Evidence map›Paper›PMID 29582480›Full record

ArticleJournal of veterinary internal medicine2018

Evaluation of updated sepsis scoring systems and systemic inflammatory response syndrome criteria and their association with sepsis in equine neonates.

D M Wong, R E Ruby, K A Dembek, B S Barr, S M Reuss, K G Magdesian, E Olsen, T Burns, N M Slovis, P A Wilkins

Open access · goldAbstract read
In one paragraph

Article in Journal of veterinary internal medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
5.5field-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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. [Retrospective evaluation of equine blood cultures sampled between 2022 and 2024].Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere · 2026
    Article
  4. Vasopressin stimulation testing in hospitalized foals.Journal of veterinary internal medicine · 2026
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  7. Article
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  10. Article
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  12. Article
  13. An Overview of Donkey Neonatology.Animals : an open access journal from MDPI · 2025
    Review
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  15. Article
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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

10 authors at 8 institutions in 1 country.

D M WongDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, Lloyd Veterinary Medical Center, Iowa State University, Ames, Iowa.ORCID http://orcid.org/0000-0002-6216-0291
R E RubyDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, Lloyd Veterinary Medical Center, Iowa State University, Ames, Iowa.ORCID http://orcid.org/0000-0002-1113-6566
K A DembekDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, Lloyd Veterinary Medical Center, Iowa State University, Ames, Iowa.
B S BarrDepartment of Internal Medicine, Rood and Riddle Equine Hospital, Lexington, Kentucky.
S M ReussDepartment of Large Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida.
K G MagdesianDepartment of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, California.ORCID http://orcid.org/0000-0001-9988-3381
E OlsenDepartment of Clinical Sciences, New York State College of Veterinary Medicine, Cornell University, Ithaca, New York.
T BurnsDepartment of Veterinary Clinical Sciences, College of Veterinary Medicine, The Ohio State University, Columbus, Ohio.ORCID http://orcid.org/0000-0001-9716-3452
N M SlovisMcGee Medicine Center, Hagyard Equine Medical Institute, Lexington, Kentucky.
P A WilkinsDepartment of Veterinary Clinical Medicine, University of Illinois, Urbana, Illinois.
Iowa State University · USCornell University · USHagyard Equine Medical Institute · USRood and Riddle Equine Hospital · USThe Ohio State University · USUniversity of California, Davis · USUniversity of Florida · USUniversity of Illinois Urbana-Champaign · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe original equine sepsis score provided a method of identifying foals with sepsis. New variables associated with sepsis have been evaluated, but the sepsis score has not been updated.

objectivesTo evaluate the sensitivity and specificity of 2 updated sepsis scores and the systemic inflammatory response syndrome (SIRS) criteria in regard to detecting sepsis in foals. ANIMALS: Two-hundred and seventy-three ill foals and 25 healthy control foals.

methodsHistorical, physical examination, and clinicopathologic findings were used to calculate the original sepsis score and 2 updated sepsis scores. SIRS criteria were also evaluated. Sepsis scores and positive SIRS scores were statistically compared to foals with sepsis.

resultsOne-hundred and twenty-six foals were septic and 147 sick-nonseptic. The original and updated sepsis scores were significantly higher in septic foals as compared to sick-nonseptic and healthy foals. The sensitivity and specificity of the updated sepsis scores to predict sepsis were not significantly better than those of the original sepsis score. One-hundred and twenty-seven of 273 (46.5%) foals met the original SIRS criteria and 88/273 (32%) foals met the equine neonatal SIRS criteria. The original SIRS criteria had similar sensitivity and specificity for predicting sepsis as did the 3 sepsis scores in our study. CONCLUSIONS AND CLINICAL IMPORTANCE: The updated sepsis scores did not provide improved ability in predicting sepsis. Fulfilling the original SIRS criteria provided similar sensitivity and specificity in predicting sepsis as the modified sepsis score and might serve as a diagnostic aid in identifying foals at risk for sepsis.

Indexed as

AnimalsAnimals, NewbornFemaleHorse DiseasesHorsesMaleSensitivity and SpecificitySepsisSeverity of Illness IndexSystemic Inflammatory Response SyndromefoalinfectionsepticSIRS

Identifiers

PMID29582480
PMCPMC5980351
OpenAlexW2794721326

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.