Evidence map›Paper›PMID 25024871›Full record

ArticleInfection & chemotherapy2014

Delta neutrophil index as a prognostic marker of early mortality in gram negative bacteremia.

Hye Won Kim, Ji Hyun Yoon, Sung Joon Jin, Sun Bean Kim, Nam Su Ku, Su Jin Jeong, Sang Hoon Han, Jun Yong Choi, June Myung Kim, Young Goo Song

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In one paragraph

Article in Infection & chemotherapy, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 3 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.

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

12 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Delta neutrophil index (DNI) as a novel diagnostic and prognostic marker of infection: a systematic review and meta-analysis.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2017
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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

10 authors.

Hye Won KimDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Ji Hyun YoonDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Sung Joon JinDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Sun Bean KimDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Nam Su KuDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Su Jin JeongDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Sang Hoon HanDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Jun Yong ChoiDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
June Myung KimDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.
Young Goo SongDepartment of Internal Medicine and AIDS Research Institutes, Yonsei University College of Medicine, Seoul, Korea.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is a syndrome that results in high morbidity and mortality. We investigated the delta neutrophil index (DN) as a predictive marker of early mortality in patients with gram-negative bacteremia. MATERIALS AND

methodsWe conducted a retrospective study at a tertiary referral hospital in South Korea from November 2010 to March 2011. The DN was measured at onset of bacteremia and 24 hours and 72 hours later. The DN was calculated using an automatic hematology analyzer. Factors associated with 10-day mortality were assessed using logistic regression.

resultsA total of 172 patients with gram-negative bacteremia were included in the analysis; of these, 17 patients died within 10 days of bacteremia onset. In multivariate analysis, Sequental organ failure assessment scores (odds ratio [OR]: 2.24, 95% confidence interval [CI]: 1.31 to 3.84; P = 0.003), DN-day 1 ≥ 7.6% (OR: 305.18, 95% CI: 1.73 to 53983.52; P = 0.030) and DN-day 3 ≥ DN-day 1 (OR: 77.77, 95% CI: 1.90 to 3188.05; P = 0.022) were independent factors associated with early mortality in gram-negative bacteremia. Of four multivariate models developed and tested using various factors, the model using both DN-day 1 ≥ 7.6% and DN-day 3 ≥ DN-day 1 was most predictive early mortality.

conclusionsDN may be a useful marker of early mortality in patients with gram-negative bacteremia. We found both DN-day 1 and DN trend to be significantly associated with early mortality.

Indexed as

BacteremiaBiological markersGram-negative bacterial infectionsMortalityPrognosis

Identifiers

PMID25024871
PMCPMC4091368

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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.