Evidence map›Paper›PMID 30885453›Full record

ArticleAmerican journal of surgery2019

Risk factors for infection and evaluation of Sepsis-3 in patients with trauma.

Emanuel Eguia, Adrienne N Cobb, Marshall S Baker, Cara Joyce, Emily Gilbert, Richard Gonzalez, Majid Afshar, Matthew M Churpek

Registry-linked trialAbstract read
In one paragraph

Article in American journal of surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04438187 (Trial of Antimicrobial Restraint in Presumed Pneumonia), which is not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing 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.

NCT04438187 nacompletednot on this mapstarted 2021, after this paper: background citation

Trial of Antimicrobial Restraint in Presumed Pneumonia

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2021 to 2022Enrolled186ConditionsHealthcare-Associated Pneumonia, SepsisArmsantimicrobial initiation
3 · Its place in the literature

Who cites it

16 citing papers in PubMed.

  1. Glycemic variability improves risk prediction and reveals a mortality threshold in orthopedic trauma patients with sepsis.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2026
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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

8 authors.

Emanuel EguiaLoyola University Chicago Burn Shock Trauma Research Institute, Maywood, IL, USA; Department of Surgery, Acute Care Surgery Division, Loyola University Chicago, Maywood, IL, USA. Electronic address: emanuel.eguia@lumc.edu.
Adrienne N CobbLoyola University Chicago Burn Shock Trauma Research Institute, Maywood, IL, USA; Department of Surgery, Acute Care Surgery Division, Loyola University Chicago, Maywood, IL, USA.
Marshall S BakerDepartment of Surgery, Acute Care Surgery Division, Loyola University Chicago, Maywood, IL, USA.
Cara JoyceDepartment of Public Health Sciences, Loyola University Chicago, Maywood, IL, USA.
Emily GilbertDivision of Pulmonary and Critical Care Medicine, Loyola University Chicago, Maywood, IL, USA.
Richard GonzalezLoyola University Chicago Burn Shock Trauma Research Institute, Maywood, IL, USA; Department of Surgery, Acute Care Surgery Division, Loyola University Chicago, Maywood, IL, USA.
Majid AfsharLoyola University Chicago Burn Shock Trauma Research Institute, Maywood, IL, USA; Department of Public Health Sciences, Loyola University Chicago, Maywood, IL, USA; Division of Pulmonary and Critical Care Medicine, Loyola University Chicago, Maywood, IL, USA.
Matthew M ChurpekDivision of Pulmonary and Critical Care Medicine, University of Chicago, Chicago, IL, USA.

Funding

TRAINING IN TRAUMA AND BURN RESEARCHT32GM008750 · NIGMS · LOYOLA UNIVERSITY CHICAGO · PI CHOUDHRY, MASHKOOR A, GONZALEZ, RICHARD PAUL · 2000 to 2023
$2.9M
Sepsis Early Prediction and Subphenotype Illumination Study (SEPSIS)R01GM123193 · NIGMS · UNIVERSITY OF WISCONSIN-MADISON · PI CHURPEK, MATTHEW MICHAEL · 2017 to 2021
$1.9M
CHANGE OF GRANTEE INSTITUTION 1 K23 AA024503 Alcohol, Burn-Injury, and Acute Respiratory Distress SyndromeK23AA024503 · NIAAA · UNIVERSITY OF WISCONSIN-MADISON · PI AFSHAR, MAJID · 2016 to 2020
$948k
NIAAA NIH HHS K23 AA024503NIAAA NIH HHS L30 AA024299NIGMS NIH HHS R01 GM123193NIGMS NIH HHS T32 GM008750
6 · The paper itself

Abstract

backgroundWe aim to examine the risk factors associated with infection in trauma patients and the Sepsis-3 definition.

methodsThis was a retrospective cohort study of adult trauma patients admitted to a Level I trauma center between January 2014 and January 2016.

resultsA total of 1499 trauma patients met inclusion criteria and 15% (n = 232) had an infection. Only 19.8% (n = 46) of infected patients met criteria for Sepsis-3, with the majority (43%) of infected cases having a Sequential Organ Failure Assessment (SOFA) score greater on admission compared to the time of suspected infection. In-hospital death was 7% vs 9% (p = 0.65) between Sepsis-3 and infected patients, respectively. Risk factors associated with infection were female sex, admission SOFA score, Elixhauser score, and severe injury (P < 0.05).

conclusionPatients with trauma often arrive with organ dysfunction, which adds complexity and inaccuracy to the operational definition of Sepsis-3 using changes in SOFA scores. Injury severity score, comorbidities, SOFA score, and sex are risk factors associated with developing an infection after trauma.

Indexed as

AdolescentAdultAgedAged, 80 and overFemaleHospital MortalityHumansInjury Severity ScoreLogistic ModelsMaleMiddle AgedOrgan Dysfunction ScoresPrognosisRetrospective StudiesRisk FactorsSepsisSepsisSepsis-3SOFA scoreSuspected infectionTrauma

Identifiers

PMID30885453
PMCPMC6732249

What OpenQuestion holds

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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.