhxn 56 9 necrosis necrosis NN cord-017337-vq3edhxn 56 10 factor factor NN cord-017337-vq3edhxn 56 11 ( ( -LRB- cord-017337-vq3edhxn 56 12 TNF)-α TNF)-α NNP cord-017337-vq3edhxn 56 13 gene gene NN cord-017337-vq3edhxn 56 14 , , , cord-017337-vq3edhxn 56 15 the the DT cord-017337-vq3edhxn 56 16 TNF-2 TNF-2 NNP cord-017337-vq3edhxn 56 17 allele allele NN cord-017337-vq3edhxn 56 18 , , , cord-017337-vq3edhxn 56 19 is be VBZ cord-017337-vq3edhxn 56 20 associated associate VBN cord-017337-vq3edhxn 56 21 with with IN cord-017337-vq3edhxn 56 22 increased increase VBN cord-017337-vq3edhxn 56 23 serum serum NN cord-017337-vq3edhxn 56 24 levels level NNS cord-017337-vq3edhxn 56 25 of of IN cord-017337-vq3edhxn 56 26 TNF TNF NNP cord-017337-vq3edhxn 56 27 and and CC cord-017337-vq3edhxn 56 28 a a DT cord-017337-vq3edhxn 56 29 greater great JJR cord-017337-vq3edhxn 56 30 risk risk NN cord-017337-vq3edhxn 56 31 of of IN cord-017337-vq3edhxn 56 32 mortality mortality NN cord-017337-vq3edhxn 56 33 from from IN cord-017337-vq3edhxn 56 34 septic septic JJ cord-017337-vq3edhxn 56 35 shock shock NN cord-017337-vq3edhxn 56 36 [ [ -LRB- cord-017337-vq3edhxn 56 37 10 10 CD cord-017337-vq3edhxn 56 38 ] ] -RRB- cord-017337-vq3edhxn 56 39 . . . cord-017337-vq3edhxn 57 1 A a DT cord-017337-vq3edhxn 57 2 polymorphism polymorphism NN cord-017337-vq3edhxn 57 3 within within IN cord-017337-vq3edhxn 57 4 intron intron NN cord-017337-vq3edhxn 57 5 2 2 CD cord-017337-vq3edhxn 57 6 of of IN cord-017337-vq3edhxn 57 7 the the DT cord-017337-vq3edhxn 57 8 interleukin-1 interleukin-1 NNP cord-017337-vq3edhxn 57 9 receptor receptor NN cord-017337-vq3edhxn 57 10 antagonist antagonist NN cord-017337-vq3edhxn 57 11 ( ( -LRB- cord-017337-vq3edhxn 57 12 IL-1ra IL-1ra NNP cord-017337-vq3edhxn 57 13 ) ) -RRB- cord-017337-vq3edhxn 57 14 gene gene NN cord-017337-vq3edhxn 57 15 ( ( -LRB- cord-017337-vq3edhxn 57 16 IL-1RN il-1rn NN cord-017337-vq3edhxn 57 17 * * NFP cord-017337-vq3edhxn 57 18 2 2 LS cord-017337-vq3edhxn 57 19 ) ) -RRB- cord-017337-vq3edhxn 57 20 has have VBZ cord-017337-vq3edhxn 57 21 been be VBN cord-017337-vq3edhxn 57 22 associated associate VBN cord-017337-vq3edhxn 57 23 with with IN cord-017337-vq3edhxn 57 24 reduced reduce VBN cord-017337-vq3edhxn 57 25 IL-1ra IL-1ra NNP cord-017337-vq3edhxn 57 26 production production NN cord-017337-vq3edhxn 57 27 and and CC cord-017337-vq3edhxn 57 28 increased increase VBN cord-017337-vq3edhxn 57 29 mortality mortality NN cord-017337-vq3edhxn 57 30 rates rate NNS cord-017337-vq3edhxn 57 31 [ [ -LRB- cord-017337-vq3edhxn 57 32 11 11 CD cord-017337-vq3edhxn 57 33 ] ] -RRB- cord-017337-vq3edhxn 57 34 . . . cord-017337-vq3edhxn 58 1 Recently recently RB cord-017337-vq3edhxn 58 2 , , , cord-017337-vq3edhxn 58 3 polymorphisms polymorphism NNS cord-017337-vq3edhxn 58 4 in in IN cord-017337-vq3edhxn 58 5 the the DT cord-017337-vq3edhxn 58 6 Toll Toll NNP cord-017337-vq3edhxn 58 7 - - HYPH cord-017337-vq3edhxn 58 8 like like JJ cord-017337-vq3edhxn 58 9 receptor receptor NN cord-017337-vq3edhxn 58 10 1 1 CD cord-017337-vq3edhxn 58 11 gene gene NN cord-017337-vq3edhxn 58 12 were be VBD cord-017337-vq3edhxn 58 13 reported report VBN cord-017337-vq3edhxn 58 14 to to TO cord-017337-vq3edhxn 58 15 be be VB cord-017337-vq3edhxn 58 16 associated associate VBN cord-017337-vq3edhxn 58 17 with with IN cord-017337-vq3edhxn 58 18 increased increase VBN cord-017337-vq3edhxn 58 19 susceptibility susceptibility NN cord-017337-vq3edhxn 58 20 to to IN cord-017337-vq3edhxn 58 21 organ organ NN cord-017337-vq3edhxn 58 22 dysfunction dysfunction NN cord-017337-vq3edhxn 58 23 , , , cord-017337-vq3edhxn 58 24 death death NN cord-017337-vq3edhxn 58 25 , , , cord-017337-vq3edhxn 58 26 and and CC cord-017337-vq3edhxn 58 27 Gram gram NN cord-017337-vq3edhxn 58 28 - - HYPH cord-017337-vq3edhxn 58 29 positive positive JJ cord-017337-vq3edhxn 58 30 infection infection NN cord-017337-vq3edhxn 58 31 in in IN cord-017337-vq3edhxn 58 32 sepsis sepsis NN cord-017337-vq3edhxn 58 33 [ [ -LRB- cord-017337-vq3edhxn 58 34 12 12 CD cord-017337-vq3edhxn 58 35 ] ] -RRB- cord-017337-vq3edhxn 58 36 . . . cord-017337-vq3edhxn 59 1 Sex sex NN cord-017337-vq3edhxn 59 2 differences difference NNS cord-017337-vq3edhxn 59 3 are be VBP cord-017337-vq3edhxn 59 4 another another DT cord-017337-vq3edhxn 59 5 area area NN cord-017337-vq3edhxn 59 6 of of IN cord-017337-vq3edhxn 59 7 interest interest NN cord-017337-vq3edhxn 59 8 with with IN cord-017337-vq3edhxn 59 9 several several JJ cord-017337-vq3edhxn 59 10 studies study NNS cord-017337-vq3edhxn 59 11 reporting report VBG cord-017337-vq3edhxn 59 12 that that IN cord-017337-vq3edhxn 59 13 women woman NNS cord-017337-vq3edhxn 59 14 are be VBP cord-017337-vq3edhxn 59 15 less less RBR cord-017337-vq3edhxn 59 16 likely likely JJ cord-017337-vq3edhxn 59 17 to to TO cord-017337-vq3edhxn 59 18 develop develop VB cord-017337-vq3edhxn 59 19 sepsis sepsis NN cord-017337-vq3edhxn 59 20 than than IN cord-017337-vq3edhxn 59 21 men man NNS cord-017337-vq3edhxn 59 22 [ [ -LRB- cord-017337-vq3edhxn 59 23 13 13 CD cord-017337-vq3edhxn 59 24 , , , cord-017337-vq3edhxn 59 25 14 14 CD cord-017337-vq3edhxn 59 26 ] ] -RRB- cord-017337-vq3edhxn 59 27 . . . cord-017337-vq3edhxn 60 1 However however RB cord-017337-vq3edhxn 60 2 , , , cord-017337-vq3edhxn 60 3 women woman NNS cord-017337-vq3edhxn 60 4 who who WP cord-017337-vq3edhxn 60 5 do do VBP cord-017337-vq3edhxn 60 6 develop develop VB cord-017337-vq3edhxn 60 7 sepsis sepsis NN cord-017337-vq3edhxn 60 8 , , , cord-017337-vq3edhxn 60 9 particularly particularly RB cord-017337-vq3edhxn 60 10 older old JJR cord-017337-vq3edhxn 60 11 women woman NNS cord-017337-vq3edhxn 60 12 , , , cord-017337-vq3edhxn 60 13 may may MD cord-017337-vq3edhxn 60 14 have have VB cord-017337-vq3edhxn 60 15 worse bad JJR cord-017337-vq3edhxn 60 16 outcomes outcome NNS cord-017337-vq3edhxn 60 17 than than IN cord-017337-vq3edhxn 60 18 men man NNS cord-017337-vq3edhxn 60 19 [ [ -LRB- cord-017337-vq3edhxn 60 20 15 15 CD cord-017337-vq3edhxn 60 21 , , , cord-017337-vq3edhxn 60 22 16 16 CD cord-017337-vq3edhxn 60 23 ] ] -RRB- cord-017337-vq3edhxn 60 24 . . . cord-017337-vq3edhxn 61 1 Studies study NNS cord-017337-vq3edhxn 61 2 have have VBP cord-017337-vq3edhxn 61 3 also also RB cord-017337-vq3edhxn 61 4 suggested suggest VBN cord-017337-vq3edhxn 61 5 racial racial JJ cord-017337-vq3edhxn 61 6 differences difference NNS cord-017337-vq3edhxn 61 7 in in IN cord-017337-vq3edhxn 61 8 susceptibility susceptibility NN cord-017337-vq3edhxn 61 9 to to IN cord-017337-vq3edhxn 61 10 and and CC cord-017337-vq3edhxn 61 11 outcomes outcome NNS cord-017337-vq3edhxn 61 12 from from IN cord-017337-vq3edhxn 61 13 sepsis sepsis NN cord-017337-vq3edhxn 61 14 [ [ -LRB- cord-017337-vq3edhxn 61 15 17 17 CD cord-017337-vq3edhxn 61 16 ] ] -RRB- cord-017337-vq3edhxn 61 17 , , , cord-017337-vq3edhxn 61 18 and and CC cord-017337-vq3edhxn 61 19 older old JJR cord-017337-vq3edhxn 61 20 patients patient NNS cord-017337-vq3edhxn 61 21 are be VBP cord-017337-vq3edhxn 61 22 known know VBN cord-017337-vq3edhxn 61 23 to to TO cord-017337-vq3edhxn 61 24 be be VB cord-017337-vq3edhxn 61 25 at at IN cord-017337-vq3edhxn 61 26 an an DT cord-017337-vq3edhxn 61 27 increased increase VBN cord-017337-vq3edhxn 61 28 risk risk NN cord-017337-vq3edhxn 61 29 of of IN cord-017337-vq3edhxn 61 30 developing develop VBG cord-017337-vq3edhxn 61 31 sepsis sepsis NN cord-017337-vq3edhxn 61 32 and and CC cord-017337-vq3edhxn 61 33 succumbing succumb VBG cord-017337-vq3edhxn 61 34 to to IN cord-017337-vq3edhxn 61 35 it -PRON- PRP cord-017337-vq3edhxn 61 36 [ [ -LRB- cord-017337-vq3edhxn 61 37 18 18 CD cord-017337-vq3edhxn 61 38 ] ] -RRB- cord-017337-vq3edhxn 61 39 . . . cord-017337-vq3edhxn 62 1 Certain certain JJ cord-017337-vq3edhxn 62 2 chronic chronic JJ cord-017337-vq3edhxn 62 3 diseases disease NNS cord-017337-vq3edhxn 62 4 , , , cord-017337-vq3edhxn 62 5 such such JJ cord-017337-vq3edhxn 62 6 as as IN cord-017337-vq3edhxn 62 7 cirrhosis cirrhosis NN cord-017337-vq3edhxn 62 8 , , , cord-017337-vq3edhxn 62 9 diabetes diabetes NN cord-017337-vq3edhxn 62 10 , , , cord-017337-vq3edhxn 62 11 and and CC cord-017337-vq3edhxn 62 12 chronic chronic JJ cord-017337-vq3edhxn 62 13 obstructive obstructive JJ cord-017337-vq3edhxn 62 14 pulmonary pulmonary JJ cord-017337-vq3edhxn 62 15 disease disease NN cord-017337-vq3edhxn 62 16 ( ( -LRB- cord-017337-vq3edhxn 62 17 COPD COPD NNP cord-017337-vq3edhxn 62 18 ) ) -RRB- cord-017337-vq3edhxn 62 19 , , , cord-017337-vq3edhxn 62 20 as as RB cord-017337-vq3edhxn 62 21 well well RB cord-017337-vq3edhxn 62 22 as as IN cord-017337-vq3edhxn 62 23 chronic chronic JJ cord-017337-vq3edhxn 62 24 use use NN cord-017337-vq3edhxn 62 25 of of IN cord-017337-vq3edhxn 62 26 immunosuppressant immunosuppressant JJ cord-017337-vq3edhxn 62 27 medication medication NN cord-017337-vq3edhxn 62 28 may may MD cord-017337-vq3edhxn 62 29 also also RB cord-017337-vq3edhxn 62 30 predispose predispose VB cord-017337-vq3edhxn 62 31 to to TO cord-017337-vq3edhxn 62 32 sepsis sepsis NN cord-017337-vq3edhxn 62 33 and and CC cord-017337-vq3edhxn 62 34 a a DT cord-017337-vq3edhxn 62 35 worse bad JJR cord-017337-vq3edhxn 62 36 outcome outcome NN cord-017337-vq3edhxn 62 37 . . . cord-017337-vq3edhxn 63 1 Moreover moreover RB cord-017337-vq3edhxn 63 2 , , , cord-017337-vq3edhxn 63 3 each each DT cord-017337-vq3edhxn 63 4 factor factor NN cord-017337-vq3edhxn 63 5 may may MD cord-017337-vq3edhxn 63 6 have have VB cord-017337-vq3edhxn 63 7 a a DT cord-017337-vq3edhxn 63 8 different different JJ cord-017337-vq3edhxn 63 9 impact impact NN cord-017337-vq3edhxn 63 10 on on IN cord-017337-vq3edhxn 63 11 the the DT cord-017337-vq3edhxn 63 12 other other JJ cord-017337-vq3edhxn 63 13 three three CD cord-017337-vq3edhxn 63 14 PIRO PIRO NNP cord-017337-vq3edhxn 63 15 components component NNS cord-017337-vq3edhxn 63 16 [ [ -LRB- cord-017337-vq3edhxn 63 17 5 5 CD cord-017337-vq3edhxn 63 18 ] ] -RRB- cord-017337-vq3edhxn 63 19 . . . cord-017337-vq3edhxn 64 1 For for IN cord-017337-vq3edhxn 64 2 example example NN cord-017337-vq3edhxn 64 3 , , , cord-017337-vq3edhxn 64 4 chronic chronic JJ cord-017337-vq3edhxn 64 5 immunosuppression immunosuppression NN cord-017337-vq3edhxn 64 6 may may MD cord-017337-vq3edhxn 64 7 increase increase VB cord-017337-vq3edhxn 64 8 a a DT cord-017337-vq3edhxn 64 9 person person NN cord-017337-vq3edhxn 64 10 's 's POS cord-017337-vq3edhxn 64 11 risk risk NN cord-017337-vq3edhxn 64 12 of of IN cord-017337-vq3edhxn 64 13 infection infection NN cord-017337-vq3edhxn 64 14 , , , cord-017337-vq3edhxn 64 15 but but CC cord-017337-vq3edhxn 64 16 may may MD cord-017337-vq3edhxn 64 17 decrease decrease VB cord-017337-vq3edhxn 64 18 the the DT cord-017337-vq3edhxn 64 19 magnitude magnitude NN cord-017337-vq3edhxn 64 20 of of IN cord-017337-vq3edhxn 64 21 that that DT cord-017337-vq3edhxn 64 22 person person NN cord-017337-vq3edhxn 64 23 's 's POS cord-017337-vq3edhxn 64 24 infl infl NNP cord-017337-vq3edhxn 64 25 ammatory ammatory NNP cord-017337-vq3edhxn 64 26 response response NN cord-017337-vq3edhxn 64 27 . . . cord-017337-vq3edhxn 65 1 Undoubtedly undoubtedly RB cord-017337-vq3edhxn 65 2 these these DT cord-017337-vq3edhxn 65 3 are be VBP cord-017337-vq3edhxn 65 4 complex complex JJ cord-017337-vq3edhxn 65 5 relationships relationship NNS cord-017337-vq3edhxn 65 6 with with IN cord-017337-vq3edhxn 65 7 multiple multiple JJ cord-017337-vq3edhxn 65 8 confounding confounding JJ cord-017337-vq3edhxn 65 9 factors factor NNS cord-017337-vq3edhxn 65 10 and and CC cord-017337-vq3edhxn 65 11 further further JJ cord-017337-vq3edhxn 65 12 research research NN cord-017337-vq3edhxn 65 13 is be VBZ cord-017337-vq3edhxn 65 14 needed need VBN cord-017337-vq3edhxn 65 15 to to TO cord-017337-vq3edhxn 65 16 clearly clearly RB cord-017337-vq3edhxn 65 17 defi defi NNP cord-017337-vq3edhxn 65 18 ne ne NNP cord-017337-vq3edhxn 65 19 which which WDT cord-017337-vq3edhxn 65 20 factors factor NNS cord-017337-vq3edhxn 65 21 should should MD cord-017337-vq3edhxn 65 22 be be VB cord-017337-vq3edhxn 65 23 taken take VBN cord-017337-vq3edhxn 65 24 into into IN cord-017337-vq3edhxn 65 25 account account NN cord-017337-vq3edhxn 65 26 when when WRB cord-017337-vq3edhxn 65 27 considering consider VBG cord-017337-vq3edhxn 65 28 the the DT cord-017337-vq3edhxn 65 29 impact impact NN cord-017337-vq3edhxn 65 30 of of IN cord-017337-vq3edhxn 65 31 predisposition predisposition NN cord-017337-vq3edhxn 65 32 on on IN cord-017337-vq3edhxn 65 33 prognosis prognosis NN cord-017337-vq3edhxn 65 34 , , , cord-017337-vq3edhxn 65 35 to to TO cord-017337-vq3edhxn 65 36 determine determine VB cord-017337-vq3edhxn 65 37 which which WDT cord-017337-vq3edhxn 65 38 carry carry VB cord-017337-vq3edhxn 65 39 most most JJS cord-017337-vq3edhxn 65 40 weight weight NN cord-017337-vq3edhxn 65 41 , , , cord-017337-vq3edhxn 65 42 and and CC cord-017337-vq3edhxn 65 43 to to TO cord-017337-vq3edhxn 65 44 identify identify VB cord-017337-vq3edhxn 65 45 how how WRB cord-017337-vq3edhxn 65 46 knowledge knowledge NN cord-017337-vq3edhxn 65 47 of of IN cord-017337-vq3edhxn 65 48 increased increase VBN cord-017337-vq3edhxn 65 49 risks risk NNS cord-017337-vq3edhxn 65 50 can can MD cord-017337-vq3edhxn 65 51 be be VB cord-017337-vq3edhxn 65 52 translated translate VBN cord-017337-vq3edhxn 65 53 into into IN cord-017337-vq3edhxn 65 54 improved improve VBN cord-017337-vq3edhxn 65 55 clinical clinical JJ cord-017337-vq3edhxn 65 56 outcomes outcome NNS cord-017337-vq3edhxn 65 57 . . . cord-017337-vq3edhxn 66 1 Advances advance NNS cord-017337-vq3edhxn 66 2 in in IN cord-017337-vq3edhxn 66 3 genetics genetic NNS cord-017337-vq3edhxn 66 4 technology technology NN cord-017337-vq3edhxn 66 5 now now RB cord-017337-vq3edhxn 66 6 enable enable VBP cord-017337-vq3edhxn 66 7 investigators investigator NNS cord-017337-vq3edhxn 66 8 to to TO cord-017337-vq3edhxn 66 9 create create VB cord-017337-vq3edhxn 66 10 glass glass NN cord-017337-vq3edhxn 66 11 slides slide NNS cord-017337-vq3edhxn 66 12 ( ( -LRB- cord-017337-vq3edhxn 66 13 chips chip NNS cord-017337-vq3edhxn 66 14 ) ) -RRB- cord-017337-vq3edhxn 66 15 with with IN cord-017337-vq3edhxn 66 16 minute minute JJ cord-017337-vq3edhxn 66 17 quantities quantity NNS cord-017337-vq3edhxn 66 18 of of IN cord-017337-vq3edhxn 66 19 short short JJ cord-017337-vq3edhxn 66 20 , , , cord-017337-vq3edhxn 66 21 gene gene NN cord-017337-vq3edhxn 66 22 - - HYPH cord-017337-vq3edhxn 66 23 specifi specifi VBN cord-017337-vq3edhxn 66 24 c c NN cord-017337-vq3edhxn 66 25 nucleotides nucleotide NNS cord-017337-vq3edhxn 66 26 . . . cord-017337-vq3edhxn 67 1 These these DT cord-017337-vq3edhxn 67 2 gene gene NN cord-017337-vq3edhxn 67 3 - - HYPH cord-017337-vq3edhxn 67 4 specifi specifi VBN cord-017337-vq3edhxn 67 5 c c NN cord-017337-vq3edhxn 67 6 probe probe NN cord-017337-vq3edhxn 67 7 nucleotides nucleotide NNS cord-017337-vq3edhxn 67 8 , , , cord-017337-vq3edhxn 67 9 ideally ideally RB cord-017337-vq3edhxn 67 10 one one CD cord-017337-vq3edhxn 67 11 for for IN cord-017337-vq3edhxn 67 12 each each DT cord-017337-vq3edhxn 67 13 gene gene NN cord-017337-vq3edhxn 67 14 in in IN cord-017337-vq3edhxn 67 15 the the DT cord-017337-vq3edhxn 67 16 genome genome NN cord-017337-vq3edhxn 67 17 , , , cord-017337-vq3edhxn 67 18 are be VBP cord-017337-vq3edhxn 67 19 arrayed array VBN cord-017337-vq3edhxn 67 20 onto onto IN cord-017337-vq3edhxn 67 21 the the DT cord-017337-vq3edhxn 67 22 chip chip NN cord-017337-vq3edhxn 67 23 surface surface NN cord-017337-vq3edhxn 67 24 to to TO cord-017337-vq3edhxn 67 25 produce produce VB cord-017337-vq3edhxn 67 26 a a DT cord-017337-vq3edhxn 67 27 DNA dna NN cord-017337-vq3edhxn 67 28 microarray microarray NN cord-017337-vq3edhxn 67 29 . . . cord-017337-vq3edhxn 68 1 These these DT cord-017337-vq3edhxn 68 2 can can MD cord-017337-vq3edhxn 68 3 be be VB cord-017337-vq3edhxn 68 4 used use VBN cord-017337-vq3edhxn 68 5 to to TO cord-017337-vq3edhxn 68 6 generate generate VB cord-017337-vq3edhxn 68 7 an an DT cord-017337-vq3edhxn 68 8 expression expression NN cord-017337-vq3edhxn 68 9 profi profi NNP cord-017337-vq3edhxn 68 10 le le NNP cord-017337-vq3edhxn 68 11 , , , cord-017337-vq3edhxn 68 12 the the DT cord-017337-vq3edhxn 68 13 transcriptome transcriptome NN cord-017337-vq3edhxn 68 14 , , , cord-017337-vq3edhxn 68 15 for for IN cord-017337-vq3edhxn 68 16 the the DT cord-017337-vq3edhxn 68 17 cell cell NN cord-017337-vq3edhxn 68 18 or or CC cord-017337-vq3edhxn 68 19 tissue tissue NN cord-017337-vq3edhxn 68 20 of of IN cord-017337-vq3edhxn 68 21 interest interest NN cord-017337-vq3edhxn 68 22 . . . cord-017337-vq3edhxn 69 1 Genomics genomic NNS cord-017337-vq3edhxn 69 2 , , , cord-017337-vq3edhxn 69 3 and and CC cord-017337-vq3edhxn 69 4 the the DT cord-017337-vq3edhxn 69 5 broader broad JJR cord-017337-vq3edhxn 69 6 fi fi NN cord-017337-vq3edhxn 69 7 eld eld NN cord-017337-vq3edhxn 69 8 of of IN cord-017337-vq3edhxn 69 9 proteomics proteomic NNS cord-017337-vq3edhxn 69 10 , , , cord-017337-vq3edhxn 69 11 is be VBZ cord-017337-vq3edhxn 69 12 likely likely JJ cord-017337-vq3edhxn 69 13 to to TO cord-017337-vq3edhxn 69 14 be be VB cord-017337-vq3edhxn 69 15 increasingly increasingly RB cord-017337-vq3edhxn 69 16 used use VBN cord-017337-vq3edhxn 69 17 in in IN cord-017337-vq3edhxn 69 18 routine routine JJ cord-017337-vq3edhxn 69 19 patient patient NN cord-017337-vq3edhxn 69 20 management management NN cord-017337-vq3edhxn 69 21 in in IN cord-017337-vq3edhxn 69 22 hospitals hospital NNS cord-017337-vq3edhxn 69 23 of of IN cord-017337-vq3edhxn 69 24 the the DT cord-017337-vq3edhxn 69 25 future future NN cord-017337-vq3edhxn 69 26 and and CC cord-017337-vq3edhxn 69 27 will will MD cord-017337-vq3edhxn 69 28 facilitate facilitate VB cord-017337-vq3edhxn 69 29 the the DT cord-017337-vq3edhxn 69 30 task task NN cord-017337-vq3edhxn 69 31 of of IN cord-017337-vq3edhxn 69 32 assessing assess VBG cord-017337-vq3edhxn 69 33 predisposition predisposition NN cord-017337-vq3edhxn 69 34 . . . cord-017337-vq3edhxn 70 1 Four four CD cord-017337-vq3edhxn 70 2 key key JJ cord-017337-vq3edhxn 70 3 aspects aspect NNS cord-017337-vq3edhxn 70 4 related relate VBN cord-017337-vq3edhxn 70 5 to to IN cord-017337-vq3edhxn 70 6 the the DT cord-017337-vq3edhxn 70 7 underlying underlie VBG cord-017337-vq3edhxn 70 8 infection infection NN cord-017337-vq3edhxn 70 9 can can MD cord-017337-vq3edhxn 70 10 infl infl XX cord-017337-vq3edhxn 70 11 uence uence NN cord-017337-vq3edhxn 70 12 management management NN cord-017337-vq3edhxn 70 13 and and CC cord-017337-vq3edhxn 70 14 prognosis prognosis NN cord-017337-vq3edhxn 70 15 in in IN cord-017337-vq3edhxn 70 16 patients patient NNS cord-017337-vq3edhxn 70 17 with with IN cord-017337-vq3edhxn 70 18 sepsis sepsis NN cord-017337-vq3edhxn 70 19 : : : cord-017337-vq3edhxn 70 20 source source NN cord-017337-vq3edhxn 70 21 , , , cord-017337-vq3edhxn 70 22 degree degree NN cord-017337-vq3edhxn 70 23 , , , cord-017337-vq3edhxn 70 24 hospital hospital NN cord-017337-vq3edhxn 70 25 - - HYPH cord-017337-vq3edhxn 70 26 acquired acquire VBN cord-017337-vq3edhxn 70 27 versus versus IN cord-017337-vq3edhxn 70 28 community community NN cord-017337-vq3edhxn 70 29 - - HYPH cord-017337-vq3edhxn 70 30 acquired acquire VBN cord-017337-vq3edhxn 70 31 , , , cord-017337-vq3edhxn 70 32 and and CC cord-017337-vq3edhxn 70 33 microorganism microorganism NN cord-017337-vq3edhxn 70 34 [ [ -LRB- cord-017337-vq3edhxn 70 35 19 19 CD cord-017337-vq3edhxn 70 36 ] ] -RRB- cord-017337-vq3edhxn 70 37 . . . cord-017337-vq3edhxn 71 1 In in IN cord-017337-vq3edhxn 71 2 terms term NNS cord-017337-vq3edhxn 71 3 of of IN cord-017337-vq3edhxn 71 4 source source NN cord-017337-vq3edhxn 71 5 , , , cord-017337-vq3edhxn 71 6 for for IN cord-017337-vq3edhxn 71 7 example example NN cord-017337-vq3edhxn 71 8 , , , cord-017337-vq3edhxn 71 9 infections infection NNS cord-017337-vq3edhxn 71 10 of of IN cord-017337-vq3edhxn 71 11 the the DT cord-017337-vq3edhxn 71 12 urinary urinary JJ cord-017337-vq3edhxn 71 13 tract tract NN cord-017337-vq3edhxn 71 14 are be VBP cord-017337-vq3edhxn 71 15 usually usually RB cord-017337-vq3edhxn 71 16 less less RBR cord-017337-vq3edhxn 71 17 severe severe JJ cord-017337-vq3edhxn 71 18 than than IN cord-017337-vq3edhxn 71 19 intra intra JJ cord-017337-vq3edhxn 71 20 - - JJ cord-017337-vq3edhxn 71 21 abdominal abdominal JJ cord-017337-vq3edhxn 71 22 or or CC cord-017337-vq3edhxn 71 23 pulmonary pulmonary JJ cord-017337-vq3edhxn 71 24 infections infection NNS cord-017337-vq3edhxn 71 25 . . . cord-017337-vq3edhxn 72 1 In in IN cord-017337-vq3edhxn 72 2 the the DT cord-017337-vq3edhxn 72 3 Protein Protein NNP cord-017337-vq3edhxn 72 4 C C NNP cord-017337-vq3edhxn 72 5 Worldwide Worldwide NNP cord-017337-vq3edhxn 72 6 Evaluation Evaluation NNP cord-017337-vq3edhxn 72 7 in in IN cord-017337-vq3edhxn 72 8 Severe severe JJ cord-017337-vq3edhxn 72 9 Sepsis sepsis NN cord-017337-vq3edhxn 72 10 ( ( -LRB- cord-017337-vq3edhxn 72 11 PROWESS prowess NN cord-017337-vq3edhxn 72 12 ) ) -RRB- cord-017337-vq3edhxn 72 13 trial trial NN cord-017337-vq3edhxn 72 14 [ [ -LRB- cord-017337-vq3edhxn 72 15 20 20 CD cord-017337-vq3edhxn 72 16 ] ] -RRB- cord-017337-vq3edhxn 72 17 , , , cord-017337-vq3edhxn 72 18 patients patient NNS cord-017337-vq3edhxn 72 19 with with IN cord-017337-vq3edhxn 72 20 urinary urinary JJ cord-017337-vq3edhxn 72 21 tract tract NN cord-017337-vq3edhxn 72 22 infections infection NNS cord-017337-vq3edhxn 72 23 as as IN cord-017337-vq3edhxn 72 24 a a DT cord-017337-vq3edhxn 72 25 source source NN cord-017337-vq3edhxn 72 26 of of IN cord-017337-vq3edhxn 72 27 severe severe JJ cord-017337-vq3edhxn 72 28 sepsis sepsis NN cord-017337-vq3edhxn 72 29 had have VBD cord-017337-vq3edhxn 72 30 a a DT cord-017337-vq3edhxn 72 31 28-day 28-day CD cord-017337-vq3edhxn 72 32 all all DT cord-017337-vq3edhxn 72 33 - - HYPH cord-017337-vq3edhxn 72 34 cause cause NN cord-017337-vq3edhxn 72 35 mortality mortality NN cord-017337-vq3edhxn 72 36 of of IN cord-017337-vq3edhxn 72 37 21 21 CD cord-017337-vq3edhxn 72 38 % % NN cord-017337-vq3edhxn 72 39 compared compare VBN cord-017337-vq3edhxn 72 40 with with IN cord-017337-vq3edhxn 72 41 patients patient NNS cord-017337-vq3edhxn 72 42 with with IN cord-017337-vq3edhxn 72 43 a a DT cord-017337-vq3edhxn 72 44 pulmonary pulmonary JJ cord-017337-vq3edhxn 72 45 source source NN cord-017337-vq3edhxn 72 46 of of IN cord-017337-vq3edhxn 72 47 sepsis sepsis NN cord-017337-vq3edhxn 72 48 who who WP cord-017337-vq3edhxn 72 49 had have VBD cord-017337-vq3edhxn 72 50 a a DT cord-017337-vq3edhxn 72 51 mortality mortality NN cord-017337-vq3edhxn 72 52 rate rate NN cord-017337-vq3edhxn 72 53 of of IN cord-017337-vq3edhxn 72 54 34 34 CD cord-017337-vq3edhxn 72 55 % % NN cord-017337-vq3edhxn 72 56 ( ( -LRB- cord-017337-vq3edhxn 72 57 p p NN cord-017337-vq3edhxn 72 58 < < XX cord-017337-vq3edhxn 72 59 .01 .01 NFP cord-017337-vq3edhxn 72 60 ) ) -RRB- cord-017337-vq3edhxn 72 61 . . . cord-017337-vq3edhxn 73 1 The the DT cord-017337-vq3edhxn 73 2 size size NN cord-017337-vq3edhxn 73 3 of of IN cord-017337-vq3edhxn 73 4 the the DT cord-017337-vq3edhxn 73 5 inoculum inoculum NN cord-017337-vq3edhxn 73 6 , , , cord-017337-vq3edhxn 73 7 virulence virulence NN cord-017337-vq3edhxn 73 8 , , , cord-017337-vq3edhxn 73 9 and and CC cord-017337-vq3edhxn 73 10 sensitivity sensitivity NN cord-017337-vq3edhxn 73 11 of of IN cord-017337-vq3edhxn 73 12 the the DT cord-017337-vq3edhxn 73 13 infecting infect VBG cord-017337-vq3edhxn 73 14 organisms organism NNS cord-017337-vq3edhxn 73 15 are be VBP cord-017337-vq3edhxn 73 16 also also RB cord-017337-vq3edhxn 73 17 important important JJ cord-017337-vq3edhxn 73 18 in in IN cord-017337-vq3edhxn 73 19 determining determine VBG cord-017337-vq3edhxn 73 20 outcomes outcome NNS cord-017337-vq3edhxn 73 21 . . . cord-017337-vq3edhxn 74 1 In in IN cord-017337-vq3edhxn 74 2 the the DT cord-017337-vq3edhxn 74 3 Sepsis sepsis NN cord-017337-vq3edhxn 74 4 Occurrence occurrence NN cord-017337-vq3edhxn 74 5 in in IN cord-017337-vq3edhxn 74 6 Acutely acutely RB cord-017337-vq3edhxn 74 7 Ill Ill NNP cord-017337-vq3edhxn 74 8 Patients patient NNS cord-017337-vq3edhxn 74 9 ( ( -LRB- cord-017337-vq3edhxn 74 10 SOAP SOAP NNP cord-017337-vq3edhxn 74 11 ) ) -RRB- cord-017337-vq3edhxn 74 12 study study NN cord-017337-vq3edhxn 74 13 , , , cord-017337-vq3edhxn 74 14 infection infection NN cord-017337-vq3edhxn 74 15 with with IN cord-017337-vq3edhxn 74 16 Pseudomonas Pseudomonas NNP cord-017337-vq3edhxn 74 17 spp spp NNS cord-017337-vq3edhxn 74 18 . . . cord-017337-vq3edhxn 75 1 was be VBD cord-017337-vq3edhxn 75 2 independently independently RB cord-017337-vq3edhxn 75 3 associated associate VBN cord-017337-vq3edhxn 75 4 with with IN cord-017337-vq3edhxn 75 5 increased increase VBN cord-017337-vq3edhxn 75 6 ICU ICU NNP cord-017337-vq3edhxn 75 7 mortality mortality NN cord-017337-vq3edhxn 75 8 ( ( -LRB- cord-017337-vq3edhxn 75 9 OR or CC cord-017337-vq3edhxn 75 10 : : : cord-017337-vq3edhxn 75 11 1.62 1.62 CD cord-017337-vq3edhxn 75 12 [ [ -LRB- cord-017337-vq3edhxn 75 13 95 95 CD cord-017337-vq3edhxn 75 14 % % NN cord-017337-vq3edhxn 75 15 CI CI NNP cord-017337-vq3edhxn 75 16 1.09 1.09 CD cord-017337-vq3edhxn 75 17 - - SYM cord-017337-vq3edhxn 75 18 2.42 2.42 CD cord-017337-vq3edhxn 75 19 ] ] -RRB- cord-017337-vq3edhxn 75 20 , , , cord-017337-vq3edhxn 75 21 p p NN cord-017337-vq3edhxn 75 22 = = SYM cord-017337-vq3edhxn 75 23 0.017 0.017 CD cord-017337-vq3edhxn 75 24 ) ) -RRB- cord-017337-vq3edhxn 75 25 [ [ -LRB- cord-017337-vq3edhxn 75 26 16 16 CD cord-017337-vq3edhxn 75 27 ] ] -RRB- cord-017337-vq3edhxn 75 28 . . . cord-017337-vq3edhxn 76 1 In in IN cord-017337-vq3edhxn 76 2 a a DT cord-017337-vq3edhxn 76 3 multicenter multicenter JJ cord-017337-vq3edhxn 76 4 study study NN cord-017337-vq3edhxn 76 5 from from IN cord-017337-vq3edhxn 76 6 China China NNP cord-017337-vq3edhxn 76 7 , , , cord-017337-vq3edhxn 76 8 Gram gram NN cord-017337-vq3edhxn 76 9 - - HYPH cord-017337-vq3edhxn 76 10 positive positive JJ cord-017337-vq3edhxn 76 11 bacterial bacterial JJ cord-017337-vq3edhxn 76 12 infection infection NN cord-017337-vq3edhxn 76 13 and and CC cord-017337-vq3edhxn 76 14 invasive invasive JJ cord-017337-vq3edhxn 76 15 fungal fungal JJ cord-017337-vq3edhxn 76 16 infections infection NNS cord-017337-vq3edhxn 76 17 were be VBD cord-017337-vq3edhxn 76 18 risk risk NN cord-017337-vq3edhxn 76 19 factors factor NNS cord-017337-vq3edhxn 76 20 for for IN cord-017337-vq3edhxn 76 21 hospital hospital NN cord-017337-vq3edhxn 76 22 mortality mortality NN cord-017337-vq3edhxn 76 23 [ [ -LRB- cord-017337-vq3edhxn 76 24 21 21 CD cord-017337-vq3edhxn 76 25 ] ] -RRB- cord-017337-vq3edhxn 76 26 . . . cord-017337-vq3edhxn 77 1 However however RB cord-017337-vq3edhxn 77 2 , , , cord-017337-vq3edhxn 77 3 classifying classify VBG cord-017337-vq3edhxn 77 4 the the DT cord-017337-vq3edhxn 77 5 relative relative JJ cord-017337-vq3edhxn 77 6 importance importance NN cord-017337-vq3edhxn 77 7 of of IN cord-017337-vq3edhxn 77 8 infections infection NNS cord-017337-vq3edhxn 77 9 on on IN cord-017337-vq3edhxn 77 10 outcome outcome NN cord-017337-vq3edhxn 77 11 can can MD cord-017337-vq3edhxn 77 12 be be VB cord-017337-vq3edhxn 77 13 diffi diffi JJ cord-017337-vq3edhxn 77 14 cult cult NN cord-017337-vq3edhxn 77 15 . . . cord-017337-vq3edhxn 78 1 Cohen Cohen NNP cord-017337-vq3edhxn 78 2 et et NNP cord-017337-vq3edhxn 78 3 al al NNP cord-017337-vq3edhxn 78 4 . . . cord-017337-vq3edhxn 79 1 [ [ -LRB- cord-017337-vq3edhxn 79 2 22 22 CD cord-017337-vq3edhxn 79 3 ] ] -RRB- cord-017337-vq3edhxn 79 4 recently recently RB cord-017337-vq3edhxn 79 5 generated generate VBN cord-017337-vq3edhxn 79 6 specifi specifi NNP cord-017337-vq3edhxn 79 7 c c NNP cord-017337-vq3edhxn 79 8 risk risk NN cord-017337-vq3edhxn 79 9 codes code NNS cord-017337-vq3edhxn 79 10 for for IN cord-017337-vq3edhxn 79 11 the the DT cord-017337-vq3edhxn 79 12 six six CD cord-017337-vq3edhxn 79 13 most most RBS cord-017337-vq3edhxn 79 14 common common JJ cord-017337-vq3edhxn 79 15 infections infection NNS cord-017337-vq3edhxn 79 16 : : : cord-017337-vq3edhxn 79 17 bacteremia bacteremia NN cord-017337-vq3edhxn 79 18 , , , cord-017337-vq3edhxn 79 19 meningitis meningitis NN cord-017337-vq3edhxn 79 20 , , , cord-017337-vq3edhxn 79 21 pneumonia pneumonia NN cord-017337-vq3edhxn 79 22 , , , cord-017337-vq3edhxn 79 23 skin skin NN cord-017337-vq3edhxn 79 24 and and CC cord-017337-vq3edhxn 79 25 soft soft JJ cord-017337-vq3edhxn 79 26 tissue tissue NN cord-017337-vq3edhxn 79 27 infections infection NNS cord-017337-vq3edhxn 79 28 , , , cord-017337-vq3edhxn 79 29 peritonitis peritonitis NN cord-017337-vq3edhxn 79 30 , , , cord-017337-vq3edhxn 79 31 and and CC cord-017337-vq3edhxn 79 32 urinary urinary JJ cord-017337-vq3edhxn 79 33 tract tract JJ cord-017337-vq3edhxn 79 34 infections infection NNS cord-017337-vq3edhxn 79 35 . . . cord-017337-vq3edhxn 80 1 For for IN cord-017337-vq3edhxn 80 2 each each DT cord-017337-vq3edhxn 80 3 infection infection NN cord-017337-vq3edhxn 80 4 site site NN cord-017337-vq3edhxn 80 5 and and CC cord-017337-vq3edhxn 80 6 organism organism NN cord-017337-vq3edhxn 80 7 , , , cord-017337-vq3edhxn 80 8 a a DT cord-017337-vq3edhxn 80 9 two two CD cord-017337-vq3edhxn 80 10 - - HYPH cord-017337-vq3edhxn 80 11 digit digit NN cord-017337-vq3edhxn 80 12 code code NN cord-017337-vq3edhxn 80 13 was be VBD cord-017337-vq3edhxn 80 14 generated generate VBN cord-017337-vq3edhxn 80 15 according accord VBG cord-017337-vq3edhxn 80 16 to to IN cord-017337-vq3edhxn 80 17 the the DT cord-017337-vq3edhxn 80 18 mortality mortality NN cord-017337-vq3edhxn 80 19 rate rate NN cord-017337-vq3edhxn 80 20 associated associate VBN cord-017337-vq3edhxn 80 21 with with IN cord-017337-vq3edhxn 80 22 that that DT cord-017337-vq3edhxn 80 23 infection infection NN cord-017337-vq3edhxn 80 24 ( ( -LRB- cord-017337-vq3edhxn 80 25 from from IN cord-017337-vq3edhxn 80 26 1 1 CD cord-017337-vq3edhxn 80 27 : : : cord-017337-vq3edhxn 80 28 ≤5 ≤5 NN cord-017337-vq3edhxn 80 29 % % NN cord-017337-vq3edhxn 80 30 to to IN cord-017337-vq3edhxn 80 31 4 4 CD cord-017337-vq3edhxn 80 32 : : : cord-017337-vq3edhxn 80 33 > > XX cord-017337-vq3edhxn 80 34 30 30 CD cord-017337-vq3edhxn 80 35 % % NN cord-017337-vq3edhxn 80 36 ) ) -RRB- cord-017337-vq3edhxn 80 37 , , , cord-017337-vq3edhxn 80 38 and and CC cord-017337-vq3edhxn 80 39 the the DT cord-017337-vq3edhxn 80 40 level level NN cord-017337-vq3edhxn 80 41 of of IN cord-017337-vq3edhxn 80 42 evidence evidence NN cord-017337-vq3edhxn 80 43 available available JJ cord-017337-vq3edhxn 80 44 to to TO cord-017337-vq3edhxn 80 45 support support VB cord-017337-vq3edhxn 80 46 the the DT cord-017337-vq3edhxn 80 47 mortality mortality NN cord-017337-vq3edhxn 80 48 risk risk NN cord-017337-vq3edhxn 80 49 ( ( -LRB- cord-017337-vq3edhxn 80 50 level level NN cord-017337-vq3edhxn 80 51 A a DT cord-017337-vq3edhxn 80 52 representing represent VBG cord-017337-vq3edhxn 80 53 evidence evidence NN cord-017337-vq3edhxn 80 54 from from IN cord-017337-vq3edhxn 80 55 more more JJR cord-017337-vq3edhxn 80 56 than than IN cord-017337-vq3edhxn 80 57 fi fi NNP cord-017337-vq3edhxn 80 58 ve ve NNP cord-017337-vq3edhxn 80 59 studies study NNS cord-017337-vq3edhxn 80 60 with with IN cord-017337-vq3edhxn 80 61 greater great JJR cord-017337-vq3edhxn 80 62 than than IN cord-017337-vq3edhxn 80 63 100 100 CD cord-017337-vq3edhxn 80 64 patients patient NNS cord-017337-vq3edhxn 80 65 , , , cord-017337-vq3edhxn 80 66 through through IN cord-017337-vq3edhxn 80 67 to to IN cord-017337-vq3edhxn 80 68 level level NN cord-017337-vq3edhxn 80 69 E e NN cord-017337-vq3edhxn 80 70 where where WRB cord-017337-vq3edhxn 80 71 there there EX cord-017337-vq3edhxn 80 72 was be VBD cord-017337-vq3edhxn 80 73 insuffi insuffi NNP cord-017337-vq3edhxn 80 74 cient cient JJ cord-017337-vq3edhxn 80 75 evidence evidence NN cord-017337-vq3edhxn 80 76 from from IN cord-017337-vq3edhxn 80 77 case case NN cord-017337-vq3edhxn 80 78 reports report NNS cord-017337-vq3edhxn 80 79 ) ) -RRB- cord-017337-vq3edhxn 80 80 . . . cord-017337-vq3edhxn 81 1 This this DT cord-017337-vq3edhxn 81 2 Grading Grading NNP cord-017337-vq3edhxn 81 3 System system NN cord-017337-vq3edhxn 81 4 for for IN cord-017337-vq3edhxn 81 5 Site site NN cord-017337-vq3edhxn 81 6 and and CC cord-017337-vq3edhxn 81 7 Severity severity NN cord-017337-vq3edhxn 81 8 of of IN cord-017337-vq3edhxn 81 9 Infection infection NN cord-017337-vq3edhxn 81 10 ( ( -LRB- cord-017337-vq3edhxn 81 11 GSSSI GSSSI NNP cord-017337-vq3edhxn 81 12 ) ) -RRB- cord-017337-vq3edhxn 81 13 needs need VBZ cord-017337-vq3edhxn 81 14 to to TO cord-017337-vq3edhxn 81 15 be be VB cord-017337-vq3edhxn 81 16 validated validate VBN cord-017337-vq3edhxn 81 17 , , , cord-017337-vq3edhxn 81 18 but but CC cord-017337-vq3edhxn 81 19 could could MD cord-017337-vq3edhxn 81 20 be be VB cord-017337-vq3edhxn 81 21 a a DT cord-017337-vq3edhxn 81 22 useful useful JJ cord-017337-vq3edhxn 81 23 means mean NNS cord-017337-vq3edhxn 81 24 of of IN cord-017337-vq3edhxn 81 25 characterizing characterize VBG cord-017337-vq3edhxn 81 26 the the DT cord-017337-vq3edhxn 81 27 risks risk NNS cord-017337-vq3edhxn 81 28 associated associate VBN cord-017337-vq3edhxn 81 29 with with IN cord-017337-vq3edhxn 81 30 infections infection NNS cord-017337-vq3edhxn 81 31 caused cause VBN cord-017337-vq3edhxn 81 32 by by IN cord-017337-vq3edhxn 81 33 various various JJ cord-017337-vq3edhxn 81 34 organisms organism NNS cord-017337-vq3edhxn 81 35 in in IN cord-017337-vq3edhxn 81 36 different different JJ cord-017337-vq3edhxn 81 37 sites site NNS cord-017337-vq3edhxn 81 38 . . . cord-017337-vq3edhxn 82 1 The the DT cord-017337-vq3edhxn 82 2 timing timing NN cord-017337-vq3edhxn 82 3 of of IN cord-017337-vq3edhxn 82 4 the the DT cord-017337-vq3edhxn 82 5 onset onset NN cord-017337-vq3edhxn 82 6 of of IN cord-017337-vq3edhxn 82 7 infection infection NN cord-017337-vq3edhxn 82 8 may may MD cord-017337-vq3edhxn 82 9 also also RB cord-017337-vq3edhxn 82 10 infl infl VB cord-017337-vq3edhxn 82 11 uence uence NN cord-017337-vq3edhxn 82 12 outcomes outcome NNS cord-017337-vq3edhxn 82 13 . . . cord-017337-vq3edhxn 83 1 One one CD cord-017337-vq3edhxn 83 2 study study NN cord-017337-vq3edhxn 83 3 showed show VBD cord-017337-vq3edhxn 83 4 that that IN cord-017337-vq3edhxn 83 5 patients patient NNS cord-017337-vq3edhxn 83 6 who who WP cord-017337-vq3edhxn 83 7 developed develop VBD cord-017337-vq3edhxn 83 8 septic septic JJ cord-017337-vq3edhxn 83 9 shock shock NN cord-017337-vq3edhxn 83 10 within within IN cord-017337-vq3edhxn 83 11 24 24 CD cord-017337-vq3edhxn 83 12 h h NN cord-017337-vq3edhxn 83 13 of of IN cord-017337-vq3edhxn 83 14 ICU ICU NNP cord-017337-vq3edhxn 83 15 admission admission NN cord-017337-vq3edhxn 83 16 were be VBD cord-017337-vq3edhxn 83 17 more more RBR cord-017337-vq3edhxn 83 18 severely severely RB cord-017337-vq3edhxn 83 19 ill ill JJ cord-017337-vq3edhxn 83 20 , , , cord-017337-vq3edhxn 83 21 but but CC cord-017337-vq3edhxn 83 22 had have VBD cord-017337-vq3edhxn 83 23 better well JJR cord-017337-vq3edhxn 83 24 outcomes outcome NNS cord-017337-vq3edhxn 83 25 , , , cord-017337-vq3edhxn 83 26 than than IN cord-017337-vq3edhxn 83 27 patients patient NNS cord-017337-vq3edhxn 83 28 who who WP cord-017337-vq3edhxn 83 29 became become VBD cord-017337-vq3edhxn 83 30 hypotensive hypotensive JJ cord-017337-vq3edhxn 83 31 later later RB cord-017337-vq3edhxn 83 32 during during IN cord-017337-vq3edhxn 83 33 their -PRON- PRP$ cord-017337-vq3edhxn 83 34 ICU ICU NNP cord-017337-vq3edhxn 83 35 stay stay VBP cord-017337-vq3edhxn 83 36 [ [ -LRB- cord-017337-vq3edhxn 83 37 23 23 CD cord-017337-vq3edhxn 83 38 ] ] -RRB- cord-017337-vq3edhxn 83 39 . . . cord-017337-vq3edhxn 84 1 Sepsis sepsis NN cord-017337-vq3edhxn 84 2 is be VBZ cord-017337-vq3edhxn 84 3 defi defi NNP cord-017337-vq3edhxn 84 4 ned ned NNP cord-017337-vq3edhxn 84 5 as as IN cord-017337-vq3edhxn 84 6 the the DT cord-017337-vq3edhxn 84 7 host host NN cord-017337-vq3edhxn 84 8 response response NN cord-017337-vq3edhxn 84 9 to to IN cord-017337-vq3edhxn 84 10 infection infection NN cord-017337-vq3edhxn 84 11 , , , cord-017337-vq3edhxn 84 12 yet yet CC cord-017337-vq3edhxn 84 13 that that IN cord-017337-vq3edhxn 84 14 host host NN cord-017337-vq3edhxn 84 15 response response NN cord-017337-vq3edhxn 84 16 has have VBZ cord-017337-vq3edhxn 84 17 proved prove VBN cord-017337-vq3edhxn 84 18 difficult difficult JJ cord-017337-vq3edhxn 84 19 to to TO cord-017337-vq3edhxn 84 20 characterize characterize VB cord-017337-vq3edhxn 84 21 [ [ -LRB- cord-017337-vq3edhxn 84 22 24 24 CD cord-017337-vq3edhxn 84 23 ] ] -RRB- cord-017337-vq3edhxn 84 24 . . . cord-017337-vq3edhxn 85 1 Various various JJ cord-017337-vq3edhxn 85 2 approaches approach NNS cord-017337-vq3edhxn 85 3 have have VBP cord-017337-vq3edhxn 85 4 been be VBN cord-017337-vq3edhxn 85 5 proposed propose VBN cord-017337-vq3edhxn 85 6 , , , cord-017337-vq3edhxn 85 7 including include VBG cord-017337-vq3edhxn 85 8 the the DT cord-017337-vq3edhxn 85 9 presence presence NN cord-017337-vq3edhxn 85 10 of of IN cord-017337-vq3edhxn 85 11 characteristic characteristic JJ cord-017337-vq3edhxn 85 12 signs sign NNS cord-017337-vq3edhxn 85 13 and and CC cord-017337-vq3edhxn 85 14 symptoms symptom NNS cord-017337-vq3edhxn 85 15 or or CC cord-017337-vq3edhxn 85 16 the the DT cord-017337-vq3edhxn 85 17 degree degree NN cord-017337-vq3edhxn 85 18 of of IN cord-017337-vq3edhxn 85 19 elevation elevation NN cord-017337-vq3edhxn 85 20 of of IN cord-017337-vq3edhxn 85 21 biological biological JJ cord-017337-vq3edhxn 85 22 markers marker NNS cord-017337-vq3edhxn 85 23 , , , cord-017337-vq3edhxn 85 24 such such JJ cord-017337-vq3edhxn 85 25 as as IN cord-017337-vq3edhxn 85 26 procalcitonin procalcitonin NNS cord-017337-vq3edhxn 85 27 or or CC cord-017337-vq3edhxn 85 28 C c NN cord-017337-vq3edhxn 85 29 - - HYPH cord-017337-vq3edhxn 85 30 reactive reactive JJ cord-017337-vq3edhxn 85 31 protein protein NN cord-017337-vq3edhxn 85 32 , , , cord-017337-vq3edhxn 85 33 but but CC cord-017337-vq3edhxn 85 34 as as RB cord-017337-vq3edhxn 85 35 yet yet RB cord-017337-vq3edhxn 85 36 , , , cord-017337-vq3edhxn 85 37 none none NN cord-017337-vq3edhxn 85 38 of of IN cord-017337-vq3edhxn 85 39 the the DT cord-017337-vq3edhxn 85 40 suggested suggest VBN cord-017337-vq3edhxn 85 41 markers marker NNS cord-017337-vq3edhxn 85 42 is be VBZ cord-017337-vq3edhxn 85 43 specifi specifi VBN cord-017337-vq3edhxn 85 44 c c NN cord-017337-vq3edhxn 85 45 for for IN cord-017337-vq3edhxn 85 46 sepsis sepsis NN cord-017337-vq3edhxn 85 47 . . . cord-017337-vq3edhxn 86 1 Importantly importantly RB cord-017337-vq3edhxn 86 2 , , , cord-017337-vq3edhxn 86 3 the the DT cord-017337-vq3edhxn 86 4 initial initial JJ cord-017337-vq3edhxn 86 5 theory theory NN cord-017337-vq3edhxn 86 6 that that IN cord-017337-vq3edhxn 86 7 sepsis sepsis NN cord-017337-vq3edhxn 86 8 was be VBD cord-017337-vq3edhxn 86 9 simply simply RB cord-017337-vq3edhxn 86 10 an an DT cord-017337-vq3edhxn 86 11 uncontrolled uncontrolled JJ cord-017337-vq3edhxn 86 12 infl infl NN cord-017337-vq3edhxn 86 13 ammatory ammatory NN cord-017337-vq3edhxn 86 14 response response NN cord-017337-vq3edhxn 86 15 and and CC cord-017337-vq3edhxn 86 16 could could MD cord-017337-vq3edhxn 86 17 be be VB cord-017337-vq3edhxn 86 18 treated treat VBN cord-017337-vq3edhxn 86 19 by by IN cord-017337-vq3edhxn 86 20 blocking block VBG cord-017337-vq3edhxn 86 21 or or CC cord-017337-vq3edhxn 86 22 removing remove VBG cord-017337-vq3edhxn 86 23 any any DT cord-017337-vq3edhxn 86 24 or or CC cord-017337-vq3edhxn 86 25 several several JJ cord-017337-vq3edhxn 86 26 of of IN cord-017337-vq3edhxn 86 27 the the DT cord-017337-vq3edhxn 86 28 proinfl proinfl NNP cord-017337-vq3edhxn 86 29 ammatory ammatory NNP cord-017337-vq3edhxn 86 30 cytokines cytokine NNS cord-017337-vq3edhxn 86 31 has have VBZ cord-017337-vq3edhxn 86 32 been be VBN cord-017337-vq3edhxn 86 33 replaced replace VBN cord-017337-vq3edhxn 86 34 by by IN cord-017337-vq3edhxn 86 35 the the DT cord-017337-vq3edhxn 86 36 realization realization NN cord-017337-vq3edhxn 86 37 that that IN cord-017337-vq3edhxn 86 38 the the DT cord-017337-vq3edhxn 86 39 infl infl NNP cord-017337-vq3edhxn 86 40 ammatory ammatory NNP cord-017337-vq3edhxn 86 41 response response NN cord-017337-vq3edhxn 86 42 is be VBZ cord-017337-vq3edhxn 86 43 a a DT cord-017337-vq3edhxn 86 44 normal normal JJ cord-017337-vq3edhxn 86 45 and and CC cord-017337-vq3edhxn 86 46 necessary necessary JJ cord-017337-vq3edhxn 86 47 response response NN cord-017337-vq3edhxn 86 48 to to IN cord-017337-vq3edhxn 86 49 infection infection NN cord-017337-vq3edhxn 86 50 , , , cord-017337-vq3edhxn 86 51 and and CC cord-017337-vq3edhxn 86 52 interrupting interrupt VBG cord-017337-vq3edhxn 86 53 that that DT cord-017337-vq3edhxn 86 54 response response NN cord-017337-vq3edhxn 86 55 at at IN cord-017337-vq3edhxn 86 56 any any DT cord-017337-vq3edhxn 86 57 point point NN cord-017337-vq3edhxn 86 58 may may MD cord-017337-vq3edhxn 86 59 do do VB cord-017337-vq3edhxn 86 60 more more JJR cord-017337-vq3edhxn 86 61 harm harm NN cord-017337-vq3edhxn 86 62 than than IN cord-017337-vq3edhxn 86 63 good good JJ cord-017337-vq3edhxn 86 64 . . . cord-017337-vq3edhxn 87 1 Indeed indeed RB cord-017337-vq3edhxn 87 2 , , , cord-017337-vq3edhxn 87 3 the the DT cord-017337-vq3edhxn 87 4 early early JJ cord-017337-vq3edhxn 87 5 hyperinfl hyperinfl NN cord-017337-vq3edhxn 87 6 ammatory ammatory NN cord-017337-vq3edhxn 87 7 phase phase NN cord-017337-vq3edhxn 87 8 of of IN cord-017337-vq3edhxn 87 9 sepsis sepsis NN cord-017337-vq3edhxn 87 10 is be VBZ cord-017337-vq3edhxn 87 11 soon soon RB cord-017337-vq3edhxn 87 12 replaced replace VBN cord-017337-vq3edhxn 87 13 by by IN cord-017337-vq3edhxn 87 14 a a DT cord-017337-vq3edhxn 87 15 hypoinfl hypoinfl NNP cord-017337-vq3edhxn 87 16 ammatory ammatory NNP cord-017337-vq3edhxn 87 17 state state NN cord-017337-vq3edhxn 87 18 . . . cord-017337-vq3edhxn 88 1 The the DT cord-017337-vq3edhxn 88 2 host host NN cord-017337-vq3edhxn 88 3 response response NN cord-017337-vq3edhxn 88 4 to to IN cord-017337-vq3edhxn 88 5 infection infection NN cord-017337-vq3edhxn 88 6 thus thus RB cord-017337-vq3edhxn 88 7 varies vary VBZ cord-017337-vq3edhxn 88 8 between between IN cord-017337-vq3edhxn 88 9 patients patient NNS cord-017337-vq3edhxn 88 10 and and CC cord-017337-vq3edhxn 88 11 with with IN cord-017337-vq3edhxn 88 12 time time NN cord-017337-vq3edhxn 88 13 in in IN cord-017337-vq3edhxn 88 14 the the DT cord-017337-vq3edhxn 88 15 same same JJ cord-017337-vq3edhxn 88 16 patient patient NN cord-017337-vq3edhxn 88 17 [ [ -LRB- cord-017337-vq3edhxn 88 18 25 25 CD cord-017337-vq3edhxn 88 19 ] ] -RRB- cord-017337-vq3edhxn 88 20 . . . cord-017337-vq3edhxn 89 1 This this DT cord-017337-vq3edhxn 89 2 differentiation differentiation NN cord-017337-vq3edhxn 89 3 is be VBZ cord-017337-vq3edhxn 89 4 important important JJ cord-017337-vq3edhxn 89 5 for for IN cord-017337-vq3edhxn 89 6 therapeutic therapeutic JJ cord-017337-vq3edhxn 89 7 decisions decision NNS cord-017337-vq3edhxn 89 8 , , , cord-017337-vq3edhxn 89 9 as as IN cord-017337-vq3edhxn 89 10 antiinfl antiinfl NNP cord-017337-vq3edhxn 89 11 ammatory ammatory NNP cord-017337-vq3edhxn 89 12 therapies therapy NNS cord-017337-vq3edhxn 89 13 may may MD cord-017337-vq3edhxn 89 14 be be VB cord-017337-vq3edhxn 89 15 harmful harmful JJ cord-017337-vq3edhxn 89 16 if if IN cord-017337-vq3edhxn 89 17 given give VBN cord-017337-vq3edhxn 89 18 to to IN cord-017337-vq3edhxn 89 19 a a DT cord-017337-vq3edhxn 89 20 patient patient NN cord-017337-vq3edhxn 89 21 who who WP cord-017337-vq3edhxn 89 22 is be VBZ cord-017337-vq3edhxn 89 23 already already RB cord-017337-vq3edhxn 89 24 in in IN cord-017337-vq3edhxn 89 25 the the DT cord-017337-vq3edhxn 89 26 hypoinfl hypoinfl NNP cord-017337-vq3edhxn 89 27 ammatory ammatory NNP cord-017337-vq3edhxn 89 28 phase phase NN cord-017337-vq3edhxn 89 29 ; ; : cord-017337-vq3edhxn 89 30 such such PDT cord-017337-vq3edhxn 89 31 a a DT cord-017337-vq3edhxn 89 32 patient patient NN cord-017337-vq3edhxn 89 33 may may MD cord-017337-vq3edhxn 89 34 benefi benefi NNP cord-017337-vq3edhxn 89 35 t t NNP cord-017337-vq3edhxn 89 36 rather rather RB cord-017337-vq3edhxn 89 37 from from IN cord-017337-vq3edhxn 89 38 a a DT cord-017337-vq3edhxn 89 39 proinfl proinfl NN cord-017337-vq3edhxn 89 40 ammatory ammatory NNP cord-017337-vq3edhxn 89 41 therapy therapy NN cord-017337-vq3edhxn 89 42 to to TO cord-017337-vq3edhxn 89 43 boost boost VB cord-017337-vq3edhxn 89 44 their -PRON- PRP$ cord-017337-vq3edhxn 89 45 immune immune JJ cord-017337-vq3edhxn 89 46 system system NN cord-017337-vq3edhxn 89 47 . . . cord-017337-vq3edhxn 90 1 As as IN cord-017337-vq3edhxn 90 2 with with IN cord-017337-vq3edhxn 90 3 genomics genomic NNS cord-017337-vq3edhxn 90 4 , , , cord-017337-vq3edhxn 90 5 technological technological JJ cord-017337-vq3edhxn 90 6 advances advance NNS cord-017337-vq3edhxn 90 7 now now RB cord-017337-vq3edhxn 90 8 enable enable VBP cord-017337-vq3edhxn 90 9 multiple multiple JJ cord-017337-vq3edhxn 90 10 markers marker NNS cord-017337-vq3edhxn 90 11 to to TO cord-017337-vq3edhxn 90 12 be be VB cord-017337-vq3edhxn 90 13 assessed assess VBN cord-017337-vq3edhxn 90 14 simultaneously simultaneously RB cord-017337-vq3edhxn 90 15 from from IN cord-017337-vq3edhxn 90 16 small small JJ cord-017337-vq3edhxn 90 17 blood blood NN cord-017337-vq3edhxn 90 18 samples sample NNS cord-017337-vq3edhxn 90 19 . . . cord-017337-vq3edhxn 91 1 This this DT cord-017337-vq3edhxn 91 2 approach approach NN cord-017337-vq3edhxn 91 3 could could MD cord-017337-vq3edhxn 91 4 provide provide VB cord-017337-vq3edhxn 91 5 clinicians clinician NNS cord-017337-vq3edhxn 91 6 with with IN cord-017337-vq3edhxn 91 7 an an DT cord-017337-vq3edhxn 91 8 immune immune JJ cord-017337-vq3edhxn 91 9 profi profi NNP cord-017337-vq3edhxn 91 10 le le FW cord-017337-vq3edhxn 91 11 for for IN cord-017337-vq3edhxn 91 12 individual individual JJ cord-017337-vq3edhxn 91 13 patients patient NNS cord-017337-vq3edhxn 91 14 . . . cord-017337-vq3edhxn 92 1 Again again RB cord-017337-vq3edhxn 92 2 , , , cord-017337-vq3edhxn 92 3 considerable considerable JJ cord-017337-vq3edhxn 92 4 research research NN cord-017337-vq3edhxn 92 5 is be VBZ cord-017337-vq3edhxn 92 6 needed need VBN cord-017337-vq3edhxn 92 7 to to TO cord-017337-vq3edhxn 92 8 indentify indentify VB cord-017337-vq3edhxn 92 9 which which WDT cord-017337-vq3edhxn 92 10 markers marker NNS cord-017337-vq3edhxn 92 11 should should MD cord-017337-vq3edhxn 92 12 be be VB cord-017337-vq3edhxn 92 13 included include VBN cord-017337-vq3edhxn 92 14 on on IN cord-017337-vq3edhxn 92 15 such such JJ cord-017337-vq3edhxn 92 16 microarrays microarray NNS cord-017337-vq3edhxn 92 17 . . . cord-017337-vq3edhxn 93 1 Furthermore furthermore RB cord-017337-vq3edhxn 93 2 , , , cord-017337-vq3edhxn 93 3 the the DT cord-017337-vq3edhxn 93 4 optimal optimal JJ cord-017337-vq3edhxn 93 5 set set NN cord-017337-vq3edhxn 93 6 of of IN cord-017337-vq3edhxn 93 7 biologic biologic JJ cord-017337-vq3edhxn 93 8 markers marker NNS cord-017337-vq3edhxn 93 9 for for IN cord-017337-vq3edhxn 93 10 1 1 CD cord-017337-vq3edhxn 93 11 any any DT cord-017337-vq3edhxn 93 12 patient patient NN cord-017337-vq3edhxn 93 13 may may MD cord-017337-vq3edhxn 93 14 depend depend VB cord-017337-vq3edhxn 93 15 on on IN cord-017337-vq3edhxn 93 16 the the DT cord-017337-vq3edhxn 93 17 therapy therapy NN cord-017337-vq3edhxn 93 18 being be VBG cord-017337-vq3edhxn 93 19 proposed propose VBN cord-017337-vq3edhxn 93 20 [ [ -LRB- cord-017337-vq3edhxn 93 21 5 5 CD cord-017337-vq3edhxn 93 22 ] ] -RRB- cord-017337-vq3edhxn 93 23 . . . cord-017337-vq3edhxn 94 1 For for IN cord-017337-vq3edhxn 94 2 example example NN cord-017337-vq3edhxn 94 3 , , , cord-017337-vq3edhxn 94 4 an an DT cord-017337-vq3edhxn 94 5 indicator indicator NN cord-017337-vq3edhxn 94 6 of of IN cord-017337-vq3edhxn 94 7 dysregulation dysregulation NN cord-017337-vq3edhxn 94 8 of of IN cord-017337-vq3edhxn 94 9 the the DT cord-017337-vq3edhxn 94 10 coagulation coagulation NN cord-017337-vq3edhxn 94 11 system system NN cord-017337-vq3edhxn 94 12 might may MD cord-017337-vq3edhxn 94 13 be be VB cord-017337-vq3edhxn 94 14 more more RBR cord-017337-vq3edhxn 94 15 valuable valuable JJ cord-017337-vq3edhxn 94 16 when when WRB cord-017337-vq3edhxn 94 17 deciding decide VBG cord-017337-vq3edhxn 94 18 whether whether IN cord-017337-vq3edhxn 94 19 or or CC cord-017337-vq3edhxn 94 20 not not RB cord-017337-vq3edhxn 94 21 to to TO cord-017337-vq3edhxn 94 22 give give VB cord-017337-vq3edhxn 94 23 drotrecogin drotrecogin NNP cord-017337-vq3edhxn 94 24 alfa alfa NNP cord-017337-vq3edhxn 94 25 ( ( -LRB- cord-017337-vq3edhxn 94 26 activated activate VBN cord-017337-vq3edhxn 94 27 ) ) -RRB- cord-017337-vq3edhxn 94 28 , , , cord-017337-vq3edhxn 94 29 whereas whereas IN cord-017337-vq3edhxn 94 30 a a DT cord-017337-vq3edhxn 94 31 marker marker NN cord-017337-vq3edhxn 94 32 of of IN cord-017337-vq3edhxn 94 33 adrenal adrenal JJ cord-017337-vq3edhxn 94 34 dysfunction dysfunction NN cord-017337-vq3edhxn 94 35 might may MD cord-017337-vq3edhxn 94 36 be be VB cord-017337-vq3edhxn 94 37 more more RBR cord-017337-vq3edhxn 94 38 useful useful JJ cord-017337-vq3edhxn 94 39 for for IN cord-017337-vq3edhxn 94 40 determining determine VBG cord-017337-vq3edhxn 94 41 whether whether IN cord-017337-vq3edhxn 94 42 to to TO cord-017337-vq3edhxn 94 43 give give VB cord-017337-vq3edhxn 94 44 hydrocortisone hydrocortisone NN cord-017337-vq3edhxn 94 45 . . . cord-017337-vq3edhxn 95 1 Organ organ NN cord-017337-vq3edhxn 95 2 dysfunction dysfunction NN cord-017337-vq3edhxn 95 3 in in IN cord-017337-vq3edhxn 95 4 severe severe JJ cord-017337-vq3edhxn 95 5 sepsis sepsis NN cord-017337-vq3edhxn 95 6 is be VBZ cord-017337-vq3edhxn 95 7 not not RB cord-017337-vq3edhxn 95 8 a a DT cord-017337-vq3edhxn 95 9 simple simple JJ cord-017337-vq3edhxn 95 10 " " `` cord-017337-vq3edhxn 95 11 present present JJ cord-017337-vq3edhxn 95 12 " " '' cord-017337-vq3edhxn 95 13 or or CC cord-017337-vq3edhxn 95 14 " " `` cord-017337-vq3edhxn 95 15 absent absent JJ cord-017337-vq3edhxn 95 16 " " '' cord-017337-vq3edhxn 95 17 variable variable JJ cord-017337-vq3edhxn 95 18 , , , cord-017337-vq3edhxn 95 19 but but CC cord-017337-vq3edhxn 95 20 presents present VBZ cord-017337-vq3edhxn 95 21 a a DT cord-017337-vq3edhxn 95 22 continuous continuous JJ cord-017337-vq3edhxn 95 23 spectrum spectrum NN cord-017337-vq3edhxn 95 24 of of IN cord-017337-vq3edhxn 95 25 varying vary VBG cord-017337-vq3edhxn 95 26 severity severity NN cord-017337-vq3edhxn 95 27 in in IN cord-017337-vq3edhxn 95 28 different different JJ cord-017337-vq3edhxn 95 29 organs organ NNS cord-017337-vq3edhxn 95 30 over over IN cord-017337-vq3edhxn 95 31 time time NN cord-017337-vq3edhxn 95 32 [ [ -LRB- cord-017337-vq3edhxn 95 33 26 26 CD cord-017337-vq3edhxn 95 34 ] ] -RRB- cord-017337-vq3edhxn 95 35 . . . cord-017337-vq3edhxn 96 1 The the DT cord-017337-vq3edhxn 96 2 degree degree NN cord-017337-vq3edhxn 96 3 of of IN cord-017337-vq3edhxn 96 4 organ organ NN cord-017337-vq3edhxn 96 5 involvement involvement NN cord-017337-vq3edhxn 96 6 can can MD cord-017337-vq3edhxn 96 7 be be VB cord-017337-vq3edhxn 96 8 assessed assess VBN cord-017337-vq3edhxn 96 9 with with IN cord-017337-vq3edhxn 96 10 various various JJ cord-017337-vq3edhxn 96 11 scoring scoring NN cord-017337-vq3edhxn 96 12 systems system NNS cord-017337-vq3edhxn 96 13 , , , cord-017337-vq3edhxn 96 14 such such JJ cord-017337-vq3edhxn 96 15 as as IN cord-017337-vq3edhxn 96 16 the the DT cord-017337-vq3edhxn 96 17 Sequential Sequential NNP cord-017337-vq3edhxn 96 18 Organ Organ NNP cord-017337-vq3edhxn 96 19 Failure Failure NNP cord-017337-vq3edhxn 96 20 Assessment Assessment NNP cord-017337-vq3edhxn 96 21 ( ( -LRB- cord-017337-vq3edhxn 96 22 SOFA sofa NN cord-017337-vq3edhxn 96 23 ) ) -RRB- cord-017337-vq3edhxn 96 24 [ [ -LRB- cord-017337-vq3edhxn 96 25 27 27 CD cord-017337-vq3edhxn 96 26 ] ] -RRB- cord-017337-vq3edhxn 96 27 . . . cord-017337-vq3edhxn 97 1 This this DT cord-017337-vq3edhxn 97 2 system system NN cord-017337-vq3edhxn 97 3 uses use VBZ cord-017337-vq3edhxn 97 4 parameters parameter NNS cord-017337-vq3edhxn 97 5 that that WDT cord-017337-vq3edhxn 97 6 are be VBP cord-017337-vq3edhxn 97 7 routinely routinely RB cord-017337-vq3edhxn 97 8 available available JJ cord-017337-vq3edhxn 97 9 in in IN cord-017337-vq3edhxn 97 10 all all DT cord-017337-vq3edhxn 97 11 ICUs icus XX cord-017337-vq3edhxn 97 12 to to TO cord-017337-vq3edhxn 97 13 assess assess VB cord-017337-vq3edhxn 97 14 the the DT cord-017337-vq3edhxn 97 15 degree degree NN cord-017337-vq3edhxn 97 16 of of IN cord-017337-vq3edhxn 97 17 dysfunction dysfunction NN cord-017337-vq3edhxn 97 18 for for IN cord-017337-vq3edhxn 97 19 six six CD cord-017337-vq3edhxn 97 20 organ organ NN cord-017337-vq3edhxn 97 21 systems system NNS cord-017337-vq3edhxn 97 22 : : : cord-017337-vq3edhxn 97 23 respiratory respiratory JJ cord-017337-vq3edhxn 97 24 , , , cord-017337-vq3edhxn 97 25 cardiovascular cardiovascular JJ cord-017337-vq3edhxn 97 26 , , , cord-017337-vq3edhxn 97 27 renal renal JJ cord-017337-vq3edhxn 97 28 , , , cord-017337-vq3edhxn 97 29 coagulation coagulation NN cord-017337-vq3edhxn 97 30 , , , cord-017337-vq3edhxn 97 31 neurologic neurologic JJ cord-017337-vq3edhxn 97 32 , , , cord-017337-vq3edhxn 97 33 and and CC cord-017337-vq3edhxn 97 34 hepatic hepatic JJ cord-017337-vq3edhxn 97 35 , , , cord-017337-vq3edhxn 97 36 with with IN cord-017337-vq3edhxn 97 37 a a DT cord-017337-vq3edhxn 97 38 scale scale NN cord-017337-vq3edhxn 97 39 of of IN cord-017337-vq3edhxn 97 40 0 0 NFP cord-017337-vq3edhxn 97 41 ( ( -LRB- cord-017337-vq3edhxn 97 42 no no DT cord-017337-vq3edhxn 97 43 dysfunction dysfunction NN cord-017337-vq3edhxn 97 44 ) ) -RRB- cord-017337-vq3edhxn 97 45 to to IN cord-017337-vq3edhxn 97 46 4 4 CD cord-017337-vq3edhxn 97 47 for for IN cord-017337-vq3edhxn 97 48 each each DT cord-017337-vq3edhxn 97 49 organ organ NN cord-017337-vq3edhxn 97 50 . . . cord-017337-vq3edhxn 98 1 Importantly importantly RB cord-017337-vq3edhxn 98 2 , , , cord-017337-vq3edhxn 98 3 organ organ NN cord-017337-vq3edhxn 98 4 dysfunction dysfunction NN cord-017337-vq3edhxn 98 5 can can MD cord-017337-vq3edhxn 98 6 be be VB cord-017337-vq3edhxn 98 7 recorded record VBN cord-017337-vq3edhxn 98 8 for for IN cord-017337-vq3edhxn 98 9 each each DT cord-017337-vq3edhxn 98 10 organ organ NN cord-017337-vq3edhxn 98 11 separately separately RB cord-017337-vq3edhxn 98 12 or or CC cord-017337-vq3edhxn 98 13 a a DT cord-017337-vq3edhxn 98 14 composite composite JJ cord-017337-vq3edhxn 98 15 score score NN cord-017337-vq3edhxn 98 16 can can MD cord-017337-vq3edhxn 98 17 be be VB cord-017337-vq3edhxn 98 18 calculated calculate VBN cord-017337-vq3edhxn 98 19 . . . cord-017337-vq3edhxn 99 1 Thus thus RB cord-017337-vq3edhxn 99 2 with with IN cord-017337-vq3edhxn 99 3 repeated repeat VBN cord-017337-vq3edhxn 99 4 scores score NNS cord-017337-vq3edhxn 99 5 , , , cord-017337-vq3edhxn 99 6 a a DT cord-017337-vq3edhxn 99 7 dynamic dynamic JJ cord-017337-vq3edhxn 99 8 picture picture NN cord-017337-vq3edhxn 99 9 of of IN cord-017337-vq3edhxn 99 10 the the DT cord-017337-vq3edhxn 99 11 effects effect NNS cord-017337-vq3edhxn 99 12 of of IN cord-017337-vq3edhxn 99 13 sepsis sepsis NN cord-017337-vq3edhxn 99 14 on on IN cord-017337-vq3edhxn 99 15 individual individual JJ cord-017337-vq3edhxn 99 16 or or CC cord-017337-vq3edhxn 99 17 global global JJ cord-017337-vq3edhxn 99 18 organ organ NN cord-017337-vq3edhxn 99 19 dysfunction dysfunction NN cord-017337-vq3edhxn 99 20 can can MD cord-017337-vq3edhxn 99 21 be be VB cord-017337-vq3edhxn 99 22 developed develop VBN cord-017337-vq3edhxn 99 23 . . . cord-017337-vq3edhxn 100 1 Sequential sequential JJ cord-017337-vq3edhxn 100 2 assessment assessment NN cord-017337-vq3edhxn 100 3 of of IN cord-017337-vq3edhxn 100 4 the the DT cord-017337-vq3edhxn 100 5 SOFA sofa NN cord-017337-vq3edhxn 100 6 score score NN cord-017337-vq3edhxn 100 7 during during IN cord-017337-vq3edhxn 100 8 the the DT cord-017337-vq3edhxn 100 9 fi fi NN cord-017337-vq3edhxn 100 10 rst rst NNP cord-017337-vq3edhxn 100 11 few few JJ cord-017337-vq3edhxn 100 12 days day NNS cord-017337-vq3edhxn 100 13 of of IN cord-017337-vq3edhxn 100 14 ICU ICU NNP cord-017337-vq3edhxn 100 15 admission admission NN cord-017337-vq3edhxn 100 16 has have VBZ cord-017337-vq3edhxn 100 17 been be VBN cord-017337-vq3edhxn 100 18 shown show VBN cord-017337-vq3edhxn 100 19 to to TO cord-017337-vq3edhxn 100 20 be be VB cord-017337-vq3edhxn 100 21 a a DT cord-017337-vq3edhxn 100 22 good good JJ cord-017337-vq3edhxn 100 23 indicator indicator NN cord-017337-vq3edhxn 100 24 of of IN cord-017337-vq3edhxn 100 25 prognosis prognosis NN cord-017337-vq3edhxn 100 26 , , , cord-017337-vq3edhxn 100 27 with with IN cord-017337-vq3edhxn 100 28 an an DT cord-017337-vq3edhxn 100 29 increase increase NN cord-017337-vq3edhxn 100 30 in in IN cord-017337-vq3edhxn 100 31 SOFA sofa NN cord-017337-vq3edhxn 100 32 score score NN cord-017337-vq3edhxn 100 33 during during IN cord-017337-vq3edhxn 100 34 the the DT cord-017337-vq3edhxn 100 35 fi fi NNP cord-017337-vq3edhxn 100 36 rst rst NNP cord-017337-vq3edhxn 100 37 48 48 CD cord-017337-vq3edhxn 100 38 h h NN cord-017337-vq3edhxn 100 39 in in IN cord-017337-vq3edhxn 100 40 the the DT cord-017337-vq3edhxn 100 41 ICU ICU NNP cord-017337-vq3edhxn 100 42 predicting predict VBG cord-017337-vq3edhxn 100 43 a a DT cord-017337-vq3edhxn 100 44 mortality mortality NN cord-017337-vq3edhxn 100 45 rate rate NN cord-017337-vq3edhxn 100 46 of of IN cord-017337-vq3edhxn 100 47 at at RB cord-017337-vq3edhxn 100 48 least least JJS cord-017337-vq3edhxn 100 49 50 50 CD cord-017337-vq3edhxn 100 50 % % NN cord-017337-vq3edhxn 100 51 [ [ -LRB- cord-017337-vq3edhxn 100 52 28 28 CD cord-017337-vq3edhxn 100 53 ] ] -RRB- cord-017337-vq3edhxn 100 54 . . . cord-017337-vq3edhxn 101 1 Levy Levy NNP cord-017337-vq3edhxn 101 2 et et NNP cord-017337-vq3edhxn 101 3 al al NNP cord-017337-vq3edhxn 101 4 . . NNP cord-017337-vq3edhxn 101 5 reported report VBD cord-017337-vq3edhxn 101 6 that that IN cord-017337-vq3edhxn 101 7 early early JJ cord-017337-vq3edhxn 101 8 improvement improvement NN cord-017337-vq3edhxn 101 9 in in IN cord-017337-vq3edhxn 101 10 cardiovascular cardiovascular JJ cord-017337-vq3edhxn 101 11 , , , cord-017337-vq3edhxn 101 12 renal renal JJ cord-017337-vq3edhxn 101 13 , , , cord-017337-vq3edhxn 101 14 or or CC cord-017337-vq3edhxn 101 15 respiratory respiratory JJ cord-017337-vq3edhxn 101 16 function function NN cord-017337-vq3edhxn 101 17 from from IN cord-017337-vq3edhxn 101 18 baseline baseline NN cord-017337-vq3edhxn 101 19 to to IN cord-017337-vq3edhxn 101 20 day day NN cord-017337-vq3edhxn 101 21 1 1 CD cord-017337-vq3edhxn 101 22 was be VBD cord-017337-vq3edhxn 101 23 signifi signifi NNP cord-017337-vq3edhxn 101 24 cantly cantly RB cord-017337-vq3edhxn 101 25 related relate VBN cord-017337-vq3edhxn 101 26 to to IN cord-017337-vq3edhxn 101 27 survival survival NN cord-017337-vq3edhxn 101 28 [ [ -LRB- cord-017337-vq3edhxn 101 29 29 29 CD cord-017337-vq3edhxn 101 30 ] ] -RRB- cord-017337-vq3edhxn 101 31 . . . cord-017337-vq3edhxn 102 1 Continued continue VBN cord-017337-vq3edhxn 102 2 improvement improvement NN cord-017337-vq3edhxn 102 3 in in IN cord-017337-vq3edhxn 102 4 cardiovascular cardiovascular JJ cord-017337-vq3edhxn 102 5 function function NN cord-017337-vq3edhxn 102 6 before before IN cord-017337-vq3edhxn 102 7 the the DT cord-017337-vq3edhxn 102 8 start start NN cord-017337-vq3edhxn 102 9 of of IN cord-017337-vq3edhxn 102 10 day day NN cord-017337-vq3edhxn 102 11 2 2 CD cord-017337-vq3edhxn 102 12 and and CC cord-017337-vq3edhxn 102 13 start start NN cord-017337-vq3edhxn 102 14 of of IN cord-017337-vq3edhxn 102 15 day day NN cord-017337-vq3edhxn 102 16 3 3 CD cord-017337-vq3edhxn 102 17 was be VBD cord-017337-vq3edhxn 102 18 associated associate VBN cord-017337-vq3edhxn 102 19 with with IN cord-017337-vq3edhxn 102 20 further further JJ cord-017337-vq3edhxn 102 21 improvement improvement NN cord-017337-vq3edhxn 102 22 in in IN cord-017337-vq3edhxn 102 23 survival survival NN cord-017337-vq3edhxn 102 24 for for IN cord-017337-vq3edhxn 102 25 patients patient NNS cord-017337-vq3edhxn 102 26 who who WP cord-017337-vq3edhxn 102 27 improved improve VBD cord-017337-vq3edhxn 102 28 compared compare VBN cord-017337-vq3edhxn 102 29 with with IN cord-017337-vq3edhxn 102 30 those those DT cord-017337-vq3edhxn 102 31 who who WP cord-017337-vq3edhxn 102 32 worsened worsen VBD cord-017337-vq3edhxn 102 33 . . . cord-017337-vq3edhxn 103 1 In in IN cord-017337-vq3edhxn 103 2 the the DT cord-017337-vq3edhxn 103 3 future future NN cord-017337-vq3edhxn 103 4 , , , cord-017337-vq3edhxn 103 5 organ organ NN cord-017337-vq3edhxn 103 6 dysfunction dysfunction NN cord-017337-vq3edhxn 103 7 scores score NNS cord-017337-vq3edhxn 103 8 may may MD cord-017337-vq3edhxn 103 9 be be VB cord-017337-vq3edhxn 103 10 replaced replace VBN cord-017337-vq3edhxn 103 11 by by IN cord-017337-vq3edhxn 103 12 or or CC cord-017337-vq3edhxn 103 13 combined combine VBN cord-017337-vq3edhxn 103 14 with with IN cord-017337-vq3edhxn 103 15 more more JJR cord-017337-vq3edhxn 103 16 direct direct JJ cord-017337-vq3edhxn 103 17 assessment assessment NN cord-017337-vq3edhxn 103 18 of of IN cord-017337-vq3edhxn 103 19 cellular cellular JJ cord-017337-vq3edhxn 103 20 stress stress NN cord-017337-vq3edhxn 103 21 and and CC cord-017337-vq3edhxn 103 22 injury injury NN cord-017337-vq3edhxn 103 23 , , , cord-017337-vq3edhxn 103 24 for for IN cord-017337-vq3edhxn 103 25 example example NN cord-017337-vq3edhxn 103 26 , , , cord-017337-vq3edhxn 103 27 measures measure NNS cord-017337-vq3edhxn 103 28 of of IN cord-017337-vq3edhxn 103 29 mitochondrial mitochondrial JJ cord-017337-vq3edhxn 103 30 dysfunction dysfunction NN cord-017337-vq3edhxn 103 31 , , , cord-017337-vq3edhxn 103 32 apoptosis apoptosis NN cord-017337-vq3edhxn 103 33 , , , cord-017337-vq3edhxn 103 34 or or CC cord-017337-vq3edhxn 103 35 cytopathic cytopathic JJ cord-017337-vq3edhxn 103 36 hypoxia hypoxia NN cord-017337-vq3edhxn 103 37 . . . cord-017337-vq3edhxn 104 1 The the DT cord-017337-vq3edhxn 104 2 PIRO PIRO NNP cord-017337-vq3edhxn 104 3 concept concept NN cord-017337-vq3edhxn 104 4 at at IN cord-017337-vq3edhxn 104 5 its -PRON- PRP$ cord-017337-vq3edhxn 104 6 simplest simple JJS cord-017337-vq3edhxn 104 7 provides provide VBZ cord-017337-vq3edhxn 104 8 a a DT cord-017337-vq3edhxn 104 9 means means NN cord-017337-vq3edhxn 104 10 of of IN cord-017337-vq3edhxn 104 11 putting put VBG cord-017337-vq3edhxn 104 12 some some DT cord-017337-vq3edhxn 104 13 order order NN cord-017337-vq3edhxn 104 14 to to IN cord-017337-vq3edhxn 104 15 the the DT cord-017337-vq3edhxn 104 16 various various JJ cord-017337-vq3edhxn 104 17 aspects aspect NNS cord-017337-vq3edhxn 104 18 of of IN cord-017337-vq3edhxn 104 19 sepsis sepsis NN cord-017337-vq3edhxn 104 20 . . . cord-017337-vq3edhxn 105 1 Further further JJ cord-017337-vq3edhxn 105 2 work work NN cord-017337-vq3edhxn 105 3 is be VBZ cord-017337-vq3edhxn 105 4 needed need VBN cord-017337-vq3edhxn 105 5 to to TO cord-017337-vq3edhxn 105 6 determine determine VB cord-017337-vq3edhxn 105 7 exactly exactly RB cord-017337-vq3edhxn 105 8 which which WDT cord-017337-vq3edhxn 105 9 factors factor NNS cord-017337-vq3edhxn 105 10 should should MD cord-017337-vq3edhxn 105 11 be be VB cord-017337-vq3edhxn 105 12 included include VBN cord-017337-vq3edhxn 105 13 in in IN cord-017337-vq3edhxn 105 14 each each DT cord-017337-vq3edhxn 105 15 of of IN cord-017337-vq3edhxn 105 16 the the DT cord-017337-vq3edhxn 105 17 four four CD cord-017337-vq3edhxn 105 18 components component NNS cord-017337-vq3edhxn 105 19 and and CC cord-017337-vq3edhxn 105 20 whether whether IN cord-017337-vq3edhxn 105 21 or or CC cord-017337-vq3edhxn 105 22 how how WRB cord-017337-vq3edhxn 105 23 they -PRON- PRP cord-017337-vq3edhxn 105 24 should should MD cord-017337-vq3edhxn 105 25 be be VB cord-017337-vq3edhxn 105 26 measured measure VBN cord-017337-vq3edhxn 105 27 and and CC cord-017337-vq3edhxn 105 28 weighted weight VBN cord-017337-vq3edhxn 105 29 to to TO cord-017337-vq3edhxn 105 30 achieve achieve VB cord-017337-vq3edhxn 105 31 a a DT cord-017337-vq3edhxn 105 32 quantitative quantitative JJ cord-017337-vq3edhxn 105 33 measure measure NN cord-017337-vq3edhxn 105 34 by by IN cord-017337-vq3edhxn 105 35 which which WDT cord-017337-vq3edhxn 105 36 heterogeneous heterogeneous JJ cord-017337-vq3edhxn 105 37 groups group NNS cord-017337-vq3edhxn 105 38 of of IN cord-017337-vq3edhxn 105 39 septic septic JJ cord-017337-vq3edhxn 105 40 patients patient NNS cord-017337-vq3edhxn 105 41 could could MD cord-017337-vq3edhxn 105 42 be be VB cord-017337-vq3edhxn 105 43 characterized characterize VBN cord-017337-vq3edhxn 105 44 and and CC cord-017337-vq3edhxn 105 45 categorized categorize VBN cord-017337-vq3edhxn 105 46 . . . cord-017337-vq3edhxn 106 1 Once once RB cord-017337-vq3edhxn 106 2 validated validate VBN cord-017337-vq3edhxn 106 3 , , , cord-017337-vq3edhxn 106 4 it -PRON- PRP cord-017337-vq3edhxn 106 5 is be VBZ cord-017337-vq3edhxn 106 6 possible possible JJ cord-017337-vq3edhxn 106 7 that that IN cord-017337-vq3edhxn 106 8 patients patient NNS cord-017337-vq3edhxn 106 9 could could MD cord-017337-vq3edhxn 106 10 receive receive VB cord-017337-vq3edhxn 106 11 a a DT cord-017337-vq3edhxn 106 12 PIRO PIRO NNP cord-017337-vq3edhxn 106 13 grade grade NN cord-017337-vq3edhxn 106 14 or or CC cord-017337-vq3edhxn 106 15 stage stage NN cord-017337-vq3edhxn 106 16 , , , cord-017337-vq3edhxn 106 17 e.g. e.g. RB cord-017337-vq3edhxn 106 18 , , , cord-017337-vq3edhxn 106 19 P p NN cord-017337-vq3edhxn 106 20 3 3 CD cord-017337-vq3edhxn 106 21 I i NN cord-017337-vq3edhxn 106 22 2 2 CD cord-017337-vq3edhxn 106 23 R r NN cord-017337-vq3edhxn 106 24 1 1 CD cord-017337-vq3edhxn 106 25 O o NN cord-017337-vq3edhxn 106 26 2 2 CD cord-017337-vq3edhxn 106 27 , , , cord-017337-vq3edhxn 106 28 which which WDT cord-017337-vq3edhxn 106 29 would would MD cord-017337-vq3edhxn 106 30 help help VB cord-017337-vq3edhxn 106 31 direct direct JJ cord-017337-vq3edhxn 106 32 treatment treatment NN cord-017337-vq3edhxn 106 33 and and CC cord-017337-vq3edhxn 106 34 indicate indicate VBP cord-017337-vq3edhxn 106 35 prognosis prognosis NN cord-017337-vq3edhxn 106 36 . . . cord-017337-vq3edhxn 107 1 In in IN cord-017337-vq3edhxn 107 2 addition addition NN cord-017337-vq3edhxn 107 3 to to IN cord-017337-vq3edhxn 107 4 characterizing characterize VBG cord-017337-vq3edhxn 107 5 individual individual JJ cord-017337-vq3edhxn 107 6 patients patient NNS cord-017337-vq3edhxn 107 7 , , , cord-017337-vq3edhxn 107 8 such such JJ cord-017337-vq3edhxn 107 9 grades grade NNS cord-017337-vq3edhxn 107 10 would would MD cord-017337-vq3edhxn 107 11 facilitate facilitate VB cord-017337-vq3edhxn 107 12 comparison comparison NN cord-017337-vq3edhxn 107 13 of of IN cord-017337-vq3edhxn 107 14 patient patient JJ cord-017337-vq3edhxn 107 15 populations population NNS cord-017337-vq3edhxn 107 16 for for IN cord-017337-vq3edhxn 107 17 clinical clinical JJ cord-017337-vq3edhxn 107 18 trial trial NN cord-017337-vq3edhxn 107 19 purposes purpose NNS cord-017337-vq3edhxn 107 20 and and CC cord-017337-vq3edhxn 107 21 help help VB cord-017337-vq3edhxn 107 22 focus focus VB cord-017337-vq3edhxn 107 23 clinical clinical JJ cord-017337-vq3edhxn 107 24 research research NN cord-017337-vq3edhxn 107 25 . . . cord-017337-vq3edhxn 108 1 Several several JJ cord-017337-vq3edhxn 108 2 groups group NNS cord-017337-vq3edhxn 108 3 have have VBP cord-017337-vq3edhxn 108 4 already already RB cord-017337-vq3edhxn 108 5 attempted attempt VBN cord-017337-vq3edhxn 108 6 to to TO cord-017337-vq3edhxn 108 7 apply apply VB cord-017337-vq3edhxn 108 8 the the DT cord-017337-vq3edhxn 108 9 PIRO PIRO NNP cord-017337-vq3edhxn 108 10 system system NN cord-017337-vq3edhxn 108 11 clinically clinically RB cord-017337-vq3edhxn 108 12 and and CC cord-017337-vq3edhxn 108 13 the the DT cord-017337-vq3edhxn 108 14 results result NNS cord-017337-vq3edhxn 108 15 of of IN cord-017337-vq3edhxn 108 16 these these DT cord-017337-vq3edhxn 108 17 studies study NNS cord-017337-vq3edhxn 108 18 will will MD cord-017337-vq3edhxn 108 19 be be VB cord-017337-vq3edhxn 108 20 discussed discuss VBN cord-017337-vq3edhxn 108 21 in in IN cord-017337-vq3edhxn 108 22 more more JJR cord-017337-vq3edhxn 108 23 detail detail NN cord-017337-vq3edhxn 108 24 in in IN cord-017337-vq3edhxn 108 25 later later JJ cord-017337-vq3edhxn 108 26 chapters chapter NNS cord-017337-vq3edhxn 108 27 . . . cord-017337-vq3edhxn 109 1 Moreno Moreno NNP cord-017337-vq3edhxn 109 2 et et NNP cord-017337-vq3edhxn 109 3 al al NNP cord-017337-vq3edhxn 109 4 . . NNP cord-017337-vq3edhxn 109 5 used use VBD cord-017337-vq3edhxn 109 6 the the DT cord-017337-vq3edhxn 109 7 SAPS SAPS NNP cord-017337-vq3edhxn 109 8 III III NNP cord-017337-vq3edhxn 109 9 database database NN cord-017337-vq3edhxn 109 10 to to TO cord-017337-vq3edhxn 109 11 assess assess VB cord-017337-vq3edhxn 109 12 whether whether IN cord-017337-vq3edhxn 109 13 the the DT cord-017337-vq3edhxn 109 14 PIRO PIRO NNP cord-017337-vq3edhxn 109 15 system system NN cord-017337-vq3edhxn 109 16 could could MD cord-017337-vq3edhxn 109 17 be be VB cord-017337-vq3edhxn 109 18 useful useful JJ cord-017337-vq3edhxn 109 19 for for IN cord-017337-vq3edhxn 109 20 predicting predict VBG cord-017337-vq3edhxn 109 21 mortality mortality NN cord-017337-vq3edhxn 109 22 in in IN cord-017337-vq3edhxn 109 23 patients patient NNS cord-017337-vq3edhxn 109 24 with with IN cord-017337-vq3edhxn 109 25 sepsis sepsis NN cord-017337-vq3edhxn 109 26 [ [ -LRB- cord-017337-vq3edhxn 109 27 30 30 CD cord-017337-vq3edhxn 109 28 ] ] -RRB- cord-017337-vq3edhxn 109 29 . . . cord-017337-vq3edhxn 110 1 For for IN cord-017337-vq3edhxn 110 2 each each DT cord-017337-vq3edhxn 110 3 of of IN cord-017337-vq3edhxn 110 4 the the DT cord-017337-vq3edhxn 110 5 four four CD cord-017337-vq3edhxn 110 6 PIRO PIRO NNP cord-017337-vq3edhxn 110 7 components component NNS cord-017337-vq3edhxn 110 8 , , , cord-017337-vq3edhxn 110 9 multivariate multivariate JJ cord-017337-vq3edhxn 110 10 analysis analysis NN cord-017337-vq3edhxn 110 11 was be VBD cord-017337-vq3edhxn 110 12 used use VBN cord-017337-vq3edhxn 110 13 to to TO cord-017337-vq3edhxn 110 14 select select VB cord-017337-vq3edhxn 110 15 variables variable NNS cord-017337-vq3edhxn 110 16 signifi signifi NNP cord-017337-vq3edhxn 110 17 cantly cantly RB cord-017337-vq3edhxn 110 18 associated associate VBN cord-017337-vq3edhxn 110 19 with with IN cord-017337-vq3edhxn 110 20 hospital hospital NN cord-017337-vq3edhxn 110 21 mortality mortality NN cord-017337-vq3edhxn 110 22 , , , cord-017337-vq3edhxn 110 23 which which WDT cord-017337-vq3edhxn 110 24 were be VBD cord-017337-vq3edhxn 110 25 then then RB cord-017337-vq3edhxn 110 26 weighted weight VBN cord-017337-vq3edhxn 110 27 and and CC cord-017337-vq3edhxn 110 28 allocated allocate VBN cord-017337-vq3edhxn 110 29 points point NNS cord-017337-vq3edhxn 110 30 . . . cord-017337-vq3edhxn 111 1 The the DT cord-017337-vq3edhxn 111 2 authors author NNS cord-017337-vq3edhxn 111 3 felt feel VBD cord-017337-vq3edhxn 111 4 it -PRON- PRP cord-017337-vq3edhxn 111 5 was be VBD cord-017337-vq3edhxn 111 6 not not RB cord-017337-vq3edhxn 111 7 possible possible JJ cord-017337-vq3edhxn 111 8 to to TO cord-017337-vq3edhxn 111 9 separate separate VB cord-017337-vq3edhxn 111 10 host host NN cord-017337-vq3edhxn 111 11 response response NN cord-017337-vq3edhxn 111 12 from from IN cord-017337-vq3edhxn 111 13 the the DT cord-017337-vq3edhxn 111 14 resulting result VBG cord-017337-vq3edhxn 111 15 organ organ NN cord-017337-vq3edhxn 111 16 dysfunction dysfunction NN cord-017337-vq3edhxn 111 17 , , , cord-017337-vq3edhxn 111 18 so so RB cord-017337-vq3edhxn 111 19 they -PRON- PRP cord-017337-vq3edhxn 111 20 combined combine VBD cord-017337-vq3edhxn 111 21 these these DT cord-017337-vq3edhxn 111 22 two two CD cord-017337-vq3edhxn 111 23 components component NNS cord-017337-vq3edhxn 111 24 . . . cord-017337-vq3edhxn 112 1 For for IN cord-017337-vq3edhxn 112 2 predisposition predisposition NN cord-017337-vq3edhxn 112 3 , , , cord-017337-vq3edhxn 112 4 the the DT cord-017337-vq3edhxn 112 5 fi fi XX cord-017337-vq3edhxn 112 6 nal nal FW cord-017337-vq3edhxn 112 7 variables variable NNS cord-017337-vq3edhxn 112 8 were be VBD cord-017337-vq3edhxn 112 9 age age NN cord-017337-vq3edhxn 112 10 , , , cord-017337-vq3edhxn 112 11 location location NN cord-017337-vq3edhxn 112 12 of of IN cord-017337-vq3edhxn 112 13 patient patient NN cord-017337-vq3edhxn 112 14 prior prior RB cord-017337-vq3edhxn 112 15 to to IN cord-017337-vq3edhxn 112 16 ICU ICU NNP cord-017337-vq3edhxn 112 17 admission admission NN cord-017337-vq3edhxn 112 18 , , , cord-017337-vq3edhxn 112 19 length length NN cord-017337-vq3edhxn 112 20 of of IN cord-017337-vq3edhxn 112 21 stay stay NN cord-017337-vq3edhxn 112 22 before before IN cord-017337-vq3edhxn 112 23 ICU ICU NNP cord-017337-vq3edhxn 112 24 admission admission NN cord-017337-vq3edhxn 112 25 , , , cord-017337-vq3edhxn 112 26 certain certain JJ cord-017337-vq3edhxn 112 27 comorbidities comorbiditie NNS cord-017337-vq3edhxn 112 28 ( ( -LRB- cord-017337-vq3edhxn 112 29 cancer cancer NN cord-017337-vq3edhxn 112 30 , , , cord-017337-vq3edhxn 112 31 cirrhosis cirrhosis NN cord-017337-vq3edhxn 112 32 , , , cord-017337-vq3edhxn 112 33 acquired acquire VBD cord-017337-vq3edhxn 112 34 immunodefi immunodefi NNP cord-017337-vq3edhxn 112 35 ciency ciency NNP cord-017337-vq3edhxn 112 36 syndrome syndrome NN cord-017337-vq3edhxn 112 37 [ [ -LRB- cord-017337-vq3edhxn 112 38 AIDS AIDS NNP cord-017337-vq3edhxn 112 39 ] ] -RRB- cord-017337-vq3edhxn 112 40 ) ) -RRB- cord-017337-vq3edhxn 112 41 , , , cord-017337-vq3edhxn 112 42 and and CC cord-017337-vq3edhxn 112 43 cardiac cardiac JJ cord-017337-vq3edhxn 112 44 arrest arrest NN cord-017337-vq3edhxn 112 45 as as IN cord-017337-vq3edhxn 112 46 the the DT cord-017337-vq3edhxn 112 47 reason reason NN cord-017337-vq3edhxn 112 48 for for IN cord-017337-vq3edhxn 112 49 ICU ICU NNP cord-017337-vq3edhxn 112 50 admission admission NN cord-017337-vq3edhxn 112 51 ; ; : cord-017337-vq3edhxn 112 52 for for IN cord-017337-vq3edhxn 112 53 infection infection NN cord-017337-vq3edhxn 112 54 , , , cord-017337-vq3edhxn 112 55 the the DT cord-017337-vq3edhxn 112 56 variables variable NNS cord-017337-vq3edhxn 112 57 were be VBD cord-017337-vq3edhxn 112 58 nosocomial nosocomial JJ cord-017337-vq3edhxn 112 59 infection infection NN cord-017337-vq3edhxn 112 60 , , , cord-017337-vq3edhxn 112 61 respiratory respiratory JJ cord-017337-vq3edhxn 112 62 infection infection NN cord-017337-vq3edhxn 112 63 , , , cord-017337-vq3edhxn 112 64 and and CC cord-017337-vq3edhxn 112 65 infections infection NNS cord-017337-vq3edhxn 112 66 by by IN cord-017337-vq3edhxn 112 67 Candida Candida NNP cord-017337-vq3edhxn 112 68 species specie NNS cord-017337-vq3edhxn 112 69 or or CC cord-017337-vq3edhxn 112 70 other other JJ cord-017337-vq3edhxn 112 71 fungi fungus NNS cord-017337-vq3edhxn 112 72 ; ; : cord-017337-vq3edhxn 112 73 for for IN cord-017337-vq3edhxn 112 74 response response NN cord-017337-vq3edhxn 112 75 / / SYM cord-017337-vq3edhxn 112 76 organ organ NN cord-017337-vq3edhxn 112 77 dysfunction dysfunction NN cord-017337-vq3edhxn 112 78 , , , cord-017337-vq3edhxn 112 79 the the DT cord-017337-vq3edhxn 112 80 variables variable NNS cord-017337-vq3edhxn 112 81 were be VBD cord-017337-vq3edhxn 112 82 renal renal JJ cord-017337-vq3edhxn 112 83 or or CC cord-017337-vq3edhxn 112 84 coagulation coagulation NN cord-017337-vq3edhxn 112 85 dysfunction dysfunction NN cord-017337-vq3edhxn 112 86 , , , cord-017337-vq3edhxn 112 87 and and CC cord-017337-vq3edhxn 112 88 failure failure NN cord-017337-vq3edhxn 112 89 of of IN cord-017337-vq3edhxn 112 90 the the DT cord-017337-vq3edhxn 112 91 cardiovascular cardiovascular JJ cord-017337-vq3edhxn 112 92 , , , cord-017337-vq3edhxn 112 93 renal renal JJ cord-017337-vq3edhxn 112 94 , , , cord-017337-vq3edhxn 112 95 respiratory respiratory JJ cord-017337-vq3edhxn 112 96 , , , cord-017337-vq3edhxn 112 97 coagulation coagulation NN cord-017337-vq3edhxn 112 98 , , , cord-017337-vq3edhxn 112 99 or or CC cord-017337-vq3edhxn 112 100 central central JJ cord-017337-vq3edhxn 112 101 nervous nervous JJ cord-017337-vq3edhxn 112 102 systems system NNS cord-017337-vq3edhxn 112 103 . . . cord-017337-vq3edhxn 113 1 The the DT cord-017337-vq3edhxn 113 2 authors author NNS cord-017337-vq3edhxn 113 3 suggested suggest VBD cord-017337-vq3edhxn 113 4 that that IN cord-017337-vq3edhxn 113 5 , , , cord-017337-vq3edhxn 113 6 although although IN cord-017337-vq3edhxn 113 7 further further JJ cord-017337-vq3edhxn 113 8 prospective prospective JJ cord-017337-vq3edhxn 113 9 validation validation NN cord-017337-vq3edhxn 113 10 is be VBZ cord-017337-vq3edhxn 113 11 needed need VBN cord-017337-vq3edhxn 113 12 , , , cord-017337-vq3edhxn 113 13 the the DT cord-017337-vq3edhxn 113 14 proposed propose VBN cord-017337-vq3edhxn 113 15 SAPS SAPS NNP cord-017337-vq3edhxn 113 16 III III NNP cord-017337-vq3edhxn 113 17 PIRO PIRO NNP cord-017337-vq3edhxn 113 18 system system NN cord-017337-vq3edhxn 113 19 could could MD cord-017337-vq3edhxn 113 20 be be VB cord-017337-vq3edhxn 113 21 used use VBN cord-017337-vq3edhxn 113 22 to to TO cord-017337-vq3edhxn 113 23 stratify stratify VB cord-017337-vq3edhxn 113 24 patients patient NNS cord-017337-vq3edhxn 113 25 at at IN cord-017337-vq3edhxn 113 26 or or CC cord-017337-vq3edhxn 113 27 shortly shortly RB cord-017337-vq3edhxn 113 28 after after IN cord-017337-vq3edhxn 113 29 ICU ICU NNP cord-017337-vq3edhxn 113 30 admission admission NN cord-017337-vq3edhxn 113 31 to to TO cord-017337-vq3edhxn 113 32 enable enable VB cord-017337-vq3edhxn 113 33 better well JJR cord-017337-vq3edhxn 113 34 selection selection NN cord-017337-vq3edhxn 113 35 of of IN cord-017337-vq3edhxn 113 36 management management NN cord-017337-vq3edhxn 113 37 according accord VBG cord-017337-vq3edhxn 113 38 to to IN cord-017337-vq3edhxn 113 39 the the DT cord-017337-vq3edhxn 113 40 risk risk NN cord-017337-vq3edhxn 113 41 of of IN cord-017337-vq3edhxn 113 42 death death NN cord-017337-vq3edhxn 113 43 [ [ -LRB- cord-017337-vq3edhxn 113 44 30 30 CD cord-017337-vq3edhxn 113 45 ] ] -RRB- cord-017337-vq3edhxn 113 46 . . . cord-017337-vq3edhxn 114 1 In in IN cord-017337-vq3edhxn 114 2 a a DT cord-017337-vq3edhxn 114 3 prospective prospective JJ cord-017337-vq3edhxn 114 4 , , , cord-017337-vq3edhxn 114 5 observational observational JJ cord-017337-vq3edhxn 114 6 study study NN cord-017337-vq3edhxn 114 7 , , , cord-017337-vq3edhxn 114 8 Lisboa Lisboa NNP cord-017337-vq3edhxn 114 9 et et NNP cord-017337-vq3edhxn 114 10 al al NNP cord-017337-vq3edhxn 114 11 . . . cord-017337-vq3edhxn 115 1 [ [ -LRB- cord-017337-vq3edhxn 115 2 31 31 CD cord-017337-vq3edhxn 115 3 ] ] -RRB- cord-017337-vq3edhxn 115 4 applied apply VBD cord-017337-vq3edhxn 115 5 the the DT cord-017337-vq3edhxn 115 6 PIRO PIRO NNP cord-017337-vq3edhxn 115 7 concept concept NN cord-017337-vq3edhxn 115 8 to to IN cord-017337-vq3edhxn 115 9 patients patient NNS cord-017337-vq3edhxn 115 10 with with IN cord-017337-vq3edhxn 115 11 ventilator ventilator NN cord-017337-vq3edhxn 115 12 - - HYPH cord-017337-vq3edhxn 115 13 associated associate VBN cord-017337-vq3edhxn 115 14 pneumonia pneumonia NN cord-017337-vq3edhxn 115 15 ( ( -LRB- cord-017337-vq3edhxn 115 16 VAP VAP NNP cord-017337-vq3edhxn 115 17 ) ) -RRB- cord-017337-vq3edhxn 115 18 , , , cord-017337-vq3edhxn 115 19 again again RB cord-017337-vq3edhxn 115 20 using use VBG cord-017337-vq3edhxn 115 21 multivariate multivariate JJ cord-017337-vq3edhxn 115 22 logistic logistic JJ cord-017337-vq3edhxn 115 23 regression regression NN cord-017337-vq3edhxn 115 24 to to TO cord-017337-vq3edhxn 115 25 identify identify VB cord-017337-vq3edhxn 115 26 variables variable NNS cord-017337-vq3edhxn 115 27 independently independently RB cord-017337-vq3edhxn 115 28 associated associate VBN cord-017337-vq3edhxn 115 29 with with IN cord-017337-vq3edhxn 115 30 ICU ICU NNP cord-017337-vq3edhxn 115 31 mortality mortality NN cord-017337-vq3edhxn 115 32 for for IN cord-017337-vq3edhxn 115 33 inclusion inclusion NN cord-017337-vq3edhxn 115 34 in in IN cord-017337-vq3edhxn 115 35 the the DT cord-017337-vq3edhxn 115 36 PIRO PIRO NNP cord-017337-vq3edhxn 115 37 model model NN cord-017337-vq3edhxn 115 38 . . . cord-017337-vq3edhxn 116 1 In in IN cord-017337-vq3edhxn 116 2 this this DT cord-017337-vq3edhxn 116 3 study study NN cord-017337-vq3edhxn 116 4 in in IN cord-017337-vq3edhxn 116 5 VAP VAP NNP cord-017337-vq3edhxn 116 6 patients patient NNS cord-017337-vq3edhxn 116 7 , , , cord-017337-vq3edhxn 116 8 the the DT cord-017337-vq3edhxn 116 9 variables variable NNS cord-017337-vq3edhxn 116 10 for for IN cord-017337-vq3edhxn 116 11 predisposition predisposition NN cord-017337-vq3edhxn 116 12 were be VBD cord-017337-vq3edhxn 116 13 comorbidities comorbiditie NNS cord-017337-vq3edhxn 116 14 ( ( -LRB- cord-017337-vq3edhxn 116 15 COPD COPD NNP cord-017337-vq3edhxn 116 16 , , , cord-017337-vq3edhxn 116 17 immunocompromise immunocompromise NNP cord-017337-vq3edhxn 116 18 , , , cord-017337-vq3edhxn 116 19 heart heart NN cord-017337-vq3edhxn 116 20 failure failure NN cord-017337-vq3edhxn 116 21 , , , cord-017337-vq3edhxn 116 22 cirrhosis cirrhosis NN cord-017337-vq3edhxn 116 23 , , , cord-017337-vq3edhxn 116 24 chronic chronic JJ cord-017337-vq3edhxn 116 25 renal renal JJ cord-017337-vq3edhxn 116 26 failure failure NN cord-017337-vq3edhxn 116 27 ) ) -RRB- cord-017337-vq3edhxn 116 28 ; ; : cord-017337-vq3edhxn 116 29 for for IN cord-017337-vq3edhxn 116 30 infection infection NN cord-017337-vq3edhxn 116 31 , , , cord-017337-vq3edhxn 116 32 the the DT cord-017337-vq3edhxn 116 33 variable variable NN cord-017337-vq3edhxn 116 34 was be VBD cord-017337-vq3edhxn 116 35 bacteremia bacteremia NN cord-017337-vq3edhxn 116 36 ; ; : cord-017337-vq3edhxn 116 37 for for IN cord-017337-vq3edhxn 116 38 response response NN cord-017337-vq3edhxn 116 39 , , , cord-017337-vq3edhxn 116 40 the the DT cord-017337-vq3edhxn 116 41 variable variable NN cord-017337-vq3edhxn 116 42 was be VBD cord-017337-vq3edhxn 116 43 systolic systolic JJ cord-017337-vq3edhxn 116 44 blood blood NN cord-017337-vq3edhxn 116 45 pressure pressure NN cord-017337-vq3edhxn 116 46 < < XX cord-017337-vq3edhxn 116 47 90 90 CD cord-017337-vq3edhxn 116 48 mmHg mmHg NNS cord-017337-vq3edhxn 116 49 ; ; : cord-017337-vq3edhxn 116 50 and and CC cord-017337-vq3edhxn 116 51 for for IN cord-017337-vq3edhxn 116 52 organ organ NN cord-017337-vq3edhxn 116 53 dysfunction dysfunction NN cord-017337-vq3edhxn 116 54 , , , cord-017337-vq3edhxn 116 55 the the DT cord-017337-vq3edhxn 116 56 variable variable NN cord-017337-vq3edhxn 116 57 was be VBD cord-017337-vq3edhxn 116 58 acute acute JJ cord-017337-vq3edhxn 116 59 respiratory respiratory JJ cord-017337-vq3edhxn 116 60 distress distress NN cord-017337-vq3edhxn 116 61 syndrome syndrome NN cord-017337-vq3edhxn 116 62 ( ( -LRB- cord-017337-vq3edhxn 116 63 ARDS ARDS NNP cord-017337-vq3edhxn 116 64 ) ) -RRB- cord-017337-vq3edhxn 116 65 . . . cord-017337-vq3edhxn 117 1 A a DT cord-017337-vq3edhxn 117 2 four four CD cord-017337-vq3edhxn 117 3 - - HYPH cord-017337-vq3edhxn 117 4 point point NN cord-017337-vq3edhxn 117 5 score score NN cord-017337-vq3edhxn 117 6 was be VBD cord-017337-vq3edhxn 117 7 thus thus RB cord-017337-vq3edhxn 117 8 developed develop VBN cord-017337-vq3edhxn 117 9 , , , cord-017337-vq3edhxn 117 10 with with IN cord-017337-vq3edhxn 117 11 one one CD cord-017337-vq3edhxn 117 12 point point NN cord-017337-vq3edhxn 117 13 for for IN cord-017337-vq3edhxn 117 14 each each DT cord-017337-vq3edhxn 117 15 component component NN cord-017337-vq3edhxn 117 16 . . . cord-017337-vq3edhxn 118 1 Mortality mortality NN cord-017337-vq3edhxn 118 2 increased increase VBD cord-017337-vq3edhxn 118 3 with with IN cord-017337-vq3edhxn 118 4 increasing increase VBG cord-017337-vq3edhxn 118 5 score score NN cord-017337-vq3edhxn 118 6 : : : cord-017337-vq3edhxn 118 7 A a DT cord-017337-vq3edhxn 118 8 score score NN cord-017337-vq3edhxn 118 9 of of IN cord-017337-vq3edhxn 118 10 0 0 CD cord-017337-vq3edhxn 118 11 was be VBD cord-017337-vq3edhxn 118 12 associated associate VBN cord-017337-vq3edhxn 118 13 with with IN cord-017337-vq3edhxn 118 14 a a DT cord-017337-vq3edhxn 118 15 mortality mortality NN cord-017337-vq3edhxn 118 16 rate rate NN cord-017337-vq3edhxn 118 17 of of IN cord-017337-vq3edhxn 118 18 9.8 9.8 CD cord-017337-vq3edhxn 118 19 % % NN cord-017337-vq3edhxn 118 20 , , , cord-017337-vq3edhxn 118 21 increasing increase VBG cord-017337-vq3edhxn 118 22 to to IN cord-017337-vq3edhxn 118 23 93.3 93.3 CD cord-017337-vq3edhxn 118 24 % % NN cord-017337-vq3edhxn 118 25 for for IN cord-017337-vq3edhxn 118 26 patients patient NNS cord-017337-vq3edhxn 118 27 with with IN cord-017337-vq3edhxn 118 28 a a DT cord-017337-vq3edhxn 118 29 score score NN cord-017337-vq3edhxn 118 30 of of IN cord-017337-vq3edhxn 118 31 4 4 CD cord-017337-vq3edhxn 118 32 . . . cord-017337-vq3edhxn 119 1 These these DT cord-017337-vq3edhxn 119 2 authors author NNS cord-017337-vq3edhxn 119 3 suggested suggest VBD cord-017337-vq3edhxn 119 4 that that IN cord-017337-vq3edhxn 119 5 the the DT cord-017337-vq3edhxn 119 6 VAP VAP NNP cord-017337-vq3edhxn 119 7 - - HYPH cord-017337-vq3edhxn 119 8 PIRO PIRO NNP cord-017337-vq3edhxn 119 9 score score NN cord-017337-vq3edhxn 119 10 could could MD cord-017337-vq3edhxn 119 11 thus thus RB cord-017337-vq3edhxn 119 12 be be VB cord-017337-vq3edhxn 119 13 a a DT cord-017337-vq3edhxn 119 14 useful useful JJ cord-017337-vq3edhxn 119 15 practical practical JJ cord-017337-vq3edhxn 119 16 tool tool NN cord-017337-vq3edhxn 119 17 to to TO cord-017337-vq3edhxn 119 18 predict predict VB cord-017337-vq3edhxn 119 19 disease disease NN cord-017337-vq3edhxn 119 20 severity severity NN cord-017337-vq3edhxn 119 21 in in IN cord-017337-vq3edhxn 119 22 patients patient NNS cord-017337-vq3edhxn 119 23 with with IN cord-017337-vq3edhxn 119 24 VAP VAP NNP cord-017337-vq3edhxn 119 25 . . . cord-017337-vq3edhxn 120 1 The the DT cord-017337-vq3edhxn 120 2 two two CD cord-017337-vq3edhxn 120 3 studies study NNS cord-017337-vq3edhxn 120 4 discussed discuss VBD cord-017337-vq3edhxn 120 5 briefl briefl NNP cord-017337-vq3edhxn 120 6 y y NNP cord-017337-vq3edhxn 120 7 above above RB cord-017337-vq3edhxn 120 8 are be VBP cord-017337-vq3edhxn 120 9 just just RB cord-017337-vq3edhxn 120 10 two two CD cord-017337-vq3edhxn 120 11 clinical clinical JJ cord-017337-vq3edhxn 120 12 examples example NNS cord-017337-vq3edhxn 120 13 of of IN cord-017337-vq3edhxn 120 14 how how WRB cord-017337-vq3edhxn 120 15 the the DT cord-017337-vq3edhxn 120 16 PIRO PIRO NNP cord-017337-vq3edhxn 120 17 system system NN cord-017337-vq3edhxn 120 18 could could MD cord-017337-vq3edhxn 120 19 be be VB cord-017337-vq3edhxn 120 20 adopted adopt VBN cord-017337-vq3edhxn 120 21 for for IN cord-017337-vq3edhxn 120 22 use use NN cord-017337-vq3edhxn 120 23 clinically clinically RB cord-017337-vq3edhxn 120 24 . . . cord-017337-vq3edhxn 121 1 Mortality mortality NN cord-017337-vq3edhxn 121 2 remains remain VBZ cord-017337-vq3edhxn 121 3 high high JJ cord-017337-vq3edhxn 121 4 in in IN cord-017337-vq3edhxn 121 5 patients patient NNS cord-017337-vq3edhxn 121 6 with with IN cord-017337-vq3edhxn 121 7 severe severe JJ cord-017337-vq3edhxn 121 8 sepsis sepsis NN cord-017337-vq3edhxn 121 9 ( ( -LRB- cord-017337-vq3edhxn 121 10 around around IN cord-017337-vq3edhxn 121 11 40 40 CD cord-017337-vq3edhxn 121 12 % % NN cord-017337-vq3edhxn 121 13 ) ) -RRB- cord-017337-vq3edhxn 121 14 and and CC cord-017337-vq3edhxn 121 15 septic septic JJ cord-017337-vq3edhxn 121 16 shock shock NN cord-017337-vq3edhxn 121 17 ( ( -LRB- cord-017337-vq3edhxn 121 18 around around IN cord-017337-vq3edhxn 121 19 60 60 CD cord-017337-vq3edhxn 121 20 % % NN cord-017337-vq3edhxn 121 21 ) ) -RRB- cord-017337-vq3edhxn 121 22 and and CC cord-017337-vq3edhxn 121 23 is be VBZ cord-017337-vq3edhxn 121 24 closely closely RB cord-017337-vq3edhxn 121 25 associated associate VBN cord-017337-vq3edhxn 121 26 with with IN cord-017337-vq3edhxn 121 27 the the DT cord-017337-vq3edhxn 121 28 degree degree NN cord-017337-vq3edhxn 121 29 of of IN cord-017337-vq3edhxn 121 30 multiple multiple JJ cord-017337-vq3edhxn 121 31 organ organ NN cord-017337-vq3edhxn 121 32 failure failure NN cord-017337-vq3edhxn 121 33 . . . cord-017337-vq3edhxn 122 1 Results result NNS cord-017337-vq3edhxn 122 2 from from IN cord-017337-vq3edhxn 122 3 studies study NNS cord-017337-vq3edhxn 122 4 of of IN cord-017337-vq3edhxn 122 5 proposed propose VBN cord-017337-vq3edhxn 122 6 new new JJ cord-017337-vq3edhxn 122 7 interventions intervention NNS cord-017337-vq3edhxn 122 8 in in IN cord-017337-vq3edhxn 122 9 severe severe JJ cord-017337-vq3edhxn 122 10 sepsis sepsis NN cord-017337-vq3edhxn 122 11 have have VBP cord-017337-vq3edhxn 122 12 largely largely RB cord-017337-vq3edhxn 122 13 been be VBN cord-017337-vq3edhxn 122 14 disappointing disappointing JJ cord-017337-vq3edhxn 122 15 with with IN cord-017337-vq3edhxn 122 16 few few JJ cord-017337-vq3edhxn 122 17 demonstrating demonstrate VBG cord-017337-vq3edhxn 122 18 any any DT cord-017337-vq3edhxn 122 19 positive positive JJ cord-017337-vq3edhxn 122 20 effect effect NN cord-017337-vq3edhxn 122 21 on on IN cord-017337-vq3edhxn 122 22 outcomes outcome NNS cord-017337-vq3edhxn 122 23 . . . cord-017337-vq3edhxn 123 1 One one CD cord-017337-vq3edhxn 123 2 of of IN cord-017337-vq3edhxn 123 3 the the DT cord-017337-vq3edhxn 123 4 possible possible JJ cord-017337-vq3edhxn 123 5 reasons reason NNS cord-017337-vq3edhxn 123 6 for for IN cord-017337-vq3edhxn 123 7 the the DT cord-017337-vq3edhxn 123 8 multiple multiple JJ cord-017337-vq3edhxn 123 9 " " `` cord-017337-vq3edhxn 123 10 failed fail VBN cord-017337-vq3edhxn 123 11 " " '' cord-017337-vq3edhxn 123 12 trials trial NNS cord-017337-vq3edhxn 123 13 is be VBZ cord-017337-vq3edhxn 123 14 that that IN cord-017337-vq3edhxn 123 15 the the DT cord-017337-vq3edhxn 123 16 groups group NNS cord-017337-vq3edhxn 123 17 of of IN cord-017337-vq3edhxn 123 18 patients patient NNS cord-017337-vq3edhxn 123 19 studied study VBN cord-017337-vq3edhxn 123 20 have have VBP cord-017337-vq3edhxn 123 21 been be VBN cord-017337-vq3edhxn 123 22 too too RB cord-017337-vq3edhxn 123 23 heterogeneous heterogeneous JJ cord-017337-vq3edhxn 123 24 and and CC cord-017337-vq3edhxn 123 25 that that IN cord-017337-vq3edhxn 123 26 global global JJ cord-017337-vq3edhxn 123 27 results result NNS cord-017337-vq3edhxn 123 28 have have VBP cord-017337-vq3edhxn 123 29 masked mask VBN cord-017337-vq3edhxn 123 30 any any DT cord-017337-vq3edhxn 123 31 potential potential JJ cord-017337-vq3edhxn 123 32 benefi benefi NN cord-017337-vq3edhxn 123 33 t t NN cord-017337-vq3edhxn 123 34 in in IN cord-017337-vq3edhxn 123 35 specifi specifi NNP cord-017337-vq3edhxn 123 36 c c NNP cord-017337-vq3edhxn 123 37 subgroups subgroup NNS cord-017337-vq3edhxn 123 38 of of IN cord-017337-vq3edhxn 123 39 patients patient NNS cord-017337-vq3edhxn 123 40 [ [ -LRB- cord-017337-vq3edhxn 123 41 32 32 CD cord-017337-vq3edhxn 123 42 ] ] -RRB- cord-017337-vq3edhxn 123 43 . . . cord-017337-vq3edhxn 124 1 Better well RBR cord-017337-vq3edhxn 124 2 targeting targeting NN cord-017337-vq3edhxn 124 3 of of IN cord-017337-vq3edhxn 124 4 proposed propose VBN cord-017337-vq3edhxn 124 5 interventions intervention NNS cord-017337-vq3edhxn 124 6 by by IN cord-017337-vq3edhxn 124 7 better well JJR cord-017337-vq3edhxn 124 8 characterization characterization NN cord-017337-vq3edhxn 124 9 of of IN cord-017337-vq3edhxn 124 10 septic septic JJ cord-017337-vq3edhxn 124 11 patients patient NNS cord-017337-vq3edhxn 124 12 with with IN cord-017337-vq3edhxn 124 13 the the DT cord-017337-vq3edhxn 124 14 PIRO PIRO NNP cord-017337-vq3edhxn 124 15 system system NN cord-017337-vq3edhxn 124 16 may may MD cord-017337-vq3edhxn 124 17 lead lead VB cord-017337-vq3edhxn 124 18 to to IN cord-017337-vq3edhxn 124 19 better well JJR cord-017337-vq3edhxn 124 20 outcomes outcome NNS cord-017337-vq3edhxn 124 21 . . . cord-017337-vq3edhxn 125 1 Improved improved JJ cord-017337-vq3edhxn 125 2 classifi classifi NNP cord-017337-vq3edhxn 125 3 cation cation NN cord-017337-vq3edhxn 125 4 of of IN cord-017337-vq3edhxn 125 5 septic septic JJ cord-017337-vq3edhxn 125 6 patients patient NNS cord-017337-vq3edhxn 125 7 using use VBG cord-017337-vq3edhxn 125 8 the the DT cord-017337-vq3edhxn 125 9 PIRO PIRO NNP cord-017337-vq3edhxn 125 10 system system NN cord-017337-vq3edhxn 125 11 may may MD cord-017337-vq3edhxn 125 12 , , , cord-017337-vq3edhxn 125 13 thus thus RB cord-017337-vq3edhxn 125 14 , , , cord-017337-vq3edhxn 125 15 facilitate facilitate VB cord-017337-vq3edhxn 125 16 the the DT cord-017337-vq3edhxn 125 17 development development NN cord-017337-vq3edhxn 125 18 and and CC cord-017337-vq3edhxn 125 19 evaluation evaluation NN cord-017337-vq3edhxn 125 20 of of IN cord-017337-vq3edhxn 125 21 clinical clinical JJ cord-017337-vq3edhxn 125 22 trials trial NNS cord-017337-vq3edhxn 125 23 of of IN cord-017337-vq3edhxn 125 24 sepsis sepsis NN cord-017337-vq3edhxn 125 25 therapies therapy NNS cord-017337-vq3edhxn 125 26 and and CC cord-017337-vq3edhxn 125 27 will will MD cord-017337-vq3edhxn 125 28 also also RB cord-017337-vq3edhxn 125 29 encourage encourage VB cord-017337-vq3edhxn 125 30 further further JJ cord-017337-vq3edhxn 125 31 study study NN cord-017337-vq3edhxn 125 32 into into IN cord-017337-vq3edhxn 125 33 the the DT cord-017337-vq3edhxn 125 34 pathophysiology pathophysiology NN cord-017337-vq3edhxn 125 35 and and CC cord-017337-vq3edhxn 125 36 epidemiology epidemiology NN cord-017337-vq3edhxn 125 37 of of IN cord-017337-vq3edhxn 125 38 sepsis sepsis NN cord-017337-vq3edhxn 125 39 . . . cord-017337-vq3edhxn 126 1 Importantly importantly RB cord-017337-vq3edhxn 126 2 , , , cord-017337-vq3edhxn 126 3 just just RB cord-017337-vq3edhxn 126 4 as as IN cord-017337-vq3edhxn 126 5 the the DT cord-017337-vq3edhxn 126 6 TNM TNM NNP cord-017337-vq3edhxn 126 7 system system NN cord-017337-vq3edhxn 126 8 is be VBZ cord-017337-vq3edhxn 126 9 adjusted adjust VBN cord-017337-vq3edhxn 126 10 to to IN cord-017337-vq3edhxn 126 11 specifi specifi NN cord-017337-vq3edhxn 126 12 c c NN cord-017337-vq3edhxn 126 13 cancers cancer NNS cord-017337-vq3edhxn 126 14 [ [ -LRB- cord-017337-vq3edhxn 126 15 33 33 CD cord-017337-vq3edhxn 126 16 ] ] -RRB- cord-017337-vq3edhxn 126 17 , , , cord-017337-vq3edhxn 126 18 so so CC cord-017337-vq3edhxn 126 19 the the DT cord-017337-vq3edhxn 126 20 PIRO PIRO NNP cord-017337-vq3edhxn 126 21 system system NN cord-017337-vq3edhxn 126 22 will will MD cord-017337-vq3edhxn 126 23 need need VB cord-017337-vq3edhxn 126 24 to to TO cord-017337-vq3edhxn 126 25 be be VB cord-017337-vq3edhxn 126 26 adapted adapt VBN cord-017337-vq3edhxn 126 27 to to IN cord-017337-vq3edhxn 126 28 fi fi NNP cord-017337-vq3edhxn 126 29 t t NNP cord-017337-vq3edhxn 126 30 specifi specifi NNP cord-017337-vq3edhxn 126 31 c c NNP cord-017337-vq3edhxn 126 32 patient patient NN cord-017337-vq3edhxn 126 33 1 1 CD cord-017337-vq3edhxn 126 34 groups group NNS cord-017337-vq3edhxn 126 35 , , , cord-017337-vq3edhxn 126 36 local local JJ cord-017337-vq3edhxn 126 37 practice practice NN cord-017337-vq3edhxn 126 38 , , , cord-017337-vq3edhxn 126 39 purpose purpose NN cord-017337-vq3edhxn 126 40 ( ( -LRB- cord-017337-vq3edhxn 126 41 e.g. e.g. RB cord-017337-vq3edhxn 126 42 , , , cord-017337-vq3edhxn 126 43 clinical clinical JJ cord-017337-vq3edhxn 126 44 trial trial NN cord-017337-vq3edhxn 126 45 inclusion inclusion NN cord-017337-vq3edhxn 126 46 , , , cord-017337-vq3edhxn 126 47 prognostication prognostication NN cord-017337-vq3edhxn 126 48 , , , cord-017337-vq3edhxn 126 49 patient patient JJ cord-017337-vq3edhxn 126 50 management management NN cord-017337-vq3edhxn 126 51 ) ) -RRB- cord-017337-vq3edhxn 126 52 , , , cord-017337-vq3edhxn 126 53 or or CC cord-017337-vq3edhxn 126 54 proposed propose VBN cord-017337-vq3edhxn 126 55 therapies therapy NNS cord-017337-vq3edhxn 126 56 . . . cord-017337-vq3edhxn 127 1 For for IN cord-017337-vq3edhxn 127 2 example example NN cord-017337-vq3edhxn 127 3 , , , cord-017337-vq3edhxn 127 4 if if IN cord-017337-vq3edhxn 127 5 the the DT cord-017337-vq3edhxn 127 6 planned plan VBN cord-017337-vq3edhxn 127 7 intervention intervention NN cord-017337-vq3edhxn 127 8 is be VBZ cord-017337-vq3edhxn 127 9 an an DT cord-017337-vq3edhxn 127 10 anticoagulant anticoagulant NN cord-017337-vq3edhxn 127 11 then then RB cord-017337-vq3edhxn 127 12 evidence evidence NN cord-017337-vq3edhxn 127 13 of of IN cord-017337-vq3edhxn 127 14 coagulopathy coagulopathy NN cord-017337-vq3edhxn 127 15 is be VBZ cord-017337-vq3edhxn 127 16 likely likely JJ cord-017337-vq3edhxn 127 17 to to TO cord-017337-vq3edhxn 127 18 be be VB cord-017337-vq3edhxn 127 19 more more RBR cord-017337-vq3edhxn 127 20 relevant relevant JJ cord-017337-vq3edhxn 127 21 than than IN cord-017337-vq3edhxn 127 22 presence presence NN cord-017337-vq3edhxn 127 23 of of IN cord-017337-vq3edhxn 127 24 respiratory respiratory JJ cord-017337-vq3edhxn 127 25 failure failure NN cord-017337-vq3edhxn 127 26 , , , cord-017337-vq3edhxn 127 27 while while IN cord-017337-vq3edhxn 127 28 if if IN cord-017337-vq3edhxn 127 29 considering consider VBG cord-017337-vq3edhxn 127 30 hemodialysis hemodialysis NN cord-017337-vq3edhxn 127 31 , , , cord-017337-vq3edhxn 127 32 the the DT cord-017337-vq3edhxn 127 33 presence presence NN cord-017337-vq3edhxn 127 34 and and CC cord-017337-vq3edhxn 127 35 degree degree NN cord-017337-vq3edhxn 127 36 of of IN cord-017337-vq3edhxn 127 37 renal renal JJ cord-017337-vq3edhxn 127 38 failure failure NN cord-017337-vq3edhxn 127 39 are be VBP cord-017337-vq3edhxn 127 40 likely likely JJ cord-017337-vq3edhxn 127 41 to to TO cord-017337-vq3edhxn 127 42 be be VB cord-017337-vq3edhxn 127 43 most most RBS cord-017337-vq3edhxn 127 44 pertinent pertinent JJ cord-017337-vq3edhxn 127 45 [ [ -LRB- cord-017337-vq3edhxn 127 46 24 24 CD cord-017337-vq3edhxn 127 47 ] ] -RRB- cord-017337-vq3edhxn 127 48 . . . cord-017337-vq3edhxn 128 1 However however RB cord-017337-vq3edhxn 128 2 , , , cord-017337-vq3edhxn 128 3 despite despite IN cord-017337-vq3edhxn 128 4 general general JJ cord-017337-vq3edhxn 128 5 acceptance acceptance NN cord-017337-vq3edhxn 128 6 of of IN cord-017337-vq3edhxn 128 7 the the DT cord-017337-vq3edhxn 128 8 PIRO PIRO NNP cord-017337-vq3edhxn 128 9 concept concept NN cord-017337-vq3edhxn 128 10 and and CC cord-017337-vq3edhxn 128 11 belief belief NN cord-017337-vq3edhxn 128 12 that that IN cord-017337-vq3edhxn 128 13 it -PRON- PRP cord-017337-vq3edhxn 128 14 may may MD cord-017337-vq3edhxn 128 15 contribute contribute VB cord-017337-vq3edhxn 128 16 to to IN cord-017337-vq3edhxn 128 17 improving improve VBG cord-017337-vq3edhxn 128 18 outcomes outcome NNS cord-017337-vq3edhxn 128 19 in in IN cord-017337-vq3edhxn 128 20 patients patient NNS cord-017337-vq3edhxn 128 21 with with IN cord-017337-vq3edhxn 128 22 sepsis sepsis NN cord-017337-vq3edhxn 128 23 , , , cord-017337-vq3edhxn 128 24 many many JJ cord-017337-vq3edhxn 128 25 questions question NNS cord-017337-vq3edhxn 128 26 remain remain VBP cord-017337-vq3edhxn 128 27 unanswered unanswered JJ cord-017337-vq3edhxn 128 28 . . . cord-017337-vq3edhxn 129 1 For for IN cord-017337-vq3edhxn 129 2 example example NN cord-017337-vq3edhxn 129 3 , , , cord-017337-vq3edhxn 129 4 in in IN cord-017337-vq3edhxn 129 5 patients patient NNS cord-017337-vq3edhxn 129 6 with with IN cord-017337-vq3edhxn 129 7 cancer cancer NN cord-017337-vq3edhxn 129 8 , , , cord-017337-vq3edhxn 129 9 correct correct JJ cord-017337-vq3edhxn 129 10 staging staging NN cord-017337-vq3edhxn 129 11 is be VBZ cord-017337-vq3edhxn 129 12 critical critical JJ cord-017337-vq3edhxn 129 13 because because IN cord-017337-vq3edhxn 129 14 treatment treatment NN cord-017337-vq3edhxn 129 15 is be VBZ cord-017337-vq3edhxn 129 16 directly directly RB cord-017337-vq3edhxn 129 17 related relate VBN cord-017337-vq3edhxn 129 18 to to IN cord-017337-vq3edhxn 129 19 disease disease NN cord-017337-vq3edhxn 129 20 stage stage NN cord-017337-vq3edhxn 129 21 . . . cord-017337-vq3edhxn 130 1 Thus thus RB cord-017337-vq3edhxn 130 2 , , , cord-017337-vq3edhxn 130 3 incorrect incorrect JJ cord-017337-vq3edhxn 130 4 staging staging NN cord-017337-vq3edhxn 130 5 can can MD cord-017337-vq3edhxn 130 6 lead lead VB cord-017337-vq3edhxn 130 7 to to IN cord-017337-vq3edhxn 130 8 improper improper JJ cord-017337-vq3edhxn 130 9 treatment treatment NN cord-017337-vq3edhxn 130 10 and and CC cord-017337-vq3edhxn 130 11 to to IN cord-017337-vq3edhxn 130 12 reduced reduce VBN cord-017337-vq3edhxn 130 13 patient patient JJ cord-017337-vq3edhxn 130 14 outcomes outcome NNS cord-017337-vq3edhxn 130 15 . . . cord-017337-vq3edhxn 131 1 Whether whether IN cord-017337-vq3edhxn 131 2 the the DT cord-017337-vq3edhxn 131 3 same same JJ cord-017337-vq3edhxn 131 4 would would MD cord-017337-vq3edhxn 131 5 hold hold VB cord-017337-vq3edhxn 131 6 true true JJ cord-017337-vq3edhxn 131 7 for for IN cord-017337-vq3edhxn 131 8 patients patient NNS cord-017337-vq3edhxn 131 9 with with IN cord-017337-vq3edhxn 131 10 sepsis sepsis NN cord-017337-vq3edhxn 131 11 is be VBZ cord-017337-vq3edhxn 131 12 unknown unknown JJ cord-017337-vq3edhxn 131 13 . . . cord-017337-vq3edhxn 132 1 Clearly clearly RB cord-017337-vq3edhxn 132 2 , , , cord-017337-vq3edhxn 132 3 considerable considerable JJ cord-017337-vq3edhxn 132 4 work work NN cord-017337-vq3edhxn 132 5 remains remain VBZ cord-017337-vq3edhxn 132 6 to to TO cord-017337-vq3edhxn 132 7 be be VB cord-017337-vq3edhxn 132 8 done do VBN cord-017337-vq3edhxn 132 9 in in IN cord-017337-vq3edhxn 132 10 testing testing NN cord-017337-vq3edhxn 132 11 and and CC cord-017337-vq3edhxn 132 12 validating validate VBG cord-017337-vq3edhxn 132 13 the the DT cord-017337-vq3edhxn 132 14 PIRO PIRO NNP cord-017337-vq3edhxn 132 15 system system NN cord-017337-vq3edhxn 132 16 , , , cord-017337-vq3edhxn 132 17 but but CC cord-017337-vq3edhxn 132 18 it -PRON- PRP cord-017337-vq3edhxn 132 19 represents represent VBZ cord-017337-vq3edhxn 132 20 an an DT cord-017337-vq3edhxn 132 21 important important JJ cord-017337-vq3edhxn 132 22 step step NN cord-017337-vq3edhxn 132 23 toward toward IN cord-017337-vq3edhxn 132 24 more more RBR cord-017337-vq3edhxn 132 25 successful successful JJ cord-017337-vq3edhxn 132 26 management management NN cord-017337-vq3edhxn 132 27 of of IN cord-017337-vq3edhxn 132 28 the the DT cord-017337-vq3edhxn 132 29 patient patient NN cord-017337-vq3edhxn 132 30 with with IN cord-017337-vq3edhxn 132 31 severe severe JJ cord-017337-vq3edhxn 132 32 sepsis sepsis NN cord-017337-vq3edhxn 132 33 . . . cord-017337-vq3edhxn 133 1 Defi Defi NNP cord-017337-vq3edhxn 133 2 nitions nition NNS cord-017337-vq3edhxn 133 3 of of IN cord-017337-vq3edhxn 133 4 sepsis sepsis NN cord-017337-vq3edhxn 133 5 and and CC cord-017337-vq3edhxn 133 6 multiple multiple JJ cord-017337-vq3edhxn 133 7 organ organ NN cord-017337-vq3edhxn 133 8 failure failure NN cord-017337-vq3edhxn 133 9 and and CC cord-017337-vq3edhxn 133 10 guidelines guideline NNS cord-017337-vq3edhxn 133 11 for for IN cord-017337-vq3edhxn 133 12 the the DT cord-017337-vq3edhxn 133 13 use use NN cord-017337-vq3edhxn 133 14 of of IN cord-017337-vq3edhxn 133 15 innovative innovative JJ cord-017337-vq3edhxn 133 16 therapies therapy NNS cord-017337-vq3edhxn 133 17 in in IN cord-017337-vq3edhxn 133 18 sepsis sepsis NN cord-017337-vq3edhxn 134 1 Systemic systemic JJ cord-017337-vq3edhxn 134 2 infl infl XX cord-017337-vq3edhxn 134 3 ammatory ammatory NNP cord-017337-vq3edhxn 134 4 response response NN cord-017337-vq3edhxn 134 5 syndrome syndrome NN cord-017337-vq3edhxn 134 6 , , , cord-017337-vq3edhxn 134 7 sepsis sepsis NN cord-017337-vq3edhxn 134 8 , , , cord-017337-vq3edhxn 134 9 severe severe JJ cord-017337-vq3edhxn 134 10 sepsis sepsis NN cord-017337-vq3edhxn 134 11 and and CC cord-017337-vq3edhxn 134 12 septic septic JJ cord-017337-vq3edhxn 134 13 shock shock NN cord-017337-vq3edhxn 134 14 : : : cord-017337-vq3edhxn 134 15 incidence incidence NN cord-017337-vq3edhxn 134 16 , , , cord-017337-vq3edhxn 134 17 morbidities morbidity NNS cord-017337-vq3edhxn 134 18 and and CC cord-017337-vq3edhxn 134 19 outcomes outcome NNS cord-017337-vq3edhxn 134 20 in in IN cord-017337-vq3edhxn 134 21 surgical surgical JJ cord-017337-vq3edhxn 134 22 ICU ICU NNP cord-017337-vq3edhxn 134 23 patients patient NNS cord-017337-vq3edhxn 135 1 The the DT cord-017337-vq3edhxn 135 2 Italian italian JJ cord-017337-vq3edhxn 135 3 SEPSIS SEPSIS NNP cord-017337-vq3edhxn 135 4 study study NN cord-017337-vq3edhxn 135 5 : : : cord-017337-vq3edhxn 136 1 Preliminary preliminary JJ cord-017337-vq3edhxn 136 2 results result NNS cord-017337-vq3edhxn 136 3 on on IN cord-017337-vq3edhxn 136 4 the the DT cord-017337-vq3edhxn 136 5 incidence incidence NN cord-017337-vq3edhxn 136 6 and and CC cord-017337-vq3edhxn 136 7 evolution evolution NN cord-017337-vq3edhxn 136 8 of of IN cord-017337-vq3edhxn 136 9 SIRS sirs NN cord-017337-vq3edhxn 136 10 , , , cord-017337-vq3edhxn 136 11 sepsis sepsis NN cord-017337-vq3edhxn 136 12 , , , cord-017337-vq3edhxn 136 13 severe severe JJ cord-017337-vq3edhxn 136 14 sepsis sepsis NN cord-017337-vq3edhxn 136 15 and and CC cord-017337-vq3edhxn 136 16 septic septic JJ cord-017337-vq3edhxn 136 17 shock shock NN cord-017337-vq3edhxn 137 1 Dear dear JJ cord-017337-vq3edhxn 137 2 Sirs sirs UH cord-017337-vq3edhxn 137 3 , , , cord-017337-vq3edhxn 137 4 I -PRON- PRP cord-017337-vq3edhxn 137 5 'm be VBP cord-017337-vq3edhxn 137 6 sorry sorry JJ cord-017337-vq3edhxn 137 7 to to TO cord-017337-vq3edhxn 137 8 say say VB cord-017337-vq3edhxn 137 9 that that IN cord-017337-vq3edhxn 137 10 I -PRON- PRP cord-017337-vq3edhxn 137 11 do do VBP cord-017337-vq3edhxn 137 12 n't not RB cord-017337-vq3edhxn 137 13 like like VB cord-017337-vq3edhxn 137 14 you -PRON- PRP cord-017337-vq3edhxn 138 1 SCCM SCCM NNP cord-017337-vq3edhxn 138 2 / / SYM cord-017337-vq3edhxn 138 3 ESICM ESICM NNP cord-017337-vq3edhxn 138 4 / / SYM cord-017337-vq3edhxn 138 5 ACCP ACCP NNP cord-017337-vq3edhxn 138 6 / / SYM cord-017337-vq3edhxn 138 7 ATS/ ATS/ NNP cord-017337-vq3edhxn 139 1 SIS SIS NNP cord-017337-vq3edhxn 139 2 International International NNP cord-017337-vq3edhxn 139 3 Sepsis Sepsis NNP cord-017337-vq3edhxn 139 4 Defi Defi NNP cord-017337-vq3edhxn 139 5 nitions nition NNS cord-017337-vq3edhxn 139 6 Conference Conference NNP cord-017337-vq3edhxn 139 7 Measures measure NNS cord-017337-vq3edhxn 139 8 , , , cord-017337-vq3edhxn 139 9 markers marker NNS cord-017337-vq3edhxn 139 10 , , , cord-017337-vq3edhxn 139 11 and and CC cord-017337-vq3edhxn 139 12 mediators mediator NNS cord-017337-vq3edhxn 139 13 : : : cord-017337-vq3edhxn 139 14 toward toward IN cord-017337-vq3edhxn 139 15 a a DT cord-017337-vq3edhxn 139 16 staging staging NN cord-017337-vq3edhxn 139 17 system system NN cord-017337-vq3edhxn 139 18 for for IN cord-017337-vq3edhxn 139 19 clinical clinical JJ cord-017337-vq3edhxn 139 20 sepsis sepsis NN cord-017337-vq3edhxn 139 21 . . . cord-017337-vq3edhxn 140 1 A a DT cord-017337-vq3edhxn 140 2 report report NN cord-017337-vq3edhxn 140 3 of of IN cord-017337-vq3edhxn 140 4 the the DT cord-017337-vq3edhxn 140 5 Fifth Fifth NNP cord-017337-vq3edhxn 140 6 Toronto Toronto NNP cord-017337-vq3edhxn 140 7 Sepsis Sepsis NNP cord-017337-vq3edhxn 140 8 Roundtable Roundtable NNP cord-017337-vq3edhxn 140 9 Enquete Enquete NNP cord-017337-vq3edhxn 140 10 permanent permanent JJ cord-017337-vq3edhxn 140 11 dans dans FW cord-017337-vq3edhxn 140 12 les les FW cord-017337-vq3edhxn 140 13 centres centre NNS cord-017337-vq3edhxn 140 14 anticancereaux anticancereaux RB cord-017337-vq3edhxn 141 1 The the DT cord-017337-vq3edhxn 141 2 PIRO PIRO NNP cord-017337-vq3edhxn 141 3 concept concept NN cord-017337-vq3edhxn 141 4 : : : cord-017337-vq3edhxn 141 5 P p NN cord-017337-vq3edhxn 141 6 is be VBZ cord-017337-vq3edhxn 141 7 for for IN cord-017337-vq3edhxn 141 8 predisposition predisposition NN cord-017337-vq3edhxn 141 9 Injury injury NN cord-017337-vq3edhxn 141 10 research research NN cord-017337-vq3edhxn 141 11 in in IN cord-017337-vq3edhxn 141 12 the the DT cord-017337-vq3edhxn 141 13 genomic genomic JJ cord-017337-vq3edhxn 141 14 era era NN cord-017337-vq3edhxn 141 15 Association Association NNP cord-017337-vq3edhxn 141 16 of of IN cord-017337-vq3edhxn 141 17 TNF2 TNF2 NNP cord-017337-vq3edhxn 141 18 , , , cord-017337-vq3edhxn 141 19 a a DT cord-017337-vq3edhxn 141 20 TNFα tnfα NN cord-017337-vq3edhxn 141 21 promoter promoter NN cord-017337-vq3edhxn 141 22 polymorphism polymorphism NN cord-017337-vq3edhxn 141 23 , , , cord-017337-vq3edhxn 141 24 with with IN cord-017337-vq3edhxn 141 25 plasma plasma NN cord-017337-vq3edhxn 141 26 TNFα TNFα NNS cord-017337-vq3edhxn 141 27 levels level NNS cord-017337-vq3edhxn 141 28 and and CC cord-017337-vq3edhxn 141 29 mortality mortality NN cord-017337-vq3edhxn 141 30 in in IN cord-017337-vq3edhxn 141 31 septic septic JJ cord-017337-vq3edhxn 141 32 shock shock NN cord-017337-vq3edhxn 141 33 Interleukin-1 Interleukin-1 NNP cord-017337-vq3edhxn 141 34 receptor receptor NN cord-017337-vq3edhxn 141 35 antagonist antagonist NN cord-017337-vq3edhxn 141 36 gene gene NN cord-017337-vq3edhxn 141 37 polymorphism polymorphism NN cord-017337-vq3edhxn 141 38 and and CC cord-017337-vq3edhxn 141 39 mortality mortality NN cord-017337-vq3edhxn 141 40 in in IN cord-017337-vq3edhxn 141 41 patients patient NNS cord-017337-vq3edhxn 141 42 with with IN cord-017337-vq3edhxn 141 43 severe severe JJ cord-017337-vq3edhxn 141 44 sepsis sepsis NN cord-017337-vq3edhxn 142 1 Toll toll NN cord-017337-vq3edhxn 142 2 - - HYPH cord-017337-vq3edhxn 142 3 like like JJ cord-017337-vq3edhxn 142 4 receptor receptor NN cord-017337-vq3edhxn 142 5 1 1 CD cord-017337-vq3edhxn 142 6 polymorphisms polymorphism NNS cord-017337-vq3edhxn 142 7 affect affect VBP cord-017337-vq3edhxn 142 8 innate innate JJ cord-017337-vq3edhxn 142 9 immune immune JJ cord-017337-vq3edhxn 142 10 responses response NNS cord-017337-vq3edhxn 142 11 and and CC cord-017337-vq3edhxn 142 12 outcomes outcome NNS cord-017337-vq3edhxn 142 13 in in IN cord-017337-vq3edhxn 142 14 sepsis sepsis NN cord-017337-vq3edhxn 142 15 Incidence incidence NN cord-017337-vq3edhxn 142 16 and and CC cord-017337-vq3edhxn 142 17 mortality mortality NN cord-017337-vq3edhxn 142 18 of of IN cord-017337-vq3edhxn 142 19 severe severe JJ cord-017337-vq3edhxn 142 20 sepsis sepsis NN cord-017337-vq3edhxn 142 21 in in IN cord-017337-vq3edhxn 142 22 surgical surgical JJ cord-017337-vq3edhxn 142 23 intensive intensive JJ cord-017337-vq3edhxn 142 24 care care NN cord-017337-vq3edhxn 142 25 patients patient NNS cord-017337-vq3edhxn 142 26 : : : cord-017337-vq3edhxn 142 27 the the DT cord-017337-vq3edhxn 142 28 infl infl NN cord-017337-vq3edhxn 142 29 uence uence NN cord-017337-vq3edhxn 142 30 of of IN cord-017337-vq3edhxn 142 31 patient patient JJ cord-017337-vq3edhxn 142 32 gender gender NN cord-017337-vq3edhxn 142 33 on on IN cord-017337-vq3edhxn 142 34 disease disease NN cord-017337-vq3edhxn 142 35 process process NN cord-017337-vq3edhxn 142 36 and and CC cord-017337-vq3edhxn 142 37 outcome outcome NN cord-017337-vq3edhxn 143 1 The the DT cord-017337-vq3edhxn 143 2 epidemiology epidemiology NN cord-017337-vq3edhxn 143 3 of of IN cord-017337-vq3edhxn 143 4 sepsis sepsis NN cord-017337-vq3edhxn 143 5 in in IN cord-017337-vq3edhxn 143 6 the the DT cord-017337-vq3edhxn 143 7 United United NNP cord-017337-vq3edhxn 143 8 States States NNP cord-017337-vq3edhxn 143 9 from from IN cord-017337-vq3edhxn 143 10 1979 1979 CD cord-017337-vq3edhxn 143 11 through through IN cord-017337-vq3edhxn 143 12 2000 2000 CD cord-017337-vq3edhxn 143 13 Effect effect NN cord-017337-vq3edhxn 143 14 of of IN cord-017337-vq3edhxn 143 15 patient patient JJ cord-017337-vq3edhxn 143 16 sex sex NN cord-017337-vq3edhxn 143 17 on on IN cord-017337-vq3edhxn 143 18 intensive intensive JJ cord-017337-vq3edhxn 143 19 care care NN cord-017337-vq3edhxn 143 20 unit unit NN cord-017337-vq3edhxn 143 21 survival survival NN cord-017337-vq3edhxn 143 22 Sepsis sepsis NN cord-017337-vq3edhxn 143 23 in in IN cord-017337-vq3edhxn 143 24 European european JJ cord-017337-vq3edhxn 143 25 intensive intensive JJ cord-017337-vq3edhxn 143 26 care care NN cord-017337-vq3edhxn 143 27 units unit NNS cord-017337-vq3edhxn 143 28 : : : cord-017337-vq3edhxn 143 29 results result NNS cord-017337-vq3edhxn 143 30 of of IN cord-017337-vq3edhxn 143 31 the the DT cord-017337-vq3edhxn 143 32 SOAP soap NN cord-017337-vq3edhxn 143 33 study study NN cord-017337-vq3edhxn 143 34 Racial racial JJ cord-017337-vq3edhxn 143 35 variation variation NN cord-017337-vq3edhxn 143 36 in in IN cord-017337-vq3edhxn 143 37 the the DT cord-017337-vq3edhxn 143 38 incidence incidence NN cord-017337-vq3edhxn 143 39 , , , cord-017337-vq3edhxn 143 40 care care NN cord-017337-vq3edhxn 143 41 , , , cord-017337-vq3edhxn 143 42 and and CC cord-017337-vq3edhxn 143 43 outcomes outcome NNS cord-017337-vq3edhxn 143 44 of of IN cord-017337-vq3edhxn 143 45 severe severe JJ cord-017337-vq3edhxn 143 46 sepsis sepsis NN cord-017337-vq3edhxn 143 47 : : : cord-017337-vq3edhxn 143 48 analysis analysis NN cord-017337-vq3edhxn 143 49 of of IN cord-017337-vq3edhxn 143 50 population population NN cord-017337-vq3edhxn 143 51 , , , cord-017337-vq3edhxn 143 52 patient patient JJ cord-017337-vq3edhxn 143 53 , , , cord-017337-vq3edhxn 143 54 and and CC cord-017337-vq3edhxn 143 55 hospital hospital NN cord-017337-vq3edhxn 143 56 characteristics characteristic NNS cord-017337-vq3edhxn 144 1 The the DT cord-017337-vq3edhxn 144 2 effect effect NN cord-017337-vq3edhxn 144 3 of of IN cord-017337-vq3edhxn 144 4 age age NN cord-017337-vq3edhxn 144 5 on on IN cord-017337-vq3edhxn 144 6 the the DT cord-017337-vq3edhxn 144 7 development development NN cord-017337-vq3edhxn 144 8 and and CC cord-017337-vq3edhxn 144 9 outcome outcome NN cord-017337-vq3edhxn 144 10 of of IN cord-017337-vq3edhxn 144 11 adult adult NN cord-017337-vq3edhxn 144 12 sepsis sepsis NN cord-017337-vq3edhxn 145 1 The the DT cord-017337-vq3edhxn 145 2 PIRO PIRO NNP cord-017337-vq3edhxn 145 3 concept concept NN cord-017337-vq3edhxn 145 4 : : : cord-017337-vq3edhxn 145 5 I -PRON- PRP cord-017337-vq3edhxn 145 6 is be VBZ cord-017337-vq3edhxn 145 7 for for IN cord-017337-vq3edhxn 145 8 infection infection NN cord-017337-vq3edhxn 145 9 Effi Effi NNP cord-017337-vq3edhxn 145 10 cacy cacy NN cord-017337-vq3edhxn 145 11 and and CC cord-017337-vq3edhxn 145 12 safety safety NN cord-017337-vq3edhxn 145 13 of of IN cord-017337-vq3edhxn 145 14 recombinant recombinant JJ cord-017337-vq3edhxn 145 15 human human NN cord-017337-vq3edhxn 145 16 activated activate VBN cord-017337-vq3edhxn 145 17 protein protein NN cord-017337-vq3edhxn 145 18 C c NN cord-017337-vq3edhxn 145 19 for for IN cord-017337-vq3edhxn 145 20 severe severe JJ cord-017337-vq3edhxn 145 21 sepsis sepsis NN cord-017337-vq3edhxn 145 22 Epidemiology epidemiology NN cord-017337-vq3edhxn 145 23 of of IN cord-017337-vq3edhxn 145 24 severe severe JJ cord-017337-vq3edhxn 145 25 sepsis sepsis NN cord-017337-vq3edhxn 145 26 in in IN cord-017337-vq3edhxn 145 27 critically critically RB cord-017337-vq3edhxn 145 28 ill ill JJ cord-017337-vq3edhxn 145 29 surgical surgical JJ cord-017337-vq3edhxn 145 30 patients patient NNS cord-017337-vq3edhxn 145 31 in in IN cord-017337-vq3edhxn 145 32 ten ten CD cord-017337-vq3edhxn 145 33 university university NN cord-017337-vq3edhxn 145 34 hospitals hospital NNS cord-017337-vq3edhxn 145 35 in in IN cord-017337-vq3edhxn 145 36 China China NNP cord-017337-vq3edhxn 146 1 New new JJ cord-017337-vq3edhxn 146 2 method method NN cord-017337-vq3edhxn 146 3 of of IN cord-017337-vq3edhxn 146 4 classifying classify VBG cord-017337-vq3edhxn 146 5 infections infection NNS cord-017337-vq3edhxn 146 6 in in IN cord-017337-vq3edhxn 146 7 critically critically RB cord-017337-vq3edhxn 146 8 ill ill JJ cord-017337-vq3edhxn 146 9 patients patient NNS cord-017337-vq3edhxn 146 10 Septic septic JJ cord-017337-vq3edhxn 146 11 shock shock NN cord-017337-vq3edhxn 146 12 of of IN cord-017337-vq3edhxn 146 13 early early JJ cord-017337-vq3edhxn 146 14 or or CC cord-017337-vq3edhxn 146 15 late late JJ cord-017337-vq3edhxn 146 16 onset onset NN cord-017337-vq3edhxn 146 17 : : : cord-017337-vq3edhxn 146 18 does do VBZ cord-017337-vq3edhxn 146 19 it -PRON- PRP cord-017337-vq3edhxn 146 20 matter matter VB cord-017337-vq3edhxn 146 21 ? ? . cord-017337-vq3edhxn 147 1 The the DT cord-017337-vq3edhxn 147 2 PIRO PIRO NNP cord-017337-vq3edhxn 147 3 Concept Concept NNP cord-017337-vq3edhxn 147 4 : : : cord-017337-vq3edhxn 147 5 R r NN cord-017337-vq3edhxn 147 6 is be VBZ cord-017337-vq3edhxn 147 7 for for IN cord-017337-vq3edhxn 147 8 response response NN cord-017337-vq3edhxn 148 1 Monocyte Monocyte NNP cord-017337-vq3edhxn 148 2 deactivation deactivation NN cord-017337-vq3edhxn 148 3 -rationale -rationale NN cord-017337-vq3edhxn 148 4 for for IN cord-017337-vq3edhxn 148 5 a a DT cord-017337-vq3edhxn 148 6 new new JJ cord-017337-vq3edhxn 148 7 therapeutic therapeutic JJ cord-017337-vq3edhxn 148 8 strategy strategy NN cord-017337-vq3edhxn 148 9 in in IN cord-017337-vq3edhxn 148 10 sepsis sepsis NN cord-017337-vq3edhxn 149 1 The the DT cord-017337-vq3edhxn 149 2 PIRO PIRO NNP cord-017337-vq3edhxn 149 3 concept concept NN cord-017337-vq3edhxn 149 4 : : : cord-017337-vq3edhxn 149 5 O o UH cord-017337-vq3edhxn 149 6 is be VBZ cord-017337-vq3edhxn 149 7 for for IN cord-017337-vq3edhxn 149 8 organ organ NN cord-017337-vq3edhxn 149 9 dysfunction dysfunction NN cord-017337-vq3edhxn 149 10 Use Use NNP cord-017337-vq3edhxn 149 11 of of IN cord-017337-vq3edhxn 149 12 the the DT cord-017337-vq3edhxn 149 13 SOFA sofa NN cord-017337-vq3edhxn 149 14 score score NN cord-017337-vq3edhxn 149 15 to to TO cord-017337-vq3edhxn 149 16 assess assess VB cord-017337-vq3edhxn 149 17 the the DT cord-017337-vq3edhxn 149 18 incidence incidence NN cord-017337-vq3edhxn 149 19 of of IN cord-017337-vq3edhxn 149 20 organ organ NN cord-017337-vq3edhxn 149 21 dysfunction dysfunction NN cord-017337-vq3edhxn 149 22 / / SYM cord-017337-vq3edhxn 149 23 failure failure NN cord-017337-vq3edhxn 149 24 in in IN cord-017337-vq3edhxn 149 25 intensive intensive JJ cord-017337-vq3edhxn 149 26 care care NN cord-017337-vq3edhxn 149 27 units unit NNS cord-017337-vq3edhxn 149 28 : : : cord-017337-vq3edhxn 149 29 Results result NNS cord-017337-vq3edhxn 149 30 of of IN cord-017337-vq3edhxn 149 31 a a DT cord-017337-vq3edhxn 149 32 multicentric multicentric NN cord-017337-vq3edhxn 149 33 , , , cord-017337-vq3edhxn 149 34 prospective prospective JJ cord-017337-vq3edhxn 149 35 study study NN cord-017337-vq3edhxn 149 36 Serial serial JJ cord-017337-vq3edhxn 149 37 evaluation evaluation NN cord-017337-vq3edhxn 149 38 of of IN cord-017337-vq3edhxn 149 39 the the DT cord-017337-vq3edhxn 149 40 SOFA sofa NN cord-017337-vq3edhxn 149 41 score score NN cord-017337-vq3edhxn 149 42 to to TO cord-017337-vq3edhxn 149 43 predict predict VB cord-017337-vq3edhxn 149 44 outcome outcome NN cord-017337-vq3edhxn 149 45 Early early JJ cord-017337-vq3edhxn 149 46 changes change NNS cord-017337-vq3edhxn 149 47 in in IN cord-017337-vq3edhxn 149 48 organ organ NN cord-017337-vq3edhxn 149 49 function function NN cord-017337-vq3edhxn 149 50 predict predict VBP cord-017337-vq3edhxn 149 51 eventual eventual JJ cord-017337-vq3edhxn 149 52 survival survival NN cord-017337-vq3edhxn 149 53 in in IN cord-017337-vq3edhxn 149 54 severe severe JJ cord-017337-vq3edhxn 149 55 sepsis sepsis NN cord-017337-vq3edhxn 150 1 Sepsis sepsis NN cord-017337-vq3edhxn 150 2 mortality mortality NN cord-017337-vq3edhxn 150 3 prediction prediction NN cord-017337-vq3edhxn 150 4 based base VBN cord-017337-vq3edhxn 150 5 on on IN cord-017337-vq3edhxn 150 6 predisposition predisposition NN cord-017337-vq3edhxn 150 7 , , , cord-017337-vq3edhxn 150 8 infection infection NN cord-017337-vq3edhxn 150 9 and and CC cord-017337-vq3edhxn 150 10 response response NN cord-017337-vq3edhxn 151 1 The the DT cord-017337-vq3edhxn 151 2 ventilator ventilator NN cord-017337-vq3edhxn 151 3 - - HYPH cord-017337-vq3edhxn 151 4 associated associate VBN cord-017337-vq3edhxn 151 5 pneumonia pneumonia NN cord-017337-vq3edhxn 151 6 PIRO PIRO NNP cord-017337-vq3edhxn 151 7 score score NN cord-017337-vq3edhxn 151 8 : : : cord-017337-vq3edhxn 151 9 a a DT cord-017337-vq3edhxn 151 10 tool tool NN cord-017337-vq3edhxn 151 11 for for IN cord-017337-vq3edhxn 151 12 predicting predict VBG cord-017337-vq3edhxn 151 13 ICU ICU NNP cord-017337-vq3edhxn 151 14 mortality mortality NN cord-017337-vq3edhxn 151 15 and and CC cord-017337-vq3edhxn 151 16 health health NN cord-017337-vq3edhxn 151 17 - - HYPH cord-017337-vq3edhxn 151 18 care care NN cord-017337-vq3edhxn 151 19 resources resource NNS cord-017337-vq3edhxn 151 20 use use VBP cord-017337-vq3edhxn 151 21 in in IN cord-017337-vq3edhxn 151 22 ventilator ventilator NN cord-017337-vq3edhxn 151 23 - - HYPH cord-017337-vq3edhxn 151 24 associated associate VBN cord-017337-vq3edhxn 151 25 pneumonia pneumonia NN cord-017337-vq3edhxn 151 26 Clinical clinical JJ cord-017337-vq3edhxn 151 27 trials trial NNS cord-017337-vq3edhxn 151 28 of of IN cord-017337-vq3edhxn 151 29 immunomodulatory immunomodulatory JJ cord-017337-vq3edhxn 151 30 therapies therapy NNS cord-017337-vq3edhxn 151 31 in in IN cord-017337-vq3edhxn 151 32 severe severe JJ cord-017337-vq3edhxn 151 33 sepsis sepsis NN cord-017337-vq3edhxn 151 34 and and CC cord-017337-vq3edhxn 151 35 septic septic JJ cord-017337-vq3edhxn 151 36 shock shock NN cord-017337-vq3edhxn 151 37 TNM TNM NNP cord-017337-vq3edhxn 151 38 Classifi Classifi NNP cord-017337-vq3edhxn 151 39 cation cation NN cord-017337-vq3edhxn 151 40 of of IN cord-017337-vq3edhxn 151 41 Malignant malignant JJ cord-017337-vq3edhxn 151 42 Tumours tumour NNS