Evidence map›Paper›PMID 29571293›Full record

Observational studyBMC pediatrics2018

Biomarkers of endothelial dysfunction predict sepsis mortality in young infants: a matched case-control study.

Julie Korol Wright, Kyla Hayford, Vanessa Tran, Gulam Muhammed Al Kibria, Abdullah Baqui, Ali Manajjir, Arif Mahmud, Nazma Begum, Mashuk Siddiquee, Kevin C Kain and 1 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03795285 (The Role of Neutrophil CD64 and Soluble Triggering Receptor Expressed on Myeloid Cells 1 in Neonatal Sepsis), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
2.8field-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.

NCT03795285 unknown statusnot on this mapstarted 2019, after this paper: background citation

The Role of Neutrophil CD64 and Soluble Triggering Receptor Expressed on Myeloid Cells 1 in Neonatal Sepsis

TypeobservationalSponsorAssiut UniversityRan2019 to 2019Enrolled50ConditionsNeonatal SEPSISArmsExpression of neutrophil CD64
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 34 citations in OpenAlex.

  1. Review
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  5. The Endothelial Glycocalyx and Neonatal Sepsis.International journal of molecular sciences · 2022
    Review
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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

11 authors at 5 institutions in 3 countries.

Julie Korol WrightTropical Disease Unit, Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Kyla HayfordSandra Rotman Centre for Global Health, University Health Network-Toronto General Hospital, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Vanessa TranSandra Rotman Centre for Global Health, University Health Network-Toronto General Hospital, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Gulam Muhammed Al KibriaDepartment of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Abdullah BaquiInternational Centre for Maternal and Newborn Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Ali ManajjirDepartment of Pediatrics, Sylhet MAG Osmani Medical College Hospital, Sylhet, Bangladesh.
Arif MahmudInternational Centre for Maternal and Newborn Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Nazma BegumInternational Centre for Maternal and Newborn Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA.
Mashuk SiddiqueeDhaka Shishu (Children's) Hospital, Sher-E-Bangla Nagar, Dhaka, Bangladesh.
Kevin C KainTropical Disease Unit, Division of Infectious Diseases, Department of Medicine, University of Toronto, Toronto, ON, Canada.
Azadeh FarzinInternational Centre for Maternal and Newborn Health, Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA. azadehfarzin57@gmail.com.
Johns Hopkins University · USUniversity of Toronto · CADhaka Shishu Hospital · BDSylhet MAG Osmani Medical College · BDToronto General Hospital · CA

Funding

IL-1beta regulation of perinatal brain injuryK08HD073315 · NICHD · JOHNS HOPKINS UNIVERSITY · PI BURD, IRINA · 2012 to 2016
$684k
CIHR FDN-148439CIHR MOP-115160CIHR MOP-136813CIHR MOP-13721National Institute of Child Health and Human Development (US) K08 HD 073315NICHD NIH HHS K08 HD073315
6 · The paper itself

Abstract

backgroundReducing death due to neonatal sepsis is a global health priority, however there are limited tools to facilitate early recognition and treatment. We hypothesized that measuring circulating biomarkers of endothelial function and integrity (i.e. Angiopoietin-Tie2 axis) would identify young infants with sepsis and predict their clinical outcome.

methodsWe conducted a matched case-control (1:3) study of 98 young infants aged 0-59 days of life presenting to a referral hospital in Bangladesh with suspected sepsis. Plasma levels of Ang-1, Ang-2, sICAM-1, and sVCAM-1 concentrations were measured at admission. The primary outcome was mortality (n = 18); the secondary outcome was bacteremia (n = 10).

resultsAng-2 concentrations at presentation were higher among infants who subsequently died of sepsis compared to survivors (aOR 2.50, p = 0.024). Compared to surviving control infants, the Ang-2:Ang-1 ratio was higher among infants who died (aOR 2.29, p = 0.016) and in infants with bacteremia (aOR 5.72, p = 0.041), and there was an increased odds of death across Ang-2:Ang-1 ratio tertiles (aOR 4.82, p = 0.013).

conclusionsThis study provides new evidence linking the Angiopoietin-Tie2 pathway with mortality and bacteremia in young infants with suspected sepsis. If validated in additional studies, markers of the angiopoietin-Tie2 axis may have clinical utility in risk stratification of infants with suspected sepsis.

Indexed as

Angiopoietin-1Angiopoietin-2BacteremiaBangladeshBiomarkersCase-Control StudiesEndothelium, VascularFemaleHumansInfantInfant, NewbornIntercellular Adhesion Molecule-1MalePrognosisSepsisVascular Cell Adhesion Molecule-1Angiopoietin-1Angiopoietin-2ANGPT1 protein, humanANGPT2 protein, humanBiomarkersIntercellular Adhesion Molecule-1Vascular Cell Adhesion Molecule-1AngiopoietinsBiomarkersEndothelial activationNeonatal Sepsis

Identifiers

PMID29571293
PMCPMC5866512
OpenAlexW2794555657

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.