Evidence map›Paper›PMID 31590654›Full record

ArticleBMC infectious diseases2019

Past history of stage I/II solid tumor malignancy impacts considerably on sepsis mortality: a propensity score matching analysis from the hellenic sepsis study group.

George Dimopoulos, Nikoletta Rovina, Maria Patrani, Eleni Antoniadou, Dimitrios Konstantonis, Konstantina Vryza, Glykeria Vlachogianni, Miltiades Kyprianou, Christina Routsi, Evangelos J Giamarellos-Bourboulis and 1 more

Abstract read
In one paragraph

Article in BMC infectious diseases, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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

11 authors.

George Dimopoulos2nd Department of Critical Care Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Nikoletta RovinaIntensive Care Unit, 1st Department of Pulmonary Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Maria PatraniIntensive Care Unit, Korgialeneion-Benakeion Athens General Hospital, Athens, Greece.
Eleni AntoniadouIntensive Care Unit, "G.Gennimatas" Thessaloniki General Hospital, Thessaloniki, Greece.
Dimitrios Konstantonis2nd Department of Critical Care Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Konstantina VryzaIntensive Care Unit, Theageneion General Hospital, Thessaloniki, Greece.
Glykeria VlachogianniIntensive Care Unit, "Aghios Dimitrios" Thessaloniki General Hospital, Thessaloniki, Greece.
Miltiades Kyprianou4th Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Christina Routsi1st Department of Critical Care Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece.
Evangelos J Giamarellos-Bourboulis4th Department of Internal Medicine, National and Kapodistrian University of Athens, Medical School, Athens, Greece. egiamarel@med.uoa.gr.ORCID 0000-0003-4713-3911
Hellenic Sepsis Study Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhether past history of solid stage I/II inactive cancer has an impact on 28-day mortality of sepsis remains unclear. We aimed to determine the impact of history of stage I or II solid tumor malignancy in complete remission the last 3 years on sepsis outcome.

methodsUsing the database of the Hellenic Sepsis Study Group from 1553 patients with sepsis admitted in the ICU, 83 patients with sepsis by Sepsis-3 definition with past-history of stage I/II inactive solid malignancy the last 3 years were depicted. A comparator group of 83 patients fully matched for age, severity, type of infection and comorbidities was selected by propensity score matching.

resultsMortality after 28 days was 37.3% in the comparator group and 54.2% in the solid tumor stage I/II group (odds ratio for death 1.98; p: 0.030). Following step-wise forward Cox regression analysis, septic shock (hazard ratio 1.80), acute renal injury (hazard ratio 2.06), history of coronary heart disease (hazard ratio 0.36) and history of stage I/II solid tumor malignancy (hazard ratio 1.79) were the only independent variables associated with 28-day mortality. Serum levels of procalcitonin and of soluble urokinase plasminogen activator receptor were similar between the two groups of comparisons.

conclusionsPast history of stage I/II solid malignancy is an independent risk factor for unfavorable outcome from sepsis the first 28 days.

Indexed as

Neoplasm StagingPropensity ScoreAcute Kidney InjuryAgedAged, 80 and overCoronary DiseaseFemaleHumansIntensive Care UnitsMaleMiddle AgedNeoplasmsOdds RatioProportional Hazards ModelsRisk FactorsSepsisCancerICUOutcomeSeverity

Identifiers

PMID31590654
PMCPMC6781365

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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.