Evidence map›Paper›PMID 29658355›Full record

ArticleThe Journal of international medical research2018

Procalcitonin and albumin as prognostic biomarkers in elderly patients with a risk of bacterial infection.

Toshihiro Higashikawa, Masashi Okuro, Keiichirou Ishigami, Kunihiro Mae, Ryusho Sangen, Takurou Mizuno, Daisuke Usuda, Atushi Saito, Yuji Kasamaki, Akihiro Fukuda and 3 more

Open access · goldAbstract read
In one paragraph

Article in The Journal of international medical research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.6field-weighted citation impact, top 17% 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

15 citing papers in PubMed, 26 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

13 authors at 1 institution in 1 country.

Toshihiro Higashikawa1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Masashi Okuro2 Department of Geriatric Medicine, Kanazawa Medical University, Uchinada, Kahoku-gun, Ishikawa, Japan.
Keiichirou Ishigami1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Kunihiro Mae1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Ryusho Sangen1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Takurou Mizuno1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Daisuke Usuda1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Atushi Saito1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Yuji Kasamaki1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Akihiro Fukuda1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Hitoshi Saito1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Shigeto Morimoto2 Department of Geriatric Medicine, Kanazawa Medical University, Uchinada, Kahoku-gun, Ishikawa, Japan.
Tsugiyasu Kanda1 Kanazawa Medical University Himi Municipal Hospital, Saiwai-cho, Himi, Toyama, Japan.
Kanazawa Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim This study was performed to investigate serum procalcitonin (PCT) and albumin (Alb) as prognostic biomarkers in elderly patients at risk of bacterial infection. Methods Serum PCT was measured in 270 hospitalized patients (mean age, 77.4 years) with suspected bacterial infection. The PCT-negative (<0.5 ng/mL) and PCT-positive (≥0.5 ng/mL) groups comprised 155 and 115 patients, respectively. Logistic regression analysis was performed with various clinical laboratory test values as independent variables and PCT positivity/negativity as the dependent variable. Results C-reactive protein (CRP) was the only independent variable significantly associated with PCT positivity/negativity. In the survival analysis, the 30-day in-hospital death rate was significantly higher in the PCT-positive than -negative group. Within the Alb-positive group (>2.5 g/dL), no significant difference in survival was observed between the PCT-positive and -negative groups. However, within the Alb-negative group (≤2.5 g/dL), the survival rate was significantly lower in the PCT-positive than -negative group. PCT was strongly associated with CRP and Alb, and having both PCT positivity and Alb negativity was a prognostic factor for elderly people at risk of bacterial infection. Conclusions Combined measurement of PCT with Alb is expected to be a valuable tool to assess prognosis in elderly people at risk of bacterial infection.

Indexed as

AgedAged, 80 and overAge FactorsBacterial InfectionsBiomarkersC-Reactive ProteinFemaleHumansMaleMiddle AgedProcalcitoninPrognosisSerum AlbuminBiomarkersC-Reactive ProteinProcalcitoninSerum Albuminalbuminbacterial infectionelderly patientProcalcitoninprognosissurvival analysis

Identifiers

PMID29658355
PMCPMC6124269
OpenAlexW2800886279

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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.