Evidence map›Paper›PMID 30283005›Full record

ArticleScientific reports2018

Profiling inflammatory markers in patients with pneumonia on intensive care.

David B Antcliffe, Arnaud M Wolfer, Kieran P O'Dea, Masao Takata, Elaine Holmes, Anthony C Gordon

Abstract read
In one paragraph

Article in Scientific reports, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Article
  6. Development and validation of a rabbit model ofFrontiers in cellular and infection microbiology · 2023
    Article
  7. Review
  8. Article
  9. 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

6 authors.

David B AntcliffeSection of Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, London, UK.ORCID http://orcid.org/0000-0002-1846-9160
Arnaud M WolferSection of Computational and Systems Medicine, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.
Kieran P O'DeaSection of Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, London, UK.
Masao TakataSection of Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, London, UK.
Elaine HolmesSection of Computational and Systems Medicine, Department of Surgery and Cancer, Faculty of Medicine, Imperial College London, London, UK.
Anthony C GordonSection of Anaesthetics, Pain Medicine and Intensive Care, Imperial College London, London, UK. anthony.gordon@imperial.ac.uk.ORCID http://orcid.org/0000-0002-0419-547X

Funding

Department of Health RP-2015-06-018
6 · The paper itself

Abstract

Clinical investigations lack predictive value when diagnosing pneumonia, especially when patients are ventilated and develop ventilator associated pneumonia (VAP). New tools to aid diagnosis are important to improve outcomes. This pilot study examines the potential for a panel of inflammatory mediators to aid in the diagnosis. Forty-four ventilated patients, 17 with pneumonia and 27 with brain injuries, eight of whom developed VAP, were recruited. 51 inflammatory mediators, including cytokines and oxylipins, were measured in patients' serum using flow cytometry and mass spectrometry. The mediators could separate patients admitted to ICU with pneumonia compared to brain injury with an area under the receiver operating characteristic curve (AUROC) 0.75 (0.61-0.90). Changes in inflammatory mediators were similar in both groups over the course of ICU stay with 5,6-dihydroxyeicosatrienoic and 8,9-dihydroxyeicosatrienoic acids increasing over time and interleukin-6 decreasing. However, brain injured patients who developed VAP maintained inflammatory profiles similar to those at admission. A multivariate model containing 5,6-dihydroxyeicosatrienoic acid, 8,9-dihydroxyeicosatrienoic acid, intercellular adhesion molecule-1, interleukin-6, and interleukin-8, could differentiate patients with VAP from brain injured patients without infection (AUROC 0.94 (0.80-1.00)). The use of a selected group of markers showed promise to aid the diagnosis of VAP especially when combined with clinical data.

Indexed as

BiomarkersBrain InjuriesCritical CareFemaleFlow CytometryHumansInflammationIntensive Care UnitsInterleukin-6Interleukin-8MaleMass SpectrometryMiddle AgedPneumonia, Ventilator-AssociatedROC CurveBiomarkersCXCL8 protein, humanInterleukin-6Interleukin-8

Identifiers

PMID30283005
PMCPMC6170441

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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.