Evidence map›Paper›PMID 27384242›Full record

ArticleCritical care (London, England)2016

The intensive care infection score - a novel marker for the prediction of infection and its severity.

Patrick J van der Geest, Mostafa Mohseni, Jo Linssen, Servet Duran, Robert de Jonge, A B Johan Groeneveld

3 registry-linked trialsAbstract read
In one paragraph

Article in Critical care (London, England), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing 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.

NCT01847079 nacompletednot on this map

Procalcitonin to Guide Obtaining Bloodcultures in the ICU. Intensive Care Infection Score.

TypeinterventionalSponsorErasmus Medical CenterRan2013 to 2014Enrolled1,130ConditionsInfectionArmsProcalcitonin
NCT04894500 completednot on this mapstarted 2021, after this paper: background citation

The Intensive Care Infection Score in Adult and Paediatric Burns in Comparison to Other Inflammatory Markers

TypeobservationalSponsorCharles University, Czech RepublicRan2021 to 2024Enrolled97ConditionsInfection, Bacterial, Burns, InflammationArmsFlow fluorescence cytometry
NCT07248527 active not recruitingnot on this mapstarted 2025, after this paper: background citation

PAN-ICIS: Prospective Observational Study Evaluating the Intensive Care Infection Score for Early Detection of Infectious Complications After Pancreatic Resections

TypeobservationalSponsorCharles University, Czech RepublicRan2025 to 2028Enrolled400ConditionsPancreatectomy, Pancreatic Surgery, Intensive Care (ICU), Inflamatory Markers
3 · Its place in the literature

Who cites it

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

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  13. Efficacy of blood parameters as indicators of the need for overdue urgent cholecystectomy in elderly patients with acute cholecystitis.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
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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

6 authors.

Patrick J van der GeestDepartment of Intensive Care Medicine of the Erasmus Medical Center, 's Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands. p.vandergeest@erasmusmc.nl.
Mostafa MohseniDepartment of Intensive Care Medicine of the Erasmus Medical Center, 's Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.
Jo LinssenFaculty of Health Science, University of Medicine, Institute of Immunology, University Witten/Herdecke, Witten, Germany.
Servet DuranDepartment of Intensive Care Medicine of the Maasstad Hospital, Rotterdam, The Netherlands.
Robert de JongeDepartment of Clinical Chemistry of the Erasmus Medical Center, Rotterdam, The Netherlands.
A B Johan GroeneveldDepartment of Intensive Care Medicine of the Erasmus Medical Center, 's Gravendijkwal 230, 3015, CE, Rotterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prediction of infection and its severity remains difficult in the critically ill. A novel, simple biomarker derived from five blood-cell derived parameters that characterize the innate immune response in routine blood samples, the intensive care infection score (ICIS), could be helpful in this respect. We therefore compared the predictive value of the ICIS with that of the white blood cell count (WBC), C-reactive protein (CRP) and procalcitonin (PCT) for infection and its severity in critically ill patients.

methodsWe performed a multicenter, cluster-randomized, crossover study in critically ill patients between January 2013 and September 2014. Patients with a suspected infection for which blood cultures were taken by the attending intensivist were included. Blood was taken at the same time for WBC, ICIS, CRP and PCT measurements in the control study periods. Results of imaging and cultures were collected. Patients were divided into groups of increasing likelihood of infection and invasiveness: group 1 without infection or with possible infection irrespective of cultures, group 2 with probable or microbiologically proven local infection without blood stream infection (BSI) and group 3 with BSI irrespective of local infection. Septic shock was assessed.

resultsIn total, 301 patients were enrolled. CRP, PCT and ICIS were higher in groups 2 and 3 than group 1. The area under the receiver operating characteristic curve (AUROC) for the prediction of infection was 0.70 for CRP, 0.71 for PCT and 0.73 for ICIS (P < 0.001). For the prediction of septic shock the AUROC was 0.73 for CRP, 0.85 for PCT and 0.76 for ICIS. These AUROC did not differ from each other.

conclusionThe data suggest that the ICIS is potentially useful for the prediction of infection and its severity in critically ill patients, non-inferiorly to CRP and PCT. In contrast to CRP and PCT, the ICIS can be determined routinely without extra blood sampling and lower costs, yielding results within 15 minutes.

trial registrationClinicalTrials.gov identifier: ID NCT01847079 . Registered on 24 April 2013.

Indexed as

Predictive Value of TestsAdultAgedAged, 80 and overBiomarkersBlood CultureCalcitoninChi-Square DistributionC-Reactive ProteinCritical IllnessCross-Over StudiesFemaleHumansInfectionsIntensive Care UnitsLeukocyte CountBiomarkersCalcitoninC-Reactive ProteinBiomarkersCritically illICISInfectionPCTSeptic shock

Identifiers

PMID27384242
PMCPMC4936267

What OpenQuestion holds

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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.