Evidence map›Paper›PMID 29410975›Full record

ArticleOpen forum infectious diseases2018

Low Levels of Immunoglobulins and Mannose-Binding Lectin Are Not Associated With Etiology, Severity, or Outcome in Community-Acquired Pneumonia.

William W Siljan, Jan C Holter, Ståle H Nymo, Einar Husebye, Thor Ueland, Lillemor Skattum, Vidar Bosnes, Peter Garred, Stig S Frøland, Tom E Mollnes and 2 more

Open access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.0field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

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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

12 authors at 6 institutions in 3 countries.

William W SiljanDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Jan C HolterDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Ståle H NymoResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Einar HusebyeDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
Thor UelandResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Lillemor SkattumDepartment of Laboratory Medicine, Section of Microbiology, Immunology and Glycobiology, Lund University, Lund, Sweden.
Vidar BosnesDepartment of Immunology, Section of Medical Immunology, Oslo University Hospital Ullevaal, Oslo, Norway.
Peter GarredLaboratory of Molecular Medicine, Department of Clinical Immunology, Rigshospitalet, Copenhagen, Denmark.
Stig S FrølandResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Tom E MollnesResearch Laboratory, Nordland Hospital, Bodø, Norway.
Pål AukrustResearch Institute of Internal Medicine, Oslo University Hospital Rikshospitalet, Oslo, Norway.
Lars HeggelundDepartment of Internal Medicine, Drammen Hospital, Vestre Viken Hospital Trust, Drammen, Norway.
University of Oslo · NOOslo University Hospital · NODrammen Hospital · NOLund University · SENordland Hospital · NORigshospitalet · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDisease severity and outcome in community-acquired pneumonia (CAP) depend on the host and on the challenge of the causal microorganism(s). We measured levels of immunoglobulins (Igs) and complement in 257 hospitalized adults with CAP and examined the association of low levels of Igs or complement to microbial etiology, disease severity, and short-term and long-term outcome.

methodsSerum Igs were analyzed in blood samples obtained at admission and at 6 weeks postdischarge if admission levels were low. Serum complement deficiencies were screened with a total complement activity enzyme-linked immunosorbent assay (ELISA), with further analyzes performed if justified. Disease severity was assessed by the CURB-65 severity score. Short-term outcome was defined as a composite end point of intensive care unit (ICU) admission and 30-day mortality, and long-term outcome as 5-year all-cause mortality.

resultsAt admission, 87 (34%) patients had low levels of at least 1 Ig, with low IgG2 as the most prevalent finding (55/21%). IgG levels were lower in bacterial than viral CAP (8.48 vs 9.97 g/L,

conclusionIn hospitalized adults with CAP, low admission levels of Igs or complement were in general not associated with microbial etiology, disease severity, short-term outcome, or long-term outcome.

Indexed as

complementetiologyimmunoglobulinmannose-binding lectinmannose-binding protein-associated serine proteasesmortalitypneumonia

Identifiers

PMID29410975
PMCPMC5793818
OpenAlexW2781975849

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.