Evidence map›Paper›PMID 25667565›Full record

ArticleDisease markers2015

Study on the usefulness of APR scores from the viewpoint of proinflammatory cytokines.

T Nakamura, D Hatanaka, T Yoshioka, S Yamada, H Goto

Open access · hybridAbstract readEvaluation Study
In one paragraph

Article in Disease markers, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact, top 92% 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

5 citing papers in PubMed, 13 citations in OpenAlex.

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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

5 authors at 4 institutions in 1 country.

T NakamuraDivision of Neonatology, Center for Maternal Fetal and Neonatal Medicine, National Hospital Organization Nishisaitama Chuo National Hospital, Tokorozawa-shi, Saitama-ken 359-1151, Japan ; Division of Neonatology, Musashino Red Cross Hospital, Musashino-shi 180-8610, Japan.ORCID 0000-0003-2302-6492
D HatanakaDivision of Neonatology, Musashino Red Cross Hospital, Musashino-shi 180-8610, Japan.
T YoshiokaDivision of Neonatology, Center for Maternal Fetal and Neonatal Medicine, National Hospital Organization Nishisaitama Chuo National Hospital, Tokorozawa-shi, Saitama-ken 359-1151, Japan.
S YamadaShino-Test Corporation, 2-29-14 Oonodai Minami-ku, Sagamihara-shi 252-0331, Japan.
H GotoDivision of Pediatrics, Nagoya City West Medical Center, Nagoya-shi 462-8508, Japan.ORCID 0000-0001-9100-0230
National Hospital Organization · JPMusashino Red Cross Hospital · JPNagoya Medical Center · JPShino-Test Corporation

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDelayed diagnosis and treatment of newborn infection adversely impact outcomes. Clinical laboratory parameters have aimed to obtain the most correct and prompt diagnosis and treatment of this disease. This study simultaneously observed changes over time in APR as well as proinflammatory cytokines and anti-proinflammatory cytokines and aims to clarify usefulness of APR scores.

methodsWe evaluated the usefulness of acute phase reactants (APR) in 46 newborns whose serum up to age 7 days had been stored, with comparison of three types (Group I: infection 15, Group F: fetal inflammatory response syndrome 17, and Group C: control 14) of APR-based scores, those of C-reactive protein (CRP), alpha1-acid glycoprotein (AGP), and haptoglobin (Hp), with proinflammatory cytokine levels. APR scores for CRP, AGP, and Hp and the levels of the proinflammatory cytokines IL-1β, IL-6, IL-8, IL-10, and TNFα were determined.

resultsThe cytokine levels started to increase from age 0 days and then decreased rapidly. The three APR scores, CRP, AG, and Hp, were elevated at age 0 days and then gradually decreased in infection (Group I) and fetal inflammatory response syndrome (Group F). The duration of antibiotic administration according to APR scores was significantly shorter in Group F than in Group I.

conclusionThis study demonstrated APR scores to be more useful for deciding whether antibiotics should be discontinued than proinflammatory cytokine levels.

Indexed as

Acute-Phase ProteinsAnti-Bacterial AgentsBacterial InfectionsCytokinesHumansInfant, NewbornAcute-Phase ProteinsAnti-Bacterial AgentsCytokines

Identifiers

PMID25667565
PMCPMC4312570
OpenAlexW2057183971

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Registered trials

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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.