Evidence map›Paper›PMID 28947844›Full record

Observational studyDisease markers2017

Angiopoietin-2 Levels as Predictors of Outcome in Mechanically Ventilated Patients with Acute Respiratory Distress Syndrome.

Iraklis Tsangaris, Argirios Tsantes, Eleni Vrigkou, Petros Kopterides, Aimilia Pelekanou, Katerina Zerva, George Antonakos, Dimitrios Konstantonis, Irini Mavrou, Georgios Tsaknis and 6 more

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Disease markers, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 20% 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Observational
  5. Article
  6. Review
  7. Observational
  8. Article
  9. Article
  10. Review
  11. Endothelial Damage in Acute Respiratory Distress Syndrome.International journal of molecular sciences · 2020
    Review
  12. Review
  13. Observational
  14. Article
  15. Article
  16. Article
  17. 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

16 authors at 1 institution in 1 country.

Iraklis TsangarisSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-4395-0471
Argirios TsantesLaboratory of Hematology & Blood Bank Unit, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Eleni VrigkouSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Petros KopteridesSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-7682-4482
Aimilia Pelekanou4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Katerina ZervaDepartment of Biochemistry, Athens University Hospital Attikon, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
George AntonakosDepartment of Biochemistry, Athens University Hospital Attikon, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Dimitrios KonstantonisSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Irini MavrouSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Georgios TsaknisSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0001-8927-9631
Evdoxia Kyriazopoulou4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Maria Mouktaroudi4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Styliani KokoriLaboratory of Hematology & Blood Bank Unit, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-1635-7309
Stylianos E OrfanosSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Evangelos J Giamarellos-Bourboulis4th Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-4713-3911
Apostolos ArmaganidisSecond Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
National and Kapodistrian University of Athens · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary endothelium dysfunction is a key characteristic of ARDS. The aim of this study was to investigate endothelium-derived markers, such as angiopoietin-2 (Ang-2) and endothelial cell-specific molecule-1 (endocan), at the vascular and alveolar compartments as outcome predictors in ARDS. Fifty-three consecutive ARDS patients were studied. The primary outcome was 28-day mortality. Secondary endpoints were days of unassisted ventilation and days with organ failure other than ARDS, during the 28-day study period. Nonsurvivors presented higher lung injury scores and epithelial lining fluid (ELF) Ang-2 levels compared to survivors, with no significant differences in plasma Ang-2, endocan, and protein C concentrations between the two groups. In logistic regression analysis, ELF Ang-2 levels > 705 pg/ml were the only independent variable for 28-day mortality among the previous four. Plasma endocan values > 13 ng/pg were the only parameter predictive against days of unassisted ventilation during the 28-day study period. Finally, lung injury score > 2.25 and ELF Ang-2 levels > 705 pg/ml were associated with increased number of days with organ failure, other than ARDS. Our findings suggest that Ang-2 levels are increased in the alveolar compartment of ARDS patients, and this may be associated both with increased mortality and organ failure besides lung.

Indexed as

AgedAngiopoietin-2BiomarkersC-Reactive ProteinFemaleHumansMaleMiddle AgedNeoplasm ProteinsProteoglycansRespiration, ArtificialRespiratory Distress SyndromeAngiopoietin-2BiomarkersC-Reactive ProteinESM1 protein, humanNeoplasm ProteinsProteoglycans

Identifiers

PMID28947844
PMCPMC5602490
OpenAlexW2753459990

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.