Evidence map›Paper›PMID 19718443›Full record

ArticlePloS one2009

Serum lipopolysaccharide binding protein levels predict severity of lung injury and mortality in patients with severe sepsis.

Jesús Villar, Lina Pérez-Méndez, Elena Espinosa, Carlos Flores, Jesús Blanco, Arturo Muriel, Santiago Basaldúa, Mercedes Muros, Lluis Blanch, Antonio Artigas and 2 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

28 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
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  9. Protective effect ofBioscience reports · 2019
    Article
  10. Observational
  11. Article
  12. MicroRNAs as biomarkers of acute lung injury.Annals of translational medicine · 2018
    Review
  13. Review
  14. Host responses to concurrent combined injuries in non-human primates.Journal of inflammation (London, England) · 2017
    Article
  15. Article
  16. Review
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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

12 authors at 5 institutions in 3 countries.

Jesús VillarCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
Lina Pérez-Méndez
Elena Espinosa
Carlos Flores
Jesús Blanco
Arturo Muriel
Santiago Basaldúa
Mercedes Muros
Lluis Blanch
Antonio Artigas
Robert M Kacmarek
GRECIA and GEN-SEP Groups
Hospital Universitario Nuestra Señora de Candelaria · ESInstituto de Salud Carlos III · ESHospital Universitario Río Hortega · ESCorporació Sanitària Parc Taulí · ESHarvard University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a need for biomarkers insuring identification of septic patients at high-risk for death. We performed a prospective, multicenter, observational study to investigate the time-course of lipopolysaccharide binding protein (LBP) serum levels in patients with severe sepsis and examined whether serial serum levels of LBP could be used as a marker of outcome. METHODOLOGY/PRINCIPAL

findingsLBP serum levels at study entry, at 48 hours and at day-7 were measured in 180 patients with severe sepsis. Data regarding the nature of infections, disease severity, development of acute lung injury (ALI) and acute respiratory distress syndrome (ARDS), and intensive care unit (ICU) outcome were recorded. LBP serum levels were similar in survivors and non-survivors at study entry (117.4+/-75.7 microg/mL vs. 129.8+/-71.3 microg/mL, P = 0.249) but there were significant differences at 48 hours (77.2+/-57.0 vs. 121.2+/-73.4 microg/mL, P<0.0001) and at day-7 (64.7+/-45.8 vs. 89.7+/-61.1 microg/ml, p = 0.017). At 48 hours, LBP levels were significantly higher in ARDS patients than in ALI patients (112.5+/-71.8 microg/ml vs. 76.6+/-55.9 microg/ml, P = 0.0001). An increase of LBP levels at 48 hours was associated with higher mortality (odds ratio 3.97; 95%CI: 1.84-8.56; P<0.001). CONCLUSIONS/SIGNIFICANCE: Serial LBP serum measurements may offer a clinically useful biomarker for identification of patients with severe sepsis having the worst outcomes and the highest probability of developing sepsis-induced ARDS.

Indexed as

Severity of Illness IndexAcute Lung InjuryAcute-Phase ProteinsAPACHECarrier ProteinsHumansLipopolysaccharide-Binding ProteinMembrane GlycoproteinsSepsisAcute-Phase ProteinsCarrier ProteinsLipopolysaccharide-Binding ProteinMembrane Glycoproteins

Identifiers

PMID19718443
PMCPMC2730016
OpenAlexW2140019582

What OpenQuestion holds

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LicenceCC BY
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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.