Evidence map›Paper›PMID 24807083›Full record

ArticleIntensive care medicine2014

A multicenter study of septic shock due to candidemia: outcomes and predictors of mortality.

Matteo Bassetti, Elda Righi, Filippo Ansaldi, Maria Merelli, Cecilia Trucchi, Trucchi Cecilia, Gennaro De Pascale, Ana Diaz-Martin, Roberto Luzzati, Chiara Rosin and 10 more

Erratum issued Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT03617965 (Mortality Due to Septic Shock Associated With Thrombocytopenia in the Intensive Care Unit), which is not on this map. Cited by 153 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 3 pooled it
15.5field-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.

NCT03617965 unknown statusnot on this mapstarted 2018, after this paper: background citation

Mortality Due to Septic Shock Associated With Thrombocytopenia in the Intensive Care Unit

TypeobservationalSponsorUniversidad de GuanajuatoRan2018 to 2019Enrolled350ConditionsThrombocytopenia, Septic Shock, Sepsis BacterialArmsPlatelet count
3 · Its place in the literature

Who cites it

153 citing papers in PubMed, 3 syntheses or guidelines pooled it, 268 citations in OpenAlex.

  1. [S3 guideline on sepsis-prevention, diagnosis, therapy, and follow-up care-update 2025].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Observational
  6. Review
  7. Clinical Characteristics and Mortality Risk Factors ofAnnals of laboratory medicine · 2026
    Article
  8. Article
  9. Article
  10. Article
  11. Identification of efflux inhibitors through a drug repurposing strategy inFrontiers in cellular and infection microbiology · 2026
    Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Performance of Short-Term Culture and Direct MALDI-TOF MS for Identification of Candida Species From Blood Cultures.APMIS : acta pathologica, microbiologica, et immunologica Scandinavica · 2025
    Article
  17. Deep Learning for the Early Diagnosis of Candidemia.Infectious diseases and therapy · 2025
    Article
  18. Article
  19. Article
  20. Early-Onset Candidemia in Adult Intensive Care Units.Diagnostics (Basel, Switzerland) · 2025
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors at 8 institutions in 2 countries.

Matteo BassettiInfectious Diseases Division, Santa Maria Misericordia University Hospital, Udine, Italy, mattba@tin.it.
Elda Righi
Filippo Ansaldi
Maria Merelli
Cecilia Trucchi
Trucchi Cecilia
Gennaro De Pascale
Ana Diaz-Martin
Roberto Luzzati
Chiara Rosin
Leonel Lagunes
Enrico Maria Trecarichi
Maurizio Sanguinetti
Brunella Posteraro
Jose Garnacho-Montero
Assunta Sartor
Jordi Rello
Giorgio Della Rocca
Massimo Antonelli
Mario Tumbarello
Università Cattolica del Sacro Cuore · ITOspedale Santa Maria della Misericordia di Udine · ITHospital Universitario Virgen del Rocío · ESUniversity of Trieste · ITCentro de Investigación Biomédica en Red · ESOspedale Policlinico San Martino · ITUniversitat Autònoma de Barcelona · ESUniversity of Genoa · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCandida is the most common cause of severe yeast infections worldwide, especially in critically ill patients. In this setting, septic shock attributable to Candida is characterized by high mortality rates. The aim of this multicenter study was to investigate the determinants of outcome in critically ill patients with septic shock due to candidemia.

methodsThis was a retrospective study in which patients with septic shock attributable to Candida who were treated during the 3-year study period at one or more of the five participating teaching hospitals in Italy and Spain were eligible for enrolment. Patient characteristics, infection-related variables, and therapy-related features were reviewed. Multiple logistic regression analysis was performed to identify the risk factors significantly associated with 30-day mortality.

resultsA total of 216 patients (mean age 63.4 ± 18.5 years; 58.3 % males) were included in the study. Of these, 163 (75 %) were admitted to the intensive care unit. Overall 30-day mortality was 54 %. Significantly higher Acute Physiology and Chronic Health Evaluation (APACHE) II scores, dysfunctional organs, and inadequate antifungal therapy were compared in nonsurvivors and survivors. No differences in survivors versus nonsurvivors were found in terms of the time from positive blood culture to initiation of adequate antifungal therapy. Multivariate logistic regression identified inadequate source control, inadequate antifungal therapy, and 1-point increments in the APACHE II score as independent variables associated with a higher 30-day mortality rate.

Indexed as

AgedCandidemiaCohort StudiesFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesShock, SepticSurvival RateTreatment Outcome

Identifiers

PMID24807083
OpenAlexW2016219181

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.