Evidence map›Paper›PMID 25354733›Full record

ArticleInfection2015

Ferritin levels predict severe dengue.

R Soundravally, B Agieshkumar, M Daisy, J Sherin, C C Cleetus

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Infection, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05611710 (Anakinra for Dengue Patients With Hyperinflammation - a Randomized Double-blind Placebo-controlled Trial), which is not on this map. Cited by 40 papers.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed
3.5field-weighted citation impact, top 8% 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.

NCT05611710 phase2active not recruitingnot on this mapstarted 2023, after this paper: background citation

Anakinra for Dengue Patients With Hyperinflammation - a Randomized Double-blind Placebo-controlled Trial

TypeinterventionalSponsorOxford University Clinical Research Unit, VietnamRan2023 to 2027Enrolled160ConditionsDengue, Dengue With Warning Signs, Severe Dengue, AnakinraArmsPlacebo, Anakinra
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 78 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Dengue and severe dengue.Clinical microbiology reviews · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Serum Ferritin Level in Children with Severe Dengue Infection and Its Association with Outcome: A Single-center Prospective Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2025
    Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Dengue hepatitis: Incidence, spectrum and outcome.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2023
    Article
  17. Article
  18. Observational
  19. Article
  20. Article
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

5 authors at 2 institutions in 1 country.

R SoundravallyDepartment of Biochemistry, JIPMER, Pondicherry, 605 006, India, soundy27@yahoo.co.in.
B Agieshkumar
M Daisy
J Sherin
C C Cleetus
Jawaharlal Institute of Post Graduate Medical Education and Research · INSASTRA University · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCurrently, no tests are available to monitor and predict severity and outcome of dengue. To find potential markers that predict dengue severity, the present study validated the serum level of three acute-phase proteins α-1 antitrypsin, ceruloplasmin and ferritin in a pool of severe dengue cases compared to non-severe forms and other febrile illness controls.

methodsA total of 96 patients were divided into two equal groups with group 'A' comprising dengue-infected cases and group 'B' with other febrile illness cases negative for dengue. Out of 48 dengue-infected cases, 13 had severe dengue and the remaining 35 were classified as non-severe dengue. Immunoassays were performed to evaluate the serum levels of acute-phase proteins both on the day of admission and on the day of defervescence. The efficiency of individual proteins in predicting the disease severity was assessed using receiver operating characteristic curve.

resultsThe study did not find any significant difference in the levels of α-1 antitrypsin between the clinical groups. A significant increase in the levels of ceruloplasmin around defervescence in severe cases compared to non-severe and other febrile controls was observed and this is the first report describing the potential association of ceruloplasmin and dengue severity. Interestingly, a steady increase in the level of serum ferritin was recorded throughout the course of illness. Among all the three proteins, the elevated ferritin level could predict the disease severity with highest sensitivity and specificity of 76.9 and 83.3 %, respectively, on the day of admission and the same was found to be 90 and 91.6 % around defervescence.

conclusionOn the basis of this diagnostic efficiency, we propose that ferritin may serve as a potential biomarker for an early prediction of disease severity.

Indexed as

AdolescentAdultBiomarkersCase-Control StudiesCeruloplasminChildChild, PreschoolFemaleFerritinsHumansMaleMiddle AgedROC CurveSensitivity and SpecificitySevere DengueYoung AdultBiomarkersCeruloplasminFerritins

Identifiers

PMID25354733
OpenAlexW2024962779

What OpenQuestion holds

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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.