Evidence map›Paper›PMID 23034322›Full record

ArticleClinical microbiology reviews2012

New approaches to sepsis: molecular diagnostics and biomarkers.

Konrad Reinhart, Michael Bauer, Niels C Riedemann, Christiane S Hartog

Registry-linked trialAbstract read
In one paragraph

Article in Clinical microbiology reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02533011 (Heparin Binding Protein), which is not on this map. Cited by 231 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
231citing papers in PubMed, 6 pooled it
–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.

NCT02533011 completednot on this mapstarted 2015, after this paper: background citation

Heparin Binding Protein (HBP) in Sepsis for the Prediction of Disease Progression

TypeobservationalSponsorChristiana Care Health ServicesRan2015 to 2017Enrolled1,055ConditionsSepsis, Infection, Septic ShockArmsHBP lab test
3 · Its place in the literature

Who cites it

231 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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171 more citing papers are in PubMed but not listed here.

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.

Konrad ReinhartDepartment of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Friedrich Schiller University, Jena, Germany. konrad.reinhart@med.uni-jena.de
Michael Bauer
Niels C Riedemann
Christiane S Hartog

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sepsis is among the most common causes of death in hospitals. It arises from the host response to infection. Currently, diagnosis relies on nonspecific physiological criteria and culture-based pathogen detection. This results in diagnostic uncertainty, therapeutic delays, the mis- and overuse of antibiotics, and the failure to identify patients who might benefit from immunomodulatory therapies. There is a need for new sepsis biomarkers that can aid in therapeutic decision making and add information about screening, diagnosis, risk stratification, and monitoring of the response to therapy. The host response involves hundreds of mediators and single molecules, many of which have been proposed as biomarkers. It is, however, unlikely that one single biomarker is able to satisfy all the needs and expectations for sepsis research and management. Among biomarkers that are measurable by assays approved for clinical use, procalcitonin (PCT) has shown some usefulness as an infection marker and for antibiotic stewardship. Other possible new approaches consist of molecular strategies to improve pathogen detection and molecular diagnostics and prognostics based on transcriptomic, proteomic, or metabolic profiling. Novel approaches to sepsis promise to transform sepsis from a physiologic syndrome into a group of distinct biochemical disorders and help in the development of better diagnostic tools and effective adjunctive sepsis therapies.

Indexed as

BiomarkersHumansMolecular Diagnostic TechniquesSepsisBiomarkers

Identifiers

PMID23034322
PMCPMC3485751

What OpenQuestion holds

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Registered trials

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.