Evidence map›Paper›PMID 15127192›Full record

ArticleIntensive care medicine2004

Lipopolysaccharide-binding protein in critically ill neonates and children with suspected infection: comparison with procalcitonin, interleukin-6, and C-reactive protein.

Maja Pavcnik-Arnol, Sergej Hojker, Metka Derganc

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2004. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
4.5field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 83 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Kawasaki Disease Complicated byCase reports in pediatrics · 2021
    Article
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  7. Article
  8. Review
  9. Article
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  12. Role of biomarkers in sepsis care.Shock (Augusta, Ga.) · 2013
    Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Can serum procalcitonin and C-reactive protein as nosocomial infection markers in hospitalized patients without localizing signs?Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2011
    Article
  18. Article
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Maja Pavcnik-ArnolDepartment of Pediatric Surgery and Intensive Care, University Medical Center Ljubljana, Zaloska 7, 1525 Ljubljana, Slovenia. maja.pavcnik@kclj.si
Sergej Hojker
Metka Derganc
Ljubljana University Medical Centre · SI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo evaluate markers of infection in critically ill neonates and children, comparing lipopolysaccharide-binding protein (LBP) with procalcitonin (PCT), interleukin-6 (IL-6), and C-reactive protein (CRP). DESIGN AND

settingProspective, observational study in the level III multidisciplinary neonatal and pediatric intensive care unit. PATIENTS: Sixty patients with systemic inflammatory response syndrome (SIRS) and suspected infection classified into two groups: SIRS/sepsis ( n=33) and SIRS/no sepsis ( n=27). We included 29 neonates aged less than 48 h (neonates <48 h), 12 neonates older than 48 h (neonates >48 h), and 19 children. Median disease severity was high in neonates aged under 48 h and moderate in neonates aged over 48 h and children.

interventionsSerum LBP, PCT, IL-6, and CRP were measured on two consecutive days. Area under the receiver operating characteristic (ROC) curve (AUC), sensitivity, specificity, and predictive values were evaluated.

resultsSerum LBP was higher in patients with SIRS/sepsis than in patients with SIRS/no sepsis. AUC for LBP on the first day of suspected infection was 0.89 in the younger neonates, 0.93 in the older neonates, and 0.91 in children.

conclusionsIn critically ill neonates aged under 48 h LBP on the first day of suspected infection is a better marker of sepsis than IL-6 and PCT, and is similar to CRP. In critically ill neonates aged over 48 h and children LBP is a better marker than IL-6 and CRP, and is similar to PCT.

Indexed as

Acute-Phase ProteinsAdolescentAge FactorsBiomarkersCalcitoninCalcitonin Gene-Related PeptideCarrier ProteinsChildChild, PreschoolC-Reactive ProteinCritical IllnessHumansInfantInfant, NewbornIntensive Care Units, NeonatalIntensive Care Units, PediatricAcute-Phase ProteinsBiomarkersCALCA protein, humanCalcitoninCalcitonin Gene-Related PeptideCarrier ProteinsC-Reactive ProteinInterleukin-6Lipopolysaccharide-Binding ProteinMembrane GlycoproteinsProtein Precursors

Identifiers

PMID15127192
OpenAlexW2119483114

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.