August 3, 2026 · Critical care medicine · DOI: 10.1097/CCM.0000000000007270

H3.1 Nucleosomes to Predict Renal Replacement Therapy and Mortality in Sepsis-A Secondary Analysis of the SISPCT Randomized Control Trial

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The authors aimed to determine whether plasma H3.1 nucleosome levels could serve as predictive biomarkers for the need for renal replacement therapy (RRT) and 28-day mortality in patients with sepsis and septic shock. Their analysis revealed that elevated admission H3.1 levels were significantly associated with increased mortality and a higher likelihood of requiring RRT, suggesting that H3.1 nucleosomes may be valuable indicators of patient outcomes in sepsis.

Caroline Neumann, Frank Bloos, Teddy Tun Win Hla, Thomas Bygott, Holger Bogatsch, Michael Kiehntopf, Friedemann Börner, Adrian T Press, Michael Bauer, Andrew Retter, SepNet Critical Care Trials Group

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