Evidence map›Paper›PMID 25992320›Full record

ReviewWorld journal of experimental medicine2015

Are there new approaches for diagnosis, therapy guidance and outcome prediction of sepsis?

Dubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Peter P Nawroth, Markus A Weigand, Stefan Hofer, Thorsten Brenner

Abstract readReview
In one paragraph

Review in World journal of experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Observational
  5. Article
  6. Heart-Rate Variability-More than Heart Beats?Frontiers in public health · 2017
    Review
  7. Could Biomarkers Direct Therapy for the Septic Patient?The Journal of pharmacology and experimental therapeutics · 2016
    Review
  8. Article
  9. Article
  10. Article
  11. Mortality Prediction Model of Septic Shock Patients Based on Routinely Recorded Data.Computational and mathematical methods in medicine · 2015
    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

8 authors.

Dubravka KojicDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Benedikt H SieglerDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Florian UhleDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Christoph LichtensternDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Peter P NawrothDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Markus A WeigandDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Stefan HoferDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Thorsten BrennerDubravka Kojic, Benedikt H Siegler, Florian Uhle, Christoph Lichtenstern, Markus A Weigand, Stefan Hofer, Thorsten Brenner, Department of Anesthesiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Beside many efforts to improve outcome, sepsis is still one of the most frequent causes of death in critically ill patients. It is the most common condition with high mortality in intensive care units. The complexity of the septic syndrome comprises immunological aspects - i.e., sepsis induced immunosuppression - but is not restricted to this fact in modern concepts. So far, exact mechanisms and variables determining outcome and mortality stay unclear. Since there is no typical risk profile, early diagnosis and risk stratification remain difficult, which hinders rapid and effective treatment initiation. Due to the heterogeneous nature of sepsis, potential therapy options should be adapted to the individual. Biomarkers like C-reactive protein and procalcitonin are routinely used as complementary tools in clinical decision-making. Beyond the acute phase proteins, a wide bunch of promising substances and non-laboratory tools with potential diagnostic and prognostic value is under intensive investigation. So far, clinical decision just based on biomarker assessment is not yet feasible. However, biomarkers should be considered as a complementary approach.

Indexed as

BiomarkersClinical decision-makingEarly predictionSepsis and mortality

Identifiers

PMID25992320
PMCPMC4436940

What OpenQuestion holds

Textmetadata
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.