Evidence map›Paper›PMID 27031381›Full record

ArticleCritical care medicine2016

Derivation of Novel Risk Prediction Scores for Community-Acquired Sepsis and Severe Sepsis.

Henry E Wang, John P Donnelly, Russell Griffin, Emily B Levitan, Nathan I Shapiro, George Howard, Monika M Safford

Open access · greenAbstract read
In one paragraph

Article in Critical care medicine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  3. Review
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  5. Article
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  7. Observational
  8. Article
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  10. Observational
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  12. Article
  13. Article
  14. Validation of the REGARDS Severe Sepsis Risk Score.Journal of clinical medicine · 2018
    Article
  15. Association of Neighborhood Socioeconomic Status With Risk of Infection and Sepsis.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2018
    Article
  16. Sepsis is a preventable public health problem.Critical care (London, England) · 2018
    Article
  17. Article
  18. Article
  19. Risk of Acute Coronary Heart Disease After Sepsis Hospitalization in the REasons for Geographic and Racial Differences in Stroke (REGARDS) Cohort.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2017
    Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Henry E Wang1Department of Emergency Medicine, University of Alabama School of Medicine, Birmingham, AL. 2Department of Epidemiology, University of Alabama at Birmingham, Birmingham, AL. 3Division of Preventive Medicine, Department of Medicine, University of Alabama School of Medicine, Birmingham, AL. 4Department of Emergency Medicine, Beth Israel Deaconess Medical Center, Boston, MA. 5Department of Biostatistics, University of Alabama at Birmingham, Birmingham, AL.
John P Donnelly
Russell Griffin
Emily B Levitan
Nathan I Shapiro
George Howard
Monika M Safford
University of Alabama at Birmingham · USBeth Israel Deaconess Medical Center · US

Funding

VCID and Stroke in a Bi-racial National CohortU01NS041588 · NINDS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI CUSHMAN, MARY, HOWARD, GEORGE · 2002 to 2022
$96.0M
UAB Center for Clinical and Translational Science (CCTS)UL1TR001417 · NCATS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI KIMBERLY, ROBERT P. · 2015 to 2018
$31.4M
UAB CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE (CCTS) UL1: BPCAUL1RR025777 · NCRR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI GUAY-WOODFORD, LISA MARIE · 2008 to 2011
$22.3M
UAB Health Services Research (HSR) Training ProgramT32HS013852 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI LEVITAN, EMILY B, MUGAVERO, MICHAEL J · 2003 to 2024
$8.0M
Risk Factors for Sepsis in the CommunityR01NR012726 · NINR · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WANG, HENRY E. · 2011 to 2015
$2.6M
AHRQ HHS HS013852AHRQ HHS T32 HS013852NCATS NIH HHS UL1 TR001417NCRR NIH HHS UL1 RR025777NINDS NIH HHS U01 NS041588NINR NIH HHS R01 NR012726
6 · The paper itself

Abstract

objectiveWe sought to derive and internally validate a Sepsis Risk Score and a Severe Sepsis Risk Score predicting future sepsis and severe sepsis events among community-dwelling adults.

designNational population-based cohort.

settingUnited States. SUBJECTS: A total of 30,239 community-dwelling adults 45 years old or older in the national REasons for Geographic And Racial Differences in Stroke cohort.

interventionsNone. MEASUREMENTS AND MAIN

resultsOver a median of 6.6 years (interquartile range, 5.1-8.1 yr) of follow-up, there were 1,532 first sepsis (prevalence 8.3 per 1,000 person-years) and 1,151 first severe sepsis (6.2 per 1,000 person-years) events. Risk factors in the best derived Sepsis Risk Score and Severe Sepsis Risk Score included chronic lung disease, age 75 years or older, peripheral artery disease, diabetes, tobacco use, white race, stroke, atrial fibrillation, coronary artery disease, obesity, hypertension, deep vein thrombosis, male sex, high-sensitivity C-reactive protein greater than 3.0 mg/dL, cystatin C ≥1.11 mg/dL, estimated glomerular filtration rate less than 60 mL/min/1.73 m, and albumin-to-creatinine ratio protein greater than 30 μg/mg. Sepsis Risk Score risk categories were very low (0-3 points; 2.3 events per 1,000 person-years), low (4-6; 4.1), medium (7-9; 6.5), high (10-12; 9.7), and very high (13-38; 21.1). Severe Sepsis Risk Score risk categories were very low (0-5 points; 1.5 events per 1,000 person-years), low (6-9; 3.4), medium (10-13; 6.7), high (14-17; 9.9), and very high (18-45; 22.1). The Sepsis Risk Score and Severe Sepsis Risk Score exhibited good discrimination (bootstrapped C index, 0.703 and 0.742) and calibration (p = 0.65 and 0.06).

conclusionsThe Sepsis Risk Score and Severe Sepsis Risk Score predict 10-year sepsis and severe sepsis risk among community-dwelling adults and may aid in sepsis prevention or mitigation efforts.

Indexed as

Risk AssessmentSepsisAgedCohort StudiesCommunity-Acquired InfectionsFemaleHospitalizationHumansMaleMiddle AgedRisk FactorsSystemic Inflammatory Response Syndrome

Identifiers

PMID27031381
PMCPMC4911244
OpenAlexW2327218681

What OpenQuestion holds

Textmetadata
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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.