Evidence map›Paper›PMID 26662169›Full record

SynthesisRespirology (Carlton, Vic.)2016

Prognostic value of procalcitonin in pneumonia: A systematic review and meta-analysis.

Dan Liu, Long-Xiang Su, Wei Guan, Kun Xiao, Li-Xin Xie

Registry-linked trialOpen access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Respirology (Carlton, Vic.), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03711227 (Procalcitonin at Zero and 24 Hours as a Prognostic Factor in Patients With Pneumonia), which is not on this map. Cited by 40 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 7 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT03711227 completednot on this mapstarted 2018, after this paper: background citation

Procalcitonin at Zero and 24 Hours as a Prognostic Factor in Patients With Pneumonia

TypeobservationalSponsorCorewell Health SouthRan2018 to 2019Enrolled185ConditionsPneumoniaArmsProcalcitonin lab test
3 · Its place in the literature

Who cites it

40 citing papers in PubMed, 7 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Procalcitonin as a Biomarker in Rhinosinusitis: A Systematic Review.American journal of rhinology & allergy · 2019
    Pooled it
  7. Pooled it
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Microbial signatures predictive of short-term prognosis in severe pneumonia.Frontiers in cellular and infection microbiology · 2024
    Article
  15. CD4Immunity, inflammation and disease · 2023
    Article
  16. Article
  17. Article
  18. Observational
  19. Article
  20. Clinical significance of procalcitonin in critically ill patients with pneumonia receiving bronchoalveolar lavage.Sarcoidosis, vasculitis, and diffuse lung diseases : official journal of WASOG · 2022
    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 3 institutions in 1 country.

Dan LiuDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Long-Xiang SuDepartment of Critical Care Medicine, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
Wei GuanDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Kun XiaoDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Li-Xin XieDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, China.
Chinese PLA General Hospital · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNNankai University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This meta-analysis was performed to determine the accuracy of procalcitonin (PCT) in predicting mortality in pneumonia patients with different pathogenic features and disease severities. A systematic search of English-language articles was performed using PubMed, Embase, Web of Knowledge and the Cochrane Library to identify studies. The diagnostic value of PCT in predicting prognosis was determined using a bivariate meta-analysis model. The Q-test and I(2) index were used to test heterogeneity. A total of 21 studies comprising 6007 patients were included. An elevated PCT level was a risk factor for death from community-acquired pneumonia (CAP) (risk ratio (RR) 4.38, 95% confidence interval (CI) 2.98-6.43), particularly in patients with a low CURB-65 score. The commonly used cut-off, 0.5 ng/mL, had low sensitivity (SEN) and was not able to identify patients at high risk of dying. Furthermore, the PCT assay with functional SEN <0.1 ng/mL was necessary to predict mortality in CAP in the clinic. For critically ill patients, an elevated PCT level was associated with an increased risk of mortality (RR 4.18, 95% CI: 3.19-5.48). The prognostic performance was nearly equal between patients with ventilator-associated pneumonia (VAP) and patients with CAP.

Indexed as

Community-Acquired InfectionsPneumoniaPneumonia, Ventilator-AssociatedBiomarkersCalcitoninCalcitonin Gene-Related PeptideCritical IllnessGlycoproteinsHumansPredictive Value of TestsPrognosisProtein PrecursorsRisk AssessmentBiomarkersCALCA protein, humanCalcitoninCalcitonin Gene-Related PeptideGlycoproteinsProtein Precursorsmeta-analysismortalitypneumoniaprocalcitoninprognosis

Identifiers

PMID26662169
PMCPMC4738441
OpenAlexW2209096811

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.