• Critical care clinics · Jan 2020

    Review

    Biomarkers and Precision Medicine: State of the Art.

    • Aartik Sarma, Carolyn S Calfee, and Lorraine B Ware.
    • Department of Medicine, University of California, San Francisco, 505 Parnassus Avenue, Box 0111, San Francisco, CA 94143-0111, USA.
    • Crit Care Clin. 2020 Jan 1; 36 (1): 155-165.

    AbstractCritical illness syndromes, including sepsis and the acute respiratory distress syndrome (ARDS), are identified using consensus definitions that are based on broad, clinically available criteria and include patients with heterogeneous biology. This heterogeneity is a barrier to developing and testing effective therapies for these syndromes. Biomarkers identify clinically distinct molecular phenotypes of ARDS and sepsis. These molecular phenotypes are associated with differences in mortality and predict response to several treatments in retrospective analyses of clinical trials. Biomarkers can be used for prognostic and predictive enrichment of clinical trials in critical illness to incorporate precision medicine in critical care.Copyright © 2019 Elsevier Inc. All rights reserved.

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