Evidence map›Paper›PMID 31236143›Full record

Trial reportDisease markers2019

Early Discharge from the Emergency Department Based on Soluble Urokinase Plasminogen Activator Receptor (suPAR) Levels: A TRIAGE III Substudy.

Martin Schultz, Line J H Rasmussen, Thomas Høi-Hansen, Erik Kjøller, Birgitte N Jensen, Morten N Lind, Lisbet Ravn, Thomas Kallemose, Theis Lange, Lars Køber and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Disease markers, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02643459 (Introduction of Soluble Urokinase Plasminogen Activating Receptor in Acute Care as a Prognostic Biomarker to Strengthen Risk Stratification of Acutely Admitted Patients), which is not on this map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing 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.

NCT02643459 nacompletednot on this map

Introduction of Soluble Urokinase Plasminogen Activating Receptor in Acute Care as a Prognostic Biomarker to Strengthen Risk Stratification of Acutely Admitted Patients

TypeinterventionalSponsorHerlev HospitalRan2016 to 2017Enrolled20,000ConditionsTriage, Risk Stratification With BiomarkerArmssuPAR measurement
3 · Its place in the literature

Who cites it

18 citing papers in PubMed.

  1. Trial
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  5. Observational
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  8. Review
  9. Observational
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  13. Observational
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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.

Martin SchultzDepartment of Cardiology, Herlev and Gentofte Hospital, University of Copenhagen, Ringvej 75, 2730 Herlev, Denmark.ORCID 0000-0002-1259-645X
Line J H RasmussenClinical Research Centre, Amager and Hvidovre Hospital, University of Copenhagen, Kettegård Alle 30, 2650 Hvidovre, Denmark.
Thomas Høi-HansenDepartment of Cardiology, Herlev and Gentofte Hospital, University of Copenhagen, Ringvej 75, 2730 Herlev, Denmark.
Erik KjøllerDepartment of Cardiology, Herlev and Gentofte Hospital, University of Copenhagen, Ringvej 75, 2730 Herlev, Denmark.
Birgitte N JensenDepartment of Emergency Medicine, Bispebjerg Hospital, University of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen, Denmark.
Morten N LindDepartment of Emergency Medicine, Herlev and Gentofte Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark.
Lisbet RavnDepartment of Emergency Medicine, Herlev and Gentofte Hospital, University of Copenhagen, Herlev Ringvej 75, 2730 Herlev, Denmark.
Thomas KallemoseClinical Research Centre, Amager and Hvidovre Hospital, University of Copenhagen, Kettegård Alle 30, 2650 Hvidovre, Denmark.
Theis LangeDepartment of Public Health, University of Copenhagen, Section of Biostatistics, Øster Farimagsgade 5, 1014 Copenhagen, Denmark.
Lars KøberDepartment of Cardiology, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.
Lars S RasmussenDepartment of Anaesthesia, Centre of Head and Orthopaedics, Rigshospitalet, University of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.ORCID 0000-0002-7480-3004
Jesper Eugen-OlsenClinical Research Centre, Amager and Hvidovre Hospital, University of Copenhagen, Kettegård Alle 30, 2650 Hvidovre, Denmark.
Kasper K IversenDepartment of Cardiology, Herlev and Gentofte Hospital, University of Copenhagen, Ringvej 75, 2730 Herlev, Denmark.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveUsing biomarkers for early and accurate identification of patients at low risk of serious illness may improve the flow in the emergency department (ED) by classifying these patients as nonurgent or even suitable for discharge. A potential biomarker for this purpose is

designA substudy of the interventional TRIAGE III trial, comparing patients with a valid suPAR measurement at admission to those without. The primary endpoint was the proportion of patients discharged alive from the ED within 24 hours. Secondary outcomes were length of hospital stay, readmissions, and mortality within 30 days.

settingEDs at two university hospitals in the Capital Region of Denmark.

participants16,801 acutely admitted patients were included. MEASUREMENTS AND MAIN

resultsThe suPAR level was available in 7,905 patients (suPAR group), but not in 8,896 (control group). The proportion of patients who were discharged within 24 hours of admittance was significantly higher in the suPAR group compared to the control group (50.2% (3,966 patients) vs. 48.6% (4,317 patients),

conclusionThese post hoc analyses demonstrate that the availability of the prognostic biomarker suPAR was associated with a higher proportion of discharge within 24 hours and reduced length of stay, but more readmissions. In patients discharged within 24 hours, there was no difference in readmission or mortality. TRIAL REGISTRATION OF THE MAIN TRIAL: This trial is registered with NCT02643459.

Indexed as

AdultAgedBiomarkersEmergency Service, HospitalFemaleHumansMaleMiddle AgedPatient DischargePatient ReadmissionReceptors, Urokinase Plasminogen ActivatorBiomarkersReceptors, Urokinase Plasminogen Activator

Identifiers

PMID31236143
PMCPMC6545801

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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.