Evidence map›Paper›PMID 27701021›Full record

Trial reportCytokine2016

Endothelial adhesion molecules and multiple organ failure in patients with severe sepsis.

Bravein Amalakuhan, Sheila A Habib, Mandeep Mangat, Luis F Reyes, Alejandro H Rodriguez, Cecilia A Hinojosa, Nilam J Soni, Ryan P Gilley, Carlos A Bustamante, Antonio Anzueto and 25 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Cytokine, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 42 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
42citing papers in PubMed, 3 pooled it
2.6field-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

42 citing papers in PubMed, 3 syntheses or guidelines pooled it, 77 citations in OpenAlex.

  1. Pooled it
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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

35 authors at 20 institutions in 11 countries.

Bravein AmalakuhanUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Sheila A HabibUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Mandeep MangatUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Luis F ReyesUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, USA.
Alejandro H RodriguezCritical Care Department, Joan XXIII University Hospital and Pere Virgili Health Institute, CIBERES, Tarragona, Spain.
Cecilia A HinojosaUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Nilam J SoniUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, USA.
Ryan P GilleyUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA.
Carlos A BustamanteCamino Distrital Universitario Adelita de Char, Barranquilla, Colombia.
Antonio AnzuetoUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, USA.
Stephanie M LevineUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, USA.
Jay I PetersUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, USA.
Stefano AlibertiUniversity of Milan Bicocca, Clinica Pneumologica, Monza, Italy.
Oriol SibilaServei de Pneumologia, Departament de Medicina, Hospital Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain.
James D ChalmersUniversity of Dundee, Dundee, UK.
Antoni TorresHospital Clinic, Universitat de Barcelona, Servei de Pneumologia, Barcelona, Spain.
Grant W WatererSchool of Medicine and Pharmacology, Royal Perth Hospital Unit, University of Western Australia, Perth, Australia.
Ignacio Martin-LoechesSt. James's Hospital, Trinity Centre for Health Sciences, CIBERES, Dublin, Ireland.
Jose BordonDepartment of Medicine, Section of Infectious Diseases, Providence Hospital, DC, USA.
Jose BlanquerUnidad Cuidados Intensivos Respiratorios, Hospital Clínic Universitari, Valencia, Spain.
Francisco SanzPulmonology Department, Consorci Hospital General Universitari de Valencia, Valencia, Spain.
Pedro J MarcosServicio de Neumología, Instituto de investigación Biomédica de A Coruña (INIBIC), Complejo Hospitalario Universitario de A Coruña (CHUAC), Sergas, Universidade da Coruña (UDC), A Coruña, Spain.
Jordi RelloCritical Care Department, Hospital Universitario Vall d'Hebron, CIBERES, Barcelona, Spain.
Julio RamirezDivision of Infectious Diseases, University of Louisville, Louisville, KY, USA.
Jordi Solé-ViolánIntensive Care Unit, Hospital Universitario Dr. Negrín, CIBERES, Las Palmas de Gran Canaria, Spain.
Carlos M LunaDivision of Pulmonary Medicine, Department of Medicine, Hospital de Clinicas, Division of Pulmonology, Universidad de Buenos Aires, Buenos Aires, Argentina.
Charles FeldmanDepartment of Internal Medicine, Charlotte Maxeke Johannesburg Academic Hospital, Johannesburg, South Africa; Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.
Martin WitzenrathDepartment of Infectious Diseases and Pulmonary Medicine, Charité-Universitätsmedizin Berlin and SFB-TR84 "Innate Immunity of the Lung", Berlin, Germany.
Richard G WunderinkDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL, USA.
Daiana StolzClinic of Pulmonary Medicine and Respiratory Cell Research, University Hospital Basel, Basel, Switzerland.
Tim L WiemkenDivision of Infectious Diseases, University of Louisville, Louisville, KY, USA.
Yuichiro ShindoInstitute for Advanced Research and Department of Respiratory Medicine, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Charles S Dela CruzSection of Pulmonary, Critical Care and Sleep Medicine, Yale University School of Medicine, New Haven, CT, USA.
Carlos J OrihuelaUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA; Department of Microbiology, The University of Alabama at Birmingham, Birmingham, AL, USA.
Marcos I RestrepoUniversity of Texas Health Science Center San Antonio, San Antonio, TX, USA; South Texas Veterans Health Care System, USA. Electronic address: restrepom@uthscsa.edu.
The University of Texas Health Science Center at San Antonio · USSouth Texas Veterans Health Care System · USCentro de Investigación Biomédica en Red · ESUniversity of Louisville · USCharité - Universitätsmedizin Berlin · DEHospital Clínico Universitario de Valencia · ESHospital de Clínicas · UYHospital General Universitario De Valencia · ESHospital Universitario de Gran Canaria Doctor Negrín · ESInstituto de Investigación Biomédica de A Coruña · ESNagoya University · JPNorthwestern University · USProvidence Hospital · USSt. James's Hospital · IEUniversitat Autònoma de Barcelona · ESUniversitat de Barcelona · ESUniversity Hospital of Basel · CHUniversity of Alabama at Birmingham · USUniversity of Dundee · GBUniversity of Milano-Bicocca · IT

Funding

Institute for Integration of Medicine & Science: A Partnership to Improve HealthUL1TR001120 · NCATS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI CLARK, ROBERT A, HARGREAVES, KENNETH M · 2013 to 2017
$16.5M
Cardiac microlesion formation during invasive pneumococcal diseaseR01AI114800 · NIAID · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Carlos J Orihuela, Herve S TETTELIN · 2015 to 2026
$5.1M
Host-Pneumococcal Interaction in the LungR01HL126094 · NHLBI · YALE UNIVERSITY · PI DELA CRUZ, CHARLES S · 2015 to 2019
$2.1M
Effect of macrolides as immunomodulators in patients with sepsis and pneumoniaK23HL096054 · NHLBI · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI RESTREPO, MARCOS I. · 2010 to 2014
$689k
NCATS NIH HHS UL1 TR001120NHLBI NIH HHS K23 HL096054NHLBI NIH HHS R01 HL126094NIAID NIH HHS R01 AI114800
6 · The paper itself

Abstract

objectiveTo determine if serum levels of endothelial adhesion molecules were associated with the development of multiple organ failure (MOF) and in-hospital mortality in adult patients with severe sepsis.

designThis study was a secondary data analysis of a prospective cohort study.

settingPatients were admitted to two tertiary intensive care units in San Antonio, TX, between 2007 and 2012. PATIENTS: Patients with severe sepsis at the time of intensive care unit (ICU) admission were enrolled. Inclusion criteria were consistent with previously published criteria for severe sepsis or septic shock in adults. Exclusion criteria included immunosuppressive medications or conditions.

interventionsNone. MEASUREMENTS: Baseline serum levels of the following endothelial cell adhesion molecules were measured within the first 72h of ICU admission: Intracellular Adhesion Molecule 1 (ICAM-1), Vascular Cell Adhesion Molecule-1 (VCAM-1), and Vascular Endothelial Growth Factor (VEGF). The primary and secondary outcomes were development of MOF (⩾2 organ dysfunction) and in-hospital mortality, respectively. MAIN

resultsForty-eight patients were enrolled in this study, of which 29 (60%) developed MOF. Patients that developed MOF had higher levels of VCAM-1 (p=0.01) and ICAM-1 (p=0.01), but not VEGF (p=0.70) compared with patients without MOF (single organ failure only). The area under the curve (AUC) to predict MOF according to VCAM-1, ICAM-1 and VEGF was 0.71, 0.73, and 0.54, respectively. Only increased VCAM-1 levels were associated with in-hospital mortality (p=0.03). These associations were maintained even after adjusting for APACHE and SOFA scores using logistic regression.

conclusionsHigh levels of serum ICAM-1 was associated with the development of MOF. High levels of VCAM-1 was associated with both MOF and in-hospital mortality.

Indexed as

Hospital MortalityMultiple Organ FailureSepsisAgedFemaleHumansIntercellular Adhesion Molecule-1MaleMiddle AgedSeverity of Illness IndexVascular Cell Adhesion Molecule-1Vascular Endothelial Growth Factor AICAM1 protein, humanIntercellular Adhesion Molecule-1Vascular Cell Adhesion Molecule-1Vascular Endothelial Growth Factor AVEGFA protein, humanBiomarkersIntracellular Adhesion Molecule-1MortalityMultiple organ failureSepsisShockVascular Cell Adhesion Molecule-1Vascular Endothelial Growth Factor

Identifiers

PMID27701021
PMCPMC5121929
OpenAlexW2527196954

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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.