Evidence map›Paper›PMID 26804487›Full record

ArticleScientific reports2016

Effects of acute critical illnesses on the performance of interferon-gamma release assay.

Chun-Ta Huang, Sheng-Yuan Ruan, Yi-Ju Tsai, Ping-Hung Kuo, Shih-Chi Ku, Pei-Lin Lee, Lu-Cheng Kuo, Chia-Lin Hsu, Chun-Kai Huang, Ching-Yao Yang and 3 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

16 citing papers in PubMed, 25 citations in OpenAlex.

  1. Diagnostic Accuracy of the STANDARD F TB-Feron FIA Assay for Tuberculosis Infection in Vietnam: A Cross-Sectional Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2026
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  4. Post-COVID-19 tuberculosis in southeastern Spain: incidence, risk factors and the role of latent tuberculosis infection screening.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
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  7. ISCCM Position Statement on the Approach to and Management of Critically Ill Patients with Tuberculosis.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2024
    Article
  8. Article
  9. The Pitfalls of Mining for QuantiFERON Gold in Severely Ill Patients With COVID-19.Mayo Clinic proceedings. Innovations, quality & outcomes · 2022
    Article
  10. Review
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  15. Article
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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

13 authors at 3 institutions in 1 country.

Chun-Ta HuangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Sheng-Yuan RuanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Yi-Ju TsaiSchool of Medicine, College of Medicine, Fu-Jen Catholic University, New Taipei 242, Taiwan.
Ping-Hung KuoDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Shih-Chi KuDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Pei-Lin LeeDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Lu-Cheng KuoDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Chia-Lin HsuDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Chun-Kai HuangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Ching-Yao YangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Ying-Chun ChienDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Jann-Yuan WangDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
Chong-Jen YuDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 100, Taiwan.
National Taiwan University Hospital · TWFu Jen Catholic University · TWNational Taiwan University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Performance of interferon-gamma release assays (IGRAs) is influenced by preanalytical, laboratory and host factors. The data regarding how critical illnesses influence IGRA results are limited. This study aimed to investigate IGRA performance among critically ill patients. Patients admitted to intensive care unit (ICU) were prospectively enrolled, and underwent QuantiFERON-TB Gold In-Tube testing on admission and discharge. The associations between patient factors and IGRA results were explored. In total, 118 patients were included. IGRA results on admission were positive, negative and indeterminate for 10 (9%), 36 (31%) and 72 (61%) patients. All indeterminate results were due to a low mitogen response. Indeterminate results were associated with higher disease severity and lower serum albumin levels. Ninety (76%) patients survived to ICU discharge and had repeat IGRA testing 13.3 ± 10.1 days after first ones. Of those, 43 (48%) had indeterminate results, and no IGRA conversion or reversion was observed. The majority (35/51, 69%) of ICU survivors with initial indeterminate results still had indeterminates on follow-up testing. Acute critical illnesses exert a significant impact on IGRA performance and a high proportion of indeterminate results was seen in ICU patients. This study highlights limitation of IGRAs in the critically ill and judicious selection of patients to be tested should be considered.

Indexed as

Interferon-gamma Release TestsAgedCritical IllnessFemaleHumansIntensive Care UnitsInterferon-gammaLatent TuberculosisMaleMiddle AgedMycobacterium tuberculosisInterferon-gamma

Identifiers

PMID26804487
PMCPMC4726381
OpenAlexW2253553072

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.