Evidence map›Paper›PMID 29783959›Full record

ArticleRespiratory research2018

Soluble urokinase plasminogen activator receptor predicts mortality in exacerbated COPD.

Nina S Godtfredsen, Ditte V Jørgensen, Kristoffer Marsaa, Charlotte S Ulrik, Ove Andersen, Jesper Eugen-Olsen, Line J H Rasmussen

Open access · goldAbstract read
In one paragraph

Article in Respiratory research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 2 pooled it
2.9field-weighted citation impact, top 9% 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

12 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
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  3. Early detection and prediction of acute exacerbation of chronic obstructive pulmonary disease.Chinese medical journal pulmonary and critical care medicine · 2023
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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

7 authors at 3 institutions in 1 country.

Nina S GodtfredsenDepartment of Pulmonary Medicine, Amager and Hvidovre University Hospital, Hvidovre, Denmark. Nina.Skavlan.Godtfredsen@regionh.dk.
Ditte V JørgensenDepartment of Pulmonary Medicine, Amager and Hvidovre University Hospital, Hvidovre, Denmark.
Kristoffer MarsaaPalliative Unit, Gentofte and Herlev University Hospital, Herlev, Denmark.
Charlotte S UlrikDepartment of Pulmonary Medicine, Amager and Hvidovre University Hospital, Hvidovre, Denmark.
Ove AndersenInstitute of Clinical Medicine, University of Copenhagen, Copenhagen, Denmark.
Jesper Eugen-OlsenClinical Research Center, Amager and Hvidovre University Hospital, Hvidovre, Denmark.
Line J H RasmussenClinical Research Center, Amager and Hvidovre University Hospital, Hvidovre, Denmark.
Hvidovre Hospital · DKUniversity of Copenhagen · DKHerlev Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe inflammatory biomarker soluble urokinase plasminogen activator receptor (suPAR) is elevated in severe acute and chronic medical conditions and has been associated with short-term mortality. The role of suPAR in predicting risk of death following an acute exacerbation of chronic obstructive pulmonary disease (AECOPD) has never been studied. We hypothesized that increased suPAR is an independent predictor of short-term mortality in patients admitted to hospital with COPD or acute respiratory failure.

methodsThis retrospective cohort study from a university hospital in the Capital Region of Denmark included 2838 acutely admitted medical patients with COPD as primary (AECOPD) or secondary diagnosis, who had plasma suPAR measured at the time of admission between November 18th, 2013 to September 30th, 2015 and followed until December 31st, 2015. Primary outcomes were 30- and 90-days all-cause mortality. Association of suPAR and mortality was investigated by Cox regression analyses adjusted for age, sex, CRP values and Charlson comorbidity index.

resultsFor patients with AECOPD or underlying COPD, median suPAR levels were significantly higher among patients who died within 30 days compared with those who survived (5.7 ng/ml (IQR 3.8-8.1) vs. 3.6 ng/ml (2.7-5.1), P < 0.0001). Increasing suPAR levels independently predicted 30-day mortality in patients with COPD with a hazard ratio of 2.0 (95% CI 1.7-2.4) but not respiratory failure.

conclusionsIn this large group of acutely admitted patients with COPD, elevated suPAR levels were associated with increased risk of mortality. The study supports the value of suPAR as a marker of poor prognosis.

Indexed as

AgedAged, 80 and overBiomarkersCohort StudiesDenmarkFemaleFollow-Up StudiesHumansMaleMiddle AgedMortalityPredictive Value of TestsPulmonary Disease, Chronic ObstructiveReceptors, Urokinase Plasminogen ActivatorRegistriesRetrospective StudiesBiomarkersPLAUR protein, humanReceptors, Urokinase Plasminogen ActivatorBiomarkerCOPD exacerbationHospitalisationMortality

Identifiers

PMID29783959
PMCPMC5963104
OpenAlexW2803533843

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.