Evidence map›Paper›PMID 24882949›Full record

ArticleMediators of inflammation2014

Clinical value of plasma soluble urokinase-type plasminogen activator receptor levels in term neonates with infection or sepsis: a prospective study.

Tania Siahanidou, Alexandra Margeli, Chrysanthi Tsirogianni, Stavroula Charoni, Maria Giannaki, Eustathios Vavourakis, Athina Charisiadou, Ioannis Papassotiriou

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Review
  5. Neonatal Sepsis.Sisli Etfal Hastanesi tip bulteni · 2020
    Review
  6. Article
  7. Review
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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

8 authors at 1 institution in 1 country.

Tania SiahanidouNeonatal Unit, First Department of Pediatrics, Athens University Medical School, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.
Alexandra MargeliDepartment of Clinical Biochemistry, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.
Chrysanthi TsirogianniNeonatal Unit, First Department of Pediatrics, Athens University Medical School, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.ORCID 0000-0002-8831-2273
Stavroula CharoniNeonatal Unit, First Department of Pediatrics, Athens University Medical School, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.
Maria GiannakiDepartment of Microbiology, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.
Eustathios VavourakisHematology Laboratory, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.
Athina CharisiadouDepartment of Microbiology, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.
Ioannis PapassotiriouDepartment of Clinical Biochemistry, "Aghia Sophia" Children's Hospital, 115 27 Athens, Greece.
Children's Hospital Agia Sophia · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundsuPAR, the soluble form of the urokinase-type plasminogen activator receptor, has been identified as a biomarker of infection in adults but its properties in neonatal infection are not known.

methodsPlasma suPAR levels were determined by ELISA in 47 term neonates with infection (19 bacterial and 28 viral) and in 18 healthy neonates as controls. Thirteen out of 47 infected neonates were septic. In all infected neonates, suPAR levels were repeated at 24 hours, 48 hours, 3-5 days, and 7-10 days following admission.

resultsPlasma suPAR levels were significantly increased in infected neonates upon admission, whereas they were highest in septic neonates, in comparison with controls (P < 0.001) and correlated positively with serum CRP levels (P = 0.001). At infection subsidence, suPAR concentrations decreased significantly in comparison with baseline (P < 0.001) but remained higher than in controls (P = 0.01). Receiver operating characteristic analysis resulted in significant areas under the curve for detecting either infected or septic neonates, but not for discriminating between bacterial and viral cause of infection.

conclusionssuPAR is a diagnostic biomarker of infection or sepsis in term neonates; however, it cannot discriminate bacterial from viral infections and also its utility for monitoring the response to treatment is questioned.

Indexed as

Bacterial InfectionsBiomarkersEnzyme-Linked Immunosorbent AssayFemaleHumansInfant, NewbornMalePrognosisProspective StudiesReceptors, Urokinase Plasminogen ActivatorROC CurveSepsisTime FactorsVirus DiseasesBiomarkersPLAUR protein, humanReceptors, Urokinase Plasminogen Activator

Identifiers

PMID24882949
PMCPMC4026989
OpenAlexW2136383241

What OpenQuestion holds

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LicenceCC BY
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.