Evidence map›Paper›PMID 24061288›Full record

ReviewLaboratory investigation; a journal of technical methods and pathology2014

Pathophysiologic mechanisms in septic shock.

Elizabeth G King, Gustavo J Bauzá, Juan R Mella, Daniel G Remick

Open access · bronzeAbstract readReview
In one paragraph

Review in Laboratory investigation; a journal of technical methods and pathology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 3 pooled it
10.8field-weighted citation impact, top 1% 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

48 citing papers in PubMed, 3 syntheses or guidelines pooled it, 107 citations in OpenAlex.

  1. Pooled it
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  17. Anti-inflammatory, anti-oxidative stress effect ofFood science and biotechnology · 2019
    Article
  18. Article
  19. Predictors of 30-Day In-Hospital Mortality in Patients Undergoing Urgent Abdominal Surgery Due to Acute Peritonitis Complicated with Sepsis.Medical science monitor : international medical journal of experimental and clinical research · 2019
    Article
  20. Precision Medicine and its Role in the Treatment of Sepsis: A Personalised View.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2019
    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

4 authors at 3 institutions in 1 country.

Elizabeth G King1] Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, MA, USA [2] Department of Surgery, Boston University Medical Center, Boston, MA, USA.
Gustavo J Bauzá1] Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, MA, USA [2] Department of Surgery, Boston University Medical Center, Boston, MA, USA.
Juan R Mella1] Department of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, MA, USA [2] Department of Surgery, Boston University Medical Center, Boston, MA, USA.
Daniel G RemickDepartment of Pathology and Laboratory Medicine, Boston University School of Medicine, Boston, MA, USA.
Boston University · USBoston Medical Center · USUniversity Medical Center · US

Funding

Impact of Biological, Clinical, and Social Determinants on Trauma and Trauma OutcomesT32GM086308 · NIGMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI Alik Farber, Daniel G. Remick · 2010 to 2026
$3.5M
Regulation of Ongoing InflammationR01GM050401 · NIGMS · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI REMICK, DANIEL G. · 1995 to 2009
$2.1M
Role of Cytokines in Sepsis and TraumaR01GM082962 · NIGMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI REMICK, DANIEL G. · 2009 to 2012
$1.3M
Adenosine and Oxygen Modulate Antimicrobial DefensesR01GM097320 · NIGMS · BOSTON UNIVERSITY MEDICAL CAMPUS · PI REMICK, DANIEL G., SITKOVSKY, MICHAIL · 2011 to 2014
$1.2M
NIGMS NIH HHS GM97320NIGMS NIH HHS R01 GM050401NIGMS NIH HHS R01 GM082962NIGMS NIH HHS R01 GM097320NIGMS NIH HHS R01 GM82962NIGMS NIH HHS T32 GM086308NIGMS NIH HHS T32 GM86308
6 · The paper itself

Abstract

The systemic inflammatory response that occurs in the septic patient as a result of an infectious insult affects multiple organs and systems, causing numerous physiological derangements. Alterations in phagocytic, lymphocytic and endothelial cell function and immune regulation are evident, leading to heterogeneity in a host's response to a septic challenge. In addition, the normal hemostatic balance shifts toward a procoagulant state through alterations in tissue factor, antithrombin, protein C and the inhibition of fibinolysis, which can result in thrombus formation and paradoxical hemostatic failure. In an effort to diagnose sepsis and predict outcomes, biomarkers such as C-reactive protein, pro-calcitonin, pro- and anti-inflammatory cytokines have been investigated with varying results. Targeted therapies for sepsis, most notably Xigris (recombinant human activated protein C), have proven unsuccessful and treatment continues to remain reliant on source control, antibiotics and supportive interventions, specifically early goal-directed therapy. This brief review gives an overview of the immunopathologic and coagulopathic alterations that occur in sepsis, soluble inflammatory mediators as potential diagnostic and prognostic biomarkers, and the clinical management of the septic patient.

Indexed as

AnimalsCytokinesHumansInflammation MediatorsNeutrophilsShock, SepticSystemic Inflammatory Response SyndromeCytokinesInflammation Mediators

Identifiers

PMID24061288
PMCPMC5656285
OpenAlexW2059250266

What OpenQuestion holds

Textmetadata
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.