Evidence map›Paper›PMID 27590986›Full record

ArticleEmergency medicine journal : EMJ2016

Soluble urokinase plasminogen activator receptor (suPAR) in acute care: a strong marker of disease presence and severity, readmission and mortality. A retrospective cohort study.

Line Jee Hartmann Rasmussen, Steen Ladelund, Thomas Huneck Haupt, Gertrude Ellekilde, Jørgen Hjelm Poulsen, Kasper Iversen, Jesper Eugen-Olsen, Ove Andersen

Open access · hybridAbstract read
In one paragraph

Article in Emergency medicine journal : EMJ, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 62 papers.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed
6.7field-weighted citation impact, top 3% 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

62 citing papers in PubMed, 102 citations in OpenAlex.

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  20. Early Life Stress, Neuroinflammation, and Psychiatric Illness of Adulthood.Advances in experimental medicine and biology · 2023
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2 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

8 authors at 3 institutions in 1 country.

Line Jee Hartmann RasmussenClinical Research Centre, Copenhagen University Hospital Hvidovre, Hvidovre, Copenhagen, Denmark.
Steen LadelundClinical Research Centre, Copenhagen University Hospital Hvidovre, Hvidovre, Copenhagen, Denmark.
Thomas Huneck HauptClinical Research Centre, Copenhagen University Hospital Hvidovre, Hvidovre, Copenhagen, Denmark.
Gertrude EllekildeAcute Medical Department, Copenhagen University Hospital Hvidovre, Hvidovre, Copenhagen, Denmark.
Jørgen Hjelm PoulsenDepartment of Clinical Biochemistry, Copenhagen University Hospital Hvidovre, Hvidovre, Copenhagen, Denmark.
Kasper IversenDepartment of Cardiology, Copenhagen University Hospital Herlev, Herlev, Copenhagen, Denmark.
Jesper Eugen-OlsenClinical Research Centre, Copenhagen University Hospital Hvidovre, Hvidovre, Copenhagen, Denmark.
Ove AndersenClinical Research Centre, Copenhagen University Hospital Hvidovre, Hvidovre, Copenhagen, Denmark.
Hvidovre Hospital · DKCopenhagen University Hospital · DKHerlev Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSoluble urokinase plasminogen activator receptor (suPAR) is an inflammatory biomarker associated with presence and progression of disease and with increased risk of mortality. We aimed to evaluate the unspecific biomarker suPAR as a prognostic marker in patients admitted to acute care.

methodsThis registry-based retrospective cohort study included 4343 consecutively admitted patients from the Acute Medical Unit at a large Danish university hospital. Time to readmission and death were analysed by multiple Cox regression. Results were reported as HRs for 30-day and 90-day follow-up.

resultsDuring 30-day follow-up, 782 patients (18.0%) were readmitted and 224 patients (5.2%) died. Comparing 30-day readmission and mortality between patients in the highest and lowest suPAR quartiles yielded HRs of 2.11 (95% CI 1.70 to 2.62) and 4.11 (95% CI 2.46 to 6.85), respectively, when adjusting for age, sex, Charlson score and C reactive protein. Area under the curve for receiver operating characteristics curve analysis of suPAR for 30-day mortality was 0.84 (95% CI 0.81 to 0.86). Furthermore, in the entire cohort, women had slightly higher suPAR compared with men, and suPAR was associated with age, admission time, admission to intensive care unit and Charlson score.

conclusionsIn this large unselected population of acute medical patients, suPAR is strongly associated with disease severity, readmission and mortality after adjusting for all other risk factors, indicating that suPAR adds information to established prognostic indicators. While patients with low suPAR levels have low risk of readmission and mortality, patients with high suPAR levels have a high risk of adverse events.

Indexed as

PrognosisAdolescentAdultAgedAged, 80 and overBiomarkersChildCohort StudiesComorbidityC-Reactive ProteinDenmarkFemaleHumansIntensive Care UnitsMaleMiddle AgedBiomarkersC-Reactive ProteinReceptors, Urokinase Plasminogen Activatoracute careclinical assessmentemergency departmentrisk managementtriage

Identifiers

PMID27590986
PMCPMC5136705
OpenAlexW2508036347

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Registered trials

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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.