Evidence map›Paper›PMID 27481622›Full record

Observational studyBMJ open2016

Early PREdiction of Severe Sepsis (ExPRES-Sepsis) study: protocol for an observational derivation study to discover potential leucocyte cell surface biomarkers.

Deepankar Datta, Andrew Conway Morris, Jean Antonelli, Noel Warner, Kenneth Alun Brown, John Wright, A John Simpson, Jillian Rennie, Gillian Hulme, Sion Marc Lewis and 9 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02188992 (Early Prediction of Severe Sepsis), which is not on this map. Cited by 2 papers.

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

NCT02188992 completednot on this map

Early Prediction of Severe Sepsis (ExPRESSepsis) Study

TypeobservationalSponsorUniversity of EdinburghRan2014 to 2016Enrolled401ConditionsSepsis
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Contemporary Aspects of Burn Care.Medicina (Kaunas, Lithuania) · 2021
    Review
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

19 authors.

Deepankar DattaEdinburgh Critical Care Research Group, Department of Anaesthesia, Critical Care and Pain Medicine, University of Edinburgh School of Clinical Sciences, Royal Infirmary of Edinburgh, Edinburgh, UK.ORCID 0000-0001-9971-9434
Andrew Conway MorrisDivision of Anaesthesia, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.ORCID 0000-0002-3211-3216
Jean AntonelliEdinburgh Clinical Trials Unit, University of Edinburgh, Western General Hospital, Edinburgh, UK.
Noel WarnerBD Biosciences, San Jose, California, USA.
Kenneth Alun BrownVascular Immunology Research Laboratory, Rayne Institute (King's College London), St Thomas' Hospital, London, UK.
John WrightEmergency Department, Royal Victoria Infirmary, Newcastle upon Tyne, UK.
A John SimpsonInstitute of Cellular Medicine, Medical School, Newcastle University, Newcastle upon Tyne, UK.
Jillian RennieMRC Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Gillian HulmeFaculty of Medicine, Flow Cytometry Core Facility Laboratory, Biomedicine West Wing, Centre for Life, Newcastle University, Newcastle upon Tyne, UK.
Sion Marc LewisVascular Immunology Research Laboratory, Rayne Institute (King's College London), St Thomas' Hospital, London, UK Edinburgh Health Services Research Unit, Centre for Population Health Sciences, Medical School, Edinburgh, UK.
Tracey Anne MareVascular Immunology Research Laboratory, Rayne Institute (King's College London), St Thomas' Hospital, London, UK.
Sharon CooksonFaculty of Medicine, Flow Cytometry Core Facility Laboratory, Biomedicine West Wing, Centre for Life, Newcastle University, Newcastle upon Tyne, UK.
Christopher John WeirEdinburgh Health Services Research Unit, Centre for Population Health Sciences, Medical School, Edinburgh, UK.
Ian DimmickFlow Cytometry Applications, Instrumentation and Management Consultant, Newcastle upon Tyne, UK.
Jim KeenanBD Biosciences Europe, Le Pont de Claix, France.
Adriano Giorgio RossiMRC Centre for Inflammation Research, The Queen's Medical Research Institute, University of Edinburgh, Edinburgh, UK.
Manu Shankar-HariDepartment of Intensive Care Medicine, Guy's and St Thomas' Hospital NHS Foundation Trust, St Thomas' Hospital, London, UK.
Timothy S WalshEdinburgh Critical Care Research Group, Department of Anaesthesia, Critical Care and Pain Medicine, University of Edinburgh School of Clinical Sciences, Royal Infirmary of Edinburgh, Edinburgh, UK.
ExPRES Sepsis Investigators

Funding

Medical Research Council G0901697
6 · The paper itself

Abstract

introductionSepsis is an acute illness resulting from infection and the host immune response. Early identification of individuals at risk of developing life-threatening severe sepsis could enable early triage and treatment, and improve outcomes. Currently available biomarkers have poor predictive value for predicting subsequent clinical course in patients with suspected infection. Circulating leucocytes provide readily accessible tissues that reflect many aspects of the complex immune responses described in sepsis. We hypothesise that measuring cellular markers of immune responses by flow cytometry will enable early identification of infected patients at risk of adverse outcomes. We aim to characterise leucocyte surface markers (biomarkers) and their abnormalities in a population of patients presenting to the hospital emergency department with suspected sepsis, and explore their ability to predict subsequent clinical course. METHODS AND ANALYSIS: We will conduct a prospective, multicentre, clinical, exploratory, cohort observational study. To answer our study question, 3 patient populations will be studied. First, patients with suspected sepsis from the emergency department (n=300). To assess performance characteristics of potential tests, critically ill patients with established sepsis, and age and gender matched patients without suspicion of infection requiring hospital admission (both n=100) will be recruited as comparator populations. In all 3 groups, we plan to assess circulating biomarker profiles using flow cytometry. We will select candidate biomarkers by cross-cohort comparison, and then explore their predictive value for clinical outcomes within the cohort with suspected sepsis. ETHICS AND DISSEMINATION: The study will be carried out based on the principles in the Declaration of Helsinki and the International Conference on Harmonisation Good Clinical Practice. Ethics approval has been granted from the Scotland A Research Ethics Committee (REC) and Oxford C REC. On conclusion of this study, the results will be disseminated via peer-reviewed journals. TRIAL REGISTRATION NUMBER: NCT02188992; Pre-results.

Indexed as

Critical IllnessImmunologic TestsTriageAdolescentAdultAgedAged, 80 and overBiomarkersEmergency Service, HospitalFemaleHospitalizationHumansLeukocytesMaleMiddle AgedProspective StudiesBiomarkersACCIDENT & EMERGENCY MEDICINEBiomarkerSepsis

Identifiers

PMID27481622
PMCPMC4985860

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.