Title |
Clinical review: The liver in sepsis
|
---|---|
Published in |
Critical Care, October 2012
|
DOI | 10.1186/cc11381 |
Pubmed ID | |
Authors |
Nicolas Nesseler, Yoann Launey, Caroline Aninat, Fabrice Morel, Yannick Mallédant, Philippe Seguin |
Abstract |
ABSTRACT: During sepsis, the liver plays a key role. It is implicated in the host response, participating in the clearance of the infectious agents/products. Sepsis also induces liver damage through hemodynamic alterations or through direct or indirect assault on the hepatocytes or through both. Accordingly, liver dysfunction induced by sepsis is recognized as one of the components that contribute to the severity of the disease. Nevertheless, the incidence of liver dysfunction remains imprecise, probably because current diagnostic tools are lacking, notably those that can detect the early liver insult. In this review, we discuss the epidemiology, diagnostic tools, and impact on outcome as well as the pathophysiological aspects, including the cellular events and clinical picture leading to liver dysfunction. Finally, therapeutic considerations with regard to the weakness of the pertinent specific approach are examined. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | 27% |
Mexico | 1 | 9% |
Australia | 1 | 9% |
Unknown | 6 | 55% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 9 | 82% |
Practitioners (doctors, other healthcare professionals) | 1 | 9% |
Scientists | 1 | 9% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Italy | 3 | <1% |
Brazil | 3 | <1% |
Indonesia | 1 | <1% |
Austria | 1 | <1% |
France | 1 | <1% |
South Africa | 1 | <1% |
Spain | 1 | <1% |
Unknown | 305 | 97% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Bachelor | 38 | 12% |
Student > Ph. D. Student | 36 | 11% |
Student > Doctoral Student | 35 | 11% |
Student > Postgraduate | 29 | 9% |
Researcher | 28 | 9% |
Other | 80 | 25% |
Unknown | 70 | 22% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 146 | 46% |
Agricultural and Biological Sciences | 21 | 7% |
Biochemistry, Genetics and Molecular Biology | 20 | 6% |
Veterinary Science and Veterinary Medicine | 10 | 3% |
Pharmacology, Toxicology and Pharmaceutical Science | 10 | 3% |
Other | 34 | 11% |
Unknown | 75 | 24% |