Evidence map›Paper›PMID 26586579›Full record

ArticleDiagnostic microbiology and infectious disease2016

Diagnostic accuracy and clinical relevance of an inflammatory biomarker panel for sepsis in adult critically ill patients.

Philippe R Bauer, Rahul Kashyap, Stacy C League, John G Park, Darci R Block, Nikola A Baumann, Alicia Algeciras-Schimnich, Sarah M Jenkins, Carin Y Smith, Ognjen Gajic and 1 more

Abstract readEvaluation Study
In one paragraph

Article in Diagnostic microbiology and infectious disease, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
2.2field-weighted citation impact, top 13% 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

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 35 citations in OpenAlex.

  1. Non-Infectious Causes for Elevated Procalcitonin.Medicina (Kaunas, Lithuania) · 2026
    Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Article
  6. 21st century critical care medicine: An overview.World journal of critical care medicine · 2024
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Neutrophil CD64 a Diagnostic and Prognostic Marker of Sepsis in Adult Critically Ill Patients: A Brief Review.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2020
    Review
  13. Review
  14. Review
  15. Article
  16. Article
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  18. Review
  19. Correlation of Neutrophil CD64 with Clinical Profile and Outcome of Sepsis Patients during Intensive Care Unit Stay.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2018
    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

11 authors at 2 institutions in 1 country.

Philippe R BauerPulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. Electronic address: bauer.philippe@mayo.edu.
Rahul KashyapPulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. Electronic address: Kashyap.Rahul@mayo.edu.
Stacy C LeagueCellular and Molecular Immunology Laboratory, Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN. Electronic address: League.Stacy@mayo.edu.
John G ParkPulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. Electronic address: Park.John@mayo.edu.
Darci R BlockCellular and Molecular Immunology Laboratory, Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN. Electronic address: Block.Darci@mayo.edu.
Nikola A BaumannCellular and Molecular Immunology Laboratory, Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN. Electronic address: Baumann.Nikola@mayo.edu.
Alicia Algeciras-SchimnichCellular and Molecular Immunology Laboratory, Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN. Electronic address: AlgecirasSchimnich.Alicia@mayo.edu.
Sarah M JenkinsBiomedical Statistics and Informatics, Mayo Clinic, Rochester, MN. Electronic address: Jenkins.Sarah@mayo.edu.
Carin Y SmithBiomedical Statistics and Informatics, Mayo Clinic, Rochester, MN. Electronic address: Smith.Carin@mayo.edu.
Ognjen GajicPulmonary and Critical Care Medicine, Mayo Clinic, Rochester, MN. Electronic address: Gajic.Ognjen@mayo.edu.
Roshini S AbrahamCellular and Molecular Immunology Laboratory, Laboratory Medicine and Pathology, Mayo Clinic, Rochester, MN. Electronic address: Abraham.Roshini@mayo.edu.
Mayo Clinic · USMayo Clinic in Arizona · US

Funding

Mayo Clinic Center for Translational Science ActivitiesUL1TR000135 · NCATS · MAYO CLINIC ROCHESTER · PI KHOSLA, SUNDEEP · 2012 to 2015
$41.2M
NCATS NIH HHS UL1 TR000135
6 · The paper itself

Abstract

The objective of this study was to assess the diagnostic accuracy of C-reactive protein (CRP), procalcitonin (PCT), and cellular immune markers levels in sepsis. This was a prospective observational study in adult intensive care unit (ICU) patients, between 2012 and 2014. The 8-color flow cytometric biomarker panel included CD64, CD163, and HLA-DR. Index test results were compared with sepsis, using receiver operating characteristic curve analyses. Multivariate logistic regression assessed the relationship of sets of markers with the probability of sepsis. Of 219 enrolled patients, 120 had sepsis. C-statistic was the highest for CRP (0.86) followed by neutrophil CD64 expression (0.83), procalcitonin (0.82), and Acute Physiology and Chronic Health Evaluation (APACHE) IV (0.72). After adjustment for APACHE IV, the combination of CRP, PCT, and neutrophil CD64 measure remained a significant predictor of sepsis with an excellent AUC (0.90). In a targeted ICU population at increased risk of sepsis, CRP, PCT, and neutrophil CD64 combined improve the diagnostic accuracy of sepsis.

Indexed as

Critical IllnessAdultAgedAged, 80 and overBiomarkersBlood Chemical AnalysisCalcitoninCalcitonin Gene-Related PeptideC-Reactive ProteinDouble-Blind MethodFemaleFlow CytometryHumansLeukocytesMaleMembrane ProteinsBiomarkersCALCA protein, humanCalcitoninCalcitonin Gene-Related PeptideC-Reactive ProteinMembrane ProteinsProtein PrecursorsCD64C-reactive proteinProcalcitoninSensitivity and specificitySepsisStudy of diagnostic accuracy

Identifiers

PMID26586579
PMCPMC4716883
OpenAlexW1954807442

What OpenQuestion holds

Textmetadata
LicenceTDM
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.