The utility of mean platelet volume delta (∆VPM) and mean platelet volume / platelet index as predictors of mortality in patients with Sepsis and Septic Shock

Background. Sepsis and septic shock are the most severe clinical expressions of infection, despite having characterized several decades ago, remain as a diagnostic challenging this can delay treatment increasing hospital cost secondary to pathology.
 Our objective was determine usefulness mean platelet volume delta (ΔVPM) predictor mortality.
 Methodology. We performed an observational descriptive study with 83 patients / or criteria, from May 1, 2017 August 2017. Survival analysis using Kaplan Meier tables corroborated by Long Rank test. The prognostic value through proportional risk Cox.
 Results. Thirty-seven (44.6%) died because process. A univariate Cox regression revealed MPV index at admission less than 4 associated significant reduction in mortality sepsis 60 days (HR, 0.236; 95% CI, 0.083-0.671; p = 0.007). DVPM not significantly 0.373, 0.132-1.057, 0.640).
 Conclusion. parameters economical available, providing results, avoiding costs, time special tests. VPM PLQ could be effective "Alert System" early sepsis.