Evidence map›Paper›PMID 26100127›Full record

ArticleIntensive care medicine2015

Plasma suPAR as a prognostic biological marker for ICU mortality in ARDS patients.

Diederik G P J Geboers, Friso M de Beer, Anita M Tuip-de Boer, Tom van der Poll, Janneke Horn, Olaf L Cremer, Marc J M Bonten, David S Y Ong, Marcus J Schultz, Lieuwe D J Bos

Open access · bronzeAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Intensive care medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.7field-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

31 citing papers in PubMed, 44 citations in OpenAlex.

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  12. Can soluble urokinase plasminogen receptor predict outcomes after cardiac surgery?Interactive cardiovascular and thoracic surgery · 2021
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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 at 2 institutions in 1 country.

Diederik G P J GeboersDepartment of Intensive Care, Academic Medical Center, Meibergdreef 9, G3-228, 1105 AZ, Amsterdam, The Netherlands, diederikgeboers@gmail.com.
Friso M de Beer
Anita M Tuip-de Boer
Tom van der Poll
Janneke Horn
Olaf L Cremer
Marc J M Bonten
David S Y Ong
Marcus J Schultz
Lieuwe D J Bos
Amsterdam UMC Location University of Amsterdam · NLUniversity Medical Center Utrecht · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeWe investigated the prognostic value of plasma soluble urokinase plasminogen activator receptor (suPAR) on day 1 in patients with the acute respiratory distress syndrome (ARDS) for intensive care unit (ICU) mortality and compared it with established disease severity scores on day 1.

methodssuPAR was determined batchwise in plasma obtained within 24 h after admission.

results632 ARDS patients were included. Significantly (P = 0.02) higher median levels of suPAR were found with increasing severity of ARDS: 5.9 ng/ml [IQR 3.1-12.8] in mild ARDS (n = 82), 8.4 ng/ml [IQR 4.1-15.0] in moderate ARDS (n = 333), and 9.0 ng/ml [IQR 4.5-16.0] in severe ARDS (n = 217). Non-survivors had higher median levels of suPAR [12.5 ng/ml (IQR 5.1-19.5) vs. 7.4 ng/ml (3.9-13.6), P < 0.001]. The area under the receiver operator characteristic curve (ROC-AUC) for mortality of suPAR (0.62) was lower than the ROC-AUC of the APACHE IV score (0.72, P = 0.007), higher than that of the ARDS definition classification (0.53, P = 0.005), and did not differ from that of the SOFA score (0.68, P = 0.07) and the oxygenation index (OI) (0.58, P = 0.29). Plasma suPAR did not improve the discrimination of the established disease severity scores, but did improve net reclassification of the APACHE score (29%), SOFA score (23%), OI (38%), and Berlin definition classification (39%).

conclusionAs a single biological marker, the prognostic value for death of plasma suPAR in ARDS patients is low. Plasma suPAR, however, improves the net reclassification, suggesting a potential role for suPAR in ICU mortality prediction models.

Indexed as

Hospital MortalityAgedBiomarkersFemaleHumansIntensive Care UnitsMaleMiddle AgedPrognosisProspective StudiesReceptors, Urokinase Plasminogen ActivatorRespiratory Distress SyndromeROC CurveSeverity of Illness IndexBiomarkersReceptors, Urokinase Plasminogen Activator

Identifiers

PMID26100127
OpenAlexW850931475

What OpenQuestion holds

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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.