Evidence map›Paper›PMID 31164913›Full record

ReviewWorld journal of emergency surgery : WJES2019

Neutrophil heterogeneity and its role in infectious complications after severe trauma.

Lillian Hesselink, Roy Spijkerman, Karlijn J P van Wessem, Leo Koenderman, Luke P H Leenen, Markus Huber-Lang, Falco Hietbrink

Open access · goldAbstract readReview
In one paragraph

Review in World journal of emergency surgery : WJES, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 44 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
44citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 2% 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

44 citing papers in PubMed, 1 synthesis or guideline pooled it, 72 citations in OpenAlex.

  1. Neutrophil cell surface receptor dynamics following trauma: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025
    Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Association of CD16Journal of inflammation research · 2026
    Article
  7. Exploratory Study of CD10Scandinavian journal of immunology · 2025
    Article
  8. Dysregulation of neutrophil in sepsis: recent insights and advances.Cell communication and signaling : CCS · 2025
    Review
  9. Article
  10. Article
  11. What trauma patients need: the European dilemma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Review
  12. New findings on CD16Frontiers in immunology · 2024
    Observational
  13. Article
  14. Neutrophil nucleus: shaping the past and the future.Journal of leukocyte biology · 2023
    Article
  15. Visualization of the inflammatory response to injury by neutrophil phenotype categories : Neutrophil phenotypes after trauma.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Perioperative arginine prevents metastases by accelerating natural killer cell recovery after surgery.Molecular therapy : the journal of the American Society of Gene Therapy · 2022
    Article
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 2 institutions in 2 countries.

Lillian Hesselink *1Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.ORCID 0000-0001-8793-6650
Roy Spijkerman *1Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Karlijn J P van Wessem1Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Leo Koenderman2Laboratory of Translational Immunology and Department of Respiratory Medicine, University Medical Centre Utrecht, Utrecht, The Netherlands.
Luke P H Leenen1Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
Markus Huber-Lang3Institute of Clinical and Experimental Trauma Immunology, University Hospital of Ulm, Ulm, Germany.
Falco Hietbrink1Department of Trauma Surgery, University Medical Centre Utrecht, Utrecht, The Netherlands.
University Medical Center Utrecht · NLUniversity Hospital Ulm · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Trauma leads to a complex inflammatory cascade that induces both immune activation and a refractory immune state in parallel. Although both components are deemed necessary for recovery, the balance is tight and easily lost. Losing the balance can lead to life-threatening infectious complications as well as long-term immunosuppression with recurrent infections. Neutrophils are known to play a key role in these processes. Therefore, this review focuses on neutrophil characteristics and function after trauma and how these features can be used to identify trauma patients at risk for infectious complications. Results: Distinct neutrophil subtypes exist that play their own role in the recovery and/or development of infectious complications after trauma. Furthermore, the refractory immune state is related to the risk of infectious complications. These findings change the initial concepts of the immune response after trauma and give rise to new biomarkers for monitoring and predicting inflammatory complications in severely injured patients. Conclusion: For early recognition of patients at risk, the immune system should be monitored. Several neutrophil biomarkers show promising results and analysis of these markers has become accessible to such extent that they can be used for point-of-care decision making after trauma.

Indexed as

Genetic HeterogeneityCommunicable DiseasesHumansIntegrin alpha4beta1NeutrophilsWounds and InjuriesIntegrin alpha4beta1Immune responseInfectionNeutrophilTrauma

Identifiers

PMID31164913
PMCPMC6542247
OpenAlexW2947594787

What OpenQuestion holds

Textmetadata
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.