Evidence map›Paper›PMID 17541553›Full record

ArticleIntensive care medicine2007

Association of cell-free plasma DNA with hospital mortality and organ dysfunction in intensive care unit patients.

Katri Saukkonen, Päivi Lakkisto, Marjut Varpula, Tero Varpula, Liisa-Maria Voipio-Pulkki, Ville Pettilä, Kari Pulkki

Abstract read
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In one paragraph

Article in Intensive care medicine, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

31 citing papers in PubMed, 1 synthesis or guideline pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. The Role of Danger Signals in the Pathogenesis and Perpetuation of Critical Illness.American journal of respiratory and critical care medicine · 2018
    Review
  10. Article
  11. Review
  12. Observational
  13. Article
  14. Observational
  15. Article
  16. Review
  17. Article
  18. The role of cell-free DNA measured by a fluorescent test in the management of isolated traumatic head injuries.Scandinavian journal of trauma, resuscitation and emergency medicine · 2014
    Observational
  19. Article
  20. Article
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

7 authors at 3 institutions in 1 country.

Katri SaukkonenHelsinki University Central Hospital, Emergency Care, Department of Medicine, PO Box 340, 00029 Helsinki, Finland. katri.saukkonen@helsinki.fi
Päivi Lakkisto
Marjut Varpula
Tero Varpula
Liisa-Maria Voipio-Pulkki
Ville Pettilä
Kari Pulkki
Helsinki University Hospital · FIJorvi Hospital · FIMinerva Foundation · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo investigate the concentration of cell-free plasma DNA and its association with organ dysfunction and hospital mortality in intensive care unit patients. DESIGN AND

settingProspective cohort study in a medical and two medical-surgical intensive care units in a university hospital. PATIENTS: 228 critically ill patients admitted to the ICUs between January 2004 and July 2005. MEASUREMENTS AND

resultsBlood samples were collected as soon as possible after ICU admission, the following morning, and 48[Symbol: see text]h after the second sample. The cell-free plasma DNA was measured by real-time quantitative PCR assay for the beta-globin gene. Physiological and mortality data were collected to the clinical database. Hospital mortality rate and SOFA scores were primary outcome measures. The maximum plasma DNA concentrations were correlated significantly with APACHE II points and with maximum SOFA scores. Cell-free plasma DNA concentrations were higher in hospital non-survivors than in survivors (median 9,366 vs. 6,506 GE/ml). Using logistic regression analysis, the maximum plasma DNA was an independent predictor of hospital mortality.

conclusionsThe maximum plasma DNA concentration measured during the first 96[Symbol: see text]h of intensive care is associated with the degree of organ dysfunction and disease severity. Moreover, the maximum DNA concentration is independently associated with hospital mortality.

Indexed as

Hospital MortalityAgedAge FactorsAPACHECritical IllnessDNAFemaleFinlandHumansInfectionsIntensive Care UnitsLogistic ModelsMaleMiddle AgedMultiple Organ FailurePolymerase Chain ReactionDNA

Identifiers

PMID17541553
OpenAlexW2069866227

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.