Evidence map›Paper›PMID 26847922›Full record

Trial reportScientific reports2016

Mortality prediction in patients with severe septic shock: a pilot study using a target metabolomics approach.

Manuela Ferrario, Alice Cambiaghi, Laura Brunelli, Silvia Giordano, Pietro Caironi, Luca Guatteri, Ferdinando Raimondi, Luciano Gattinoni, Roberto Latini, Serge Masson and 2 more

Registry-linked trialAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00707122 (Efficacy of Albumin Administration for Volume Replacement in Patients With Severe Sepsis or Septic Shock - the ALBumin Italian Outcome Sepsis), which is not on this map. Cited by 95 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
95citing papers in PubMed, 2 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.

NCT00707122 phase3completednot on this map

Efficacy of Albumin Administration for Volume Replacement in Patients With Severe Sepsis or Septic Shock - the ALBumin Italian Outcome Sepsis (ALBIOS) Study

TypeinterventionalSponsorFondazione IRCCS Ca' Granda, Ospedale Maggiore PoliclinicoRan2008 to 2013Enrolled1,818ConditionsSevere Sepsis, Septic ShockArmsAlbumin and Crystalloids, Crystalloids
3 · Its place in the literature

Who cites it

95 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Clinical lipidomics in bacterial sepsis: a systematic review of serum and plasma evaluations.Metabolomics : Official journal of the Metabolomic Society · 2026
    Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Metabolic adaptations rewire CD4Nature immunology · 2026
    Article
  7. Review
  8. Platelet lipidome alterations in septic shock: a matched case-control study.Research and practice in thrombosis and haemostasis · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Article
  17. Metabolomic and lipidomic pathways in aneurysmal subarachnoid hemorrhage.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2025
    Review
  18. Article
  19. Review
  20. Article

35 more citing papers are in PubMed but not listed here.

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

12 authors.

Manuela FerrarioPolitecnico di Milano, Milan, Italy.
Alice CambiaghiPolitecnico di Milano, Milan, Italy.
Laura BrunelliIRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Silvia GiordanoIRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Pietro CaironiDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Fondazione IRCCS Ca' Granda -Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Luca GuatteriAzienda Ospedaliera di Desio, Desio, Italy.
Ferdinando RaimondiAzienda Ospedaliera Luigi Sacco, Milan, Italy.
Luciano GattinoniDipartimento di Fisiopatologia Medico-Chirurgica e dei Trapianti, Fondazione IRCCS Ca' Granda -Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Roberto LatiniIRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Serge MassonIRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Giuseppe RistagnoIRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.
Roberta PastorelliIRCCS-Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Septic shock remains a major problem in Intensive Care Unit, with high lethality and high-risk second lines treatments. In this preliminary retrospective investigation we examined plasma metabolome and clinical features in a subset of 20 patients with severe septic shock (SOFA score >8), enrolled in the multicenter Albumin Italian Outcome Sepsis study (ALBIOS, NCT00707122). Our purpose was to evaluate the changes of circulating metabolites in relation to mortality as a pilot study to be extended in a larger cohort. Patients were analyzed according to their 28-days and 90-days mortality. Metabolites were measured using a targeted mass spectrometry-based quantitative metabolomic approach that included acylcarnitines, aminoacids, biogenic amines, glycerophospholipids, sphingolipids, and sugars. Data-mining techniques were applied to evaluate the association of metabolites with mortality. Low unsaturated long-chain phosphatidylcholines and lysophosphatidylcholines species were associated with long-term survival (90-days) together with circulating kynurenine. Moreover, a decrease of these glycerophospholipids was associated to the event at 28-days and 90-days in combination with clinical variables such as cardiovascular SOFA score (28-day mortality model) or renal replacement therapy (90-day mortality model). Early changes in the plasma levels of both lipid species and kynurenine associated with mortality have potential implications for early intervention and discovering new target therapy.

Indexed as

MetabolomeMetabolomicsAgedAged, 80 and overAmino AcidsCarnitineCohort StudiesFemaleGlycerophospholipidsGram-Negative BacteriaGram-Positive BacteriaHumansIntensive Care UnitsKynurenineMaleMiddle AgedacylcarnitineAmino AcidsCarnitineGlycerophospholipidsKynurenineSphingolipids

Identifiers

PMID26847922
PMCPMC4742912

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.