Evidence map›Paper›PMID 21798705›Full record

ArticleJournal of critical care2012

Sepsis: Something old, something new, and a systems view.

Rami Namas, Ruben Zamora, Rajaie Namas, Gary An, John Doyle, Thomas E Dick, Frank J Jacono, Ioannis P Androulakis, Gary F Nieman, Steve Chang and 4 more

Abstract read
In one paragraph

Article in Journal of critical care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing papers in PubMed
–field-weighted citation impact
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

46 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Sialoglycan recognition is a common connection linking acidosis, zinc, and HMGB1 in sepsis.Proceedings of the National Academy of Sciences of the United States of America · 2021
    Article
  6. Article
  7. Article
  8. Review
  9. Mathematical modeling of septic shock based on clinical data.Theoretical biology & medical modelling · 2019
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Systems Medicine-Complexity Within, Simplicity Without.Journal of healthcare informatics research · 2017
    Article
  17. Article
  18. Review
  19. Sepsis in Buraidah Central Hospital, Qassim, Kingdom of Saudi Arabia.International journal of health sciences · 2016
    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

14 authors.

Rami NamasDepartment of Surgery, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Ruben Zamora
Rajaie Namas
Gary An
John Doyle
Thomas E Dick
Frank J Jacono
Ioannis P Androulakis
Gary F Nieman
Steve Chang
Timothy R Billiar
John A Kellum
Derek C Angus
Yoram Vodovotz

Funding

Regulation of Intestinal Mucosal Injury & Repair After Trauma/Hemorrhagic ShockP50GM053789 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VODOVOTZ, YORAM · 1997 to 2013
$18.0M
Systems Engineering of Pheresis Intervention for SepsisR01HL080926 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI KELLUM, JOHN A · 2005 to 2009
$6.8M
Systems biology approach to MAPK regulation of malaria infection in A. stephensiR01AI080799 · NIAID · UNIVERSITY OF CALIFORNIA AT DAVIS · PI LUCKHART, SHIRLEY, VODOVOTZ, YORAM · 2009 to 2013
$3.4M
Multiscale Model of Neural Control of BreathingR01NS069220 · NINDS · DREXEL UNIVERSITY · PI BEN-TAL, ALONA, DICK, THOMAS E · 2010 to 2014
$2.9M
SKELETAL MUSCLE PROTEIN RESPONSE TO INJURY AND REPLETIONR01GM034695 · NIGMS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI CORBETT, SIOBHAN A · 1985 to 2011
$2.8M
Bioinformatics Analysis of Control Mechanisms of HypermetabolismR01GM082974 · NIGMS · RUTGERS, THE STATE UNIV OF N.J. · PI ANDROULAKIS, IOANNIS P · 2008 to 2011
$1.6M
Metabolic-Inflammatory Systems in Irreversible ShockR01HL076157 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI PUYANA, JUAN CARLOS · 2004 to 2007
$1.4M
Mathematical Modeling of Inflammation in ARDSR33HL089082 · NHLBI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI VODOVOTZ, YORAM · 2008 to 2010
$1.3M
Modeling the acute inflammatory responseR01GM067240 · NIGMS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI CLERMONT, GILLES · 2002 to 2005
$1.3M
Modeling of pathogenic breathing pattern dysregulation in cardiopulmonary diseaseR33HL087379 · NHLBI · DREXEL UNIVERSITY · PI RYBAK, ILYA A · 2008 to 2010
$561k
NHLBI NIH HHS R01 HL076157NHLBI NIH HHS R01 HL080926NHLBI NIH HHS R01HL080926NHLBI NIH HHS R01HL76157NHLBI NIH HHS R33 HL087379NHLBI NIH HHS R33 HL089082NHLBI NIH HHS R33HL089082NIAID NIH HHS R01 AI080799NIAID NIH HHS R01AI080799NIGMS NIH HHS 3R01GM034695-25S1NIGMS NIH HHS P50 GM053789NIGMS NIH HHS P50GM53789NIGMS NIH HHS R01 GM034695NIGMS NIH HHS R01 GM067240NIGMS NIH HHS R01 GM082974NIGMS NIH HHS R01GM082974NIGMS NIH HHS R01GM67240NINDS NIH HHS R01 NS069220
6 · The paper itself

Abstract

Sepsis is a clinical syndrome characterized by a multisystem response to a microbial pathogenic insult consisting of a mosaic of interconnected biochemical, cellular, and organ-organ interaction networks. A central thread that connects these responses is inflammation that, while attempting to defend the body and prevent further harm, causes further damage through the feed-forward, proinflammatory effects of damage-associated molecular pattern molecules. In this review, we address the epidemiology and current definitions of sepsis and focus specifically on the biologic cascades that comprise the inflammatory response to sepsis. We suggest that attempts to improve clinical outcomes by targeting specific components of this network have been unsuccessful due to the lack of an integrative, predictive, and individualized systems-based approach to define the time-varying, multidimensional state of the patient. We highlight the translational impact of computational modeling and other complex systems approaches as applied to sepsis, including in silico clinical trials, patient-specific models, and complexity-based assessments of physiology.

Indexed as

HumansInflammationModels, BiologicalNonlinear DynamicsSepsisSystems Biology

Identifiers

PMID21798705
PMCPMC3206132

What OpenQuestion holds

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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.