Evidence map›Paper›PMID 22613763›Full record

ArticleRespiratory care2012

Soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) as a diagnostic marker of ventilator-associated pneumonia.

Steven J Palazzo, Terri A Simpson, Jillian M Simmons, Lynn M Schnapp

Open access · greenAbstract read
In one paragraph

Article in Respiratory care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 3 pooled it
1.1field-weighted citation impact, top 23% 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

23 citing papers in PubMed, 3 syntheses or guidelines pooled it, 41 citations in OpenAlex.

  1. Biomarkers in lower respiratory tract samples in the diagnosis of ventilator-associated pneumonia: a systematic review.European respiratory review : an official journal of the European Respiratory Society · 2025
    Pooled it
  2. Guideline
  3. Pooled it
  4. Article
  5. Article
  6. Review
  7. Article
  8. The CDR3 region as the major driver of TREM-1 interaction with its ligands, anComputational and structural biotechnology journal · 2023
    Article
  9. Article
  10. Serum sTREM-1 and CXCL-16 Levels in Children withEvidence-based complementary and alternative medicine : eCAM · 2021
    Article
  11. Article
  12. Article
  13. Biomarkers in Pneumonia-Beyond Procalcitonin.International journal of molecular sciences · 2019
    Review
  14. Article
  15. Article
  16. Article
  17. Diagnostic Performance of Soluble Triggering Receptor Expressed on Myeloid Cells-1 in Ventilator-Associated Pneumonia of Patients with Ischemic Stroke.The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale · 2017
    Article
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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

4 authors at 2 institutions in 1 country.

Steven J PalazzoDepartment of Medicine, University of Washington, Seattle, WA, USA.
Terri A Simpson
Jillian M Simmons
Lynn M Schnapp
Neurobehavioral Systems · USHarborview Medical Center · US

Funding

Proteomic-based Approach to Ventilator Associated PneumoniaK24HL086796 · NHLBI · UNIVERSITY OF WASHINGTON · PI SCHNAPP, LYNN M · 2007 to 2011
$774k
Proteomics-based approach to ARDSR01HL073028 · NHLBI · UNIVERSITY OF WASHINGTON · PI SCHNAPP, LYNN M · 2003 to 2004
$262k
An Early Diagnostic Marker for Ventilator-Associated PneumoniaF31NR011390 · NINR · UNIVERSITY OF WASHINGTON · PI PALAZZO, STEVEN · 2009 to 2010
$69k
NHLBI NIH HHS K24 HL068796NHLBI NIH HHS K24 HL086796NHLBI NIH HHS R01 HL073028NINR NIH HHS F31 NR011390NINR NIH HHS F31 NR011390-01
6 · The paper itself

Abstract

objectiveTo determine the utility of soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) levels in bronchoalveolar lavage fluid (BALF) and exhaled breath condensate (EBC) samples from patients who underwent bronchoscopy for a clinical suspicion of ventilator-associated pneumonia (VAP), to categorize patients as VAP positive and VAP negative, when compared to quantitative culture results of BALF.

methodsObservational study conducted on admitted patients in the trauma-surgical, medical-cardiac, burn, and neurosurgical ICUs of Harborview Medical Center between March 2009 and May 2010. BALF and EBC samples were obtained from 45 patients with clinically suspected VAP. Bronchoscopy was performed on the day of clinically suspected VAP. sTREM-1 levels in EBC and BAL fluid were measured using quantikine human TREM-1 immunoassay. VAP was diagnosed by quantitative cultures of BALF.

resultsThe concentrations of sTREM-1 in BALF and EBC did not correlate with VAP status. sTREM-1 levels did not discriminate VAP positive from VAP negative patients, when compared to quantitative cultures of BALF as the gold standard. Using a cutoff value of 204 pg/mL for BALF sTREM-1 levels resulted in a sensitivity of 79% and a specificity of 23%. A cutoff value of 10 pg/mL for EBC sTREM-1 levels resulted in a sensitivity of 42% and a specificity of 50%.

conclusionsEBC and BALF sTREM-1 levels did not effectively categorize patients as VAP positive or VAP negative when using direct bronchoscopic quantitative culture samples as the comparison standard.

Indexed as

AdultAgedBreath TestsBronchoalveolar Lavage FluidBronchoscopyFemaleHumansImmunoassayMaleMembrane GlycoproteinsMiddle AgedPneumonia, Ventilator-AssociatedProspective StudiesReceptors, ImmunologicSensitivity and SpecificityTriggering Receptor Expressed on Myeloid Cells-1Membrane GlycoproteinsReceptors, ImmunologicTREM1 protein, humanTriggering Receptor Expressed on Myeloid Cells-1

Identifiers

PMID22613763
PMCPMC4432465
OpenAlexW2140894371

What OpenQuestion holds

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LicenceTDM
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.