Evidence map›Paper›PMID 26825876›Full record

ArticleMedicine2016

Clinical Features, Short-Term Mortality, and Prognostic Risk Factors of Septic Patients Admitted to Internal Medicine Units: Results of an Italian Multicenter Prospective Study.

Antonino Mazzone, Francesco Dentali, Micaela La Regina, Emanuela Foglia, Maurizia Gambacorta, Elisabetta Garagiola, Giorgio Bonardi, Pierangelo Clerici, Ercole Concia, Fabrizio Colombo and 1 more

Abstract readMulticenter Study
In one paragraph

Article in Medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–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

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
  4. Observational
  5. Article
  6. Review
  7. Article
  8. Article
  9. Impact of the implementation of a Sepsis Code Program in medical patient management: a cohort study in an Internal Medicine ward.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Observational
  14. Observational
  15. 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.

Antonino MazzoneFrom the Internal Medicine Ward, Ospedale Civile, Legnano (AM, GB); Department of Clinical Medicine, Insubria University Varese (FD); Internal Medicine Hospital of La Spezia, La Spezia (MLR); Centre for Research on Health Economics, Social and Health Care Management-CREMS, University Carlo Cattaneo-LIUC, Castellanza (EF, EG); Internal Medicine Ward, Hospital Media Valle del Tevere, Todi (MG, PC); Microbiology Unit, Legnano Hospital, Legnano, Italy (PC), Italy; Infectious Diseases, Policlinico G.B. Rossi, University of Verona (EC); Internal Medicine Ward, Ospedale Niguarda Ca' Granda, Milan (FC); and Internal Medicine Ward, Ospedale Maggiore della Carità, Novara, Italy (MC).
Francesco Dentali
Micaela La Regina
Emanuela Foglia
Maurizia Gambacorta
Elisabetta Garagiola
Giorgio Bonardi
Pierangelo Clerici
Ercole Concia
Fabrizio Colombo
Mauro Campanini

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Only a few studies provided data on the clinical history of sepsis within internal Medicine units. The aim of the study was to assess the short-term mortality and to evaluate the prognostic risk factors in a large cohort of septic patients treated in internal medicine units. Thirty-one internal medicine units participated to the study. Within each participating unit, all admitted patients were screened for the presence of sepsis. A total of 533 patients were included; 78 patients (14.6%, 95%CI 11.9, 18.0%) died during hospitalization; mortality rate was 5.5% (95% CI 3.1, 9.6%) in patients with nonsevere sepsis and 20.1% (95%CI 16.2, 28.8%) in patients with severe sepsis or septic shock. Severe sepsis or septic shock (OR 4.41, 95%CI 1.93, 10.05), immune system weakening (OR 2.10, 95%CI 1.12, 3.94), active solid cancer (OR 2.14, 95% CI 1.16, 3.94), and age (OR 1.03 per year, 95% CI 1.01, 1.06) were significantly associated with an increased mortality risk, whereas blood culture positive for Escherichia coli was significantly associated with a reduced mortality risk (OR 0.46, 95%CI 0.24, 0.88). In-hospital mortality of septic patients treated in internal medicine units appeared similar to the mortality rate obtained in recent studies conducted in the ICU setting.

Indexed as

Enterococcus faecalisAgedAged, 80 and overAge FactorsComorbidityEscherichia coli InfectionsFemaleGram-Positive Bacterial InfectionsHospital MortalityHumansImmune System DiseasesInternal MedicineItalyMaleMiddle AgedNeoplasms

Identifiers

PMID26825876
PMCPMC5291546

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.