Evidence map›Paper›PMID 20119647›Full record

Trial reportIntensive care medicine2010

Persisting high levels of plasma pentraxin 3 over the first days after severe sepsis and septic shock onset are associated with mortality.

Tommaso Mauri, Giacomo Bellani, Nicolo' Patroniti, Andrea Coppadoro, Giuseppe Peri, Ivan Cuccovillo, Massimo Cugno, Gaetano Iapichino, Luciano Gattinoni, Antonio Pesenti and 1 more

Open access · greenAbstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Intensive care medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 83 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
83citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

83 citing papers in PubMed, 2 syntheses or guidelines pooled it, 150 citations in OpenAlex.

  1. Pooled it
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  14. Expression of pentraxin 3 in equine lungs and neutrophils.Canadian journal of veterinary research = Revue canadienne de recherche veterinaire · 2023
    Article
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23 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Tommaso MauriDipartimento di Medicina Perioperatoria e Terapie Intensive, Azienda Ospedaliera San Gerardo di Monza, Via Pergolesi 33, 20052, Monza, Italy.
Giacomo Bellani
Nicolo' Patroniti
Andrea Coppadoro
Giuseppe Peri
Ivan Cuccovillo
Massimo Cugno
Gaetano Iapichino
Luciano Gattinoni
Antonio Pesenti
Alberto Mantovani
Azienda Ospedaliera San Gerardo · ITUniversity of Milan · ITFondazione Humanitas per la Ricerca · ITOspedale Maggiore · ITUniversity of Milano-Bicocca · IT

Funding

Telethon GGP05095
6 · The paper itself

Abstract

purposePentraxin 3 (PTX3) is an inflammatory mediator produced by neutrophils, macrophages, myeloid dendritic and endothelial cells. During sepsis a massive inflammatory activation and coagulation/fibrinolysis dysfunction occur. PTX3, as a mediator of inflammation, may represent an early marker of severity and outcome in sepsis.

methodsThis study is based on a prospective trial regarding the impact of glycemic control on coagulation in sepsis. Ninety patients admitted to three general intensive care units were enrolled when severe sepsis or septic shock was diagnosed. At enrollment, we recorded sepsis signs, disease severity, coagulation activation [prothrombin fragments 1 + 2 (F(1+2))] and fibrinolysis inhibition [plasminogen activator inhibitor-1 (PAI-1)]. We measured plasma PTX3 levels at enrollment, everyday until day 7, then at days 9, 11, 13, 18, 23 and 28. Mortality was recorded at day 90.

resultsAlthough not different on day 1, PTX3 remained significantly higher in non-survivors than in survivors over the first 5 days (p = 0.002 by general linear model). On day 1, PTX3 levels were higher in septic shock than in severely septic patients (p = 0.029). Day 1 PTX3 was significantly correlated with platelet count (p < 0.001), SAPS II score (p = 0.006) and SOFA score (p < 0.001). Day 1 PTX3 was correlated with F(1+2) concentration and with PAI-1 activity and concentration (p < 0.05 for all).

conclusionsPersisting high levels of circulating PTX3 over the first days from sepsis onset may be associated with mortality. PTX3 correlates with severity of sepsis and with sepsis-associated coagulation/fibrinolysis dysfunction.

Indexed as

Analysis of VarianceAPACHEBiomarkersBlood Coagulation DisordersBlood GlucoseC-Reactive ProteinFemaleHumansIntensive Care UnitsInterleukin-6Linear ModelsMaleMiddle AgedPentraxinsProspective StudiesROC CurveBiomarkersBlood GlucoseC-Reactive ProteinInterleukin-6PentraxinsSerum Amyloid P-ComponentTumor Necrosis Factor-alpha

Identifiers

PMID20119647
OpenAlexW2094676094

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.