Evidence map›Paper›PMID 31627725›Full record

Observational studyBMC anesthesiology2019

Clinical characteristics, risk factors, immune status and prognosis of secondary infection of sepsis: a retrospective observational study.

Yao Chen, Yanyan Hu, Jin Zhang, Yue Shen, Junling Huang, Jun Yin, Ping Wang, Ying Fan, Jianli Wang, Su Lu and 6 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC anesthesiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
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  7. Sympathetic regulation of the host immune response to bacterial sepsis.Clinical science (London, England : 1979) · 2025
    Review
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  18. Nomogram Prediction Model for Risk Factors of Secondary Infection in Sepsis Patients.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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

16 authors at 2 institutions in 2 countries.

Yao ChenDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yanyan HuDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Jin ZhangDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yue ShenDepartment of Gastroenterology, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Junling HuangDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Jun YinDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Ping WangDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Ying FanDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Jianli WangDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Su LuDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Yilin YangDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Lei YanDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China.
Keyong LiDepartment of Pharmacology, University of Virginia School of Medicine, Charlottesville, Virginia, 22908, USA.
Zhenju SongDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. song.zhenju@zs-hospital.sh.cn.ORCID 0000-0001-9294-8824
Chaoyang TongDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. tong.chaoyang@zs-hospital.sh.cn.
Shilin DuDepartment of Emergency Medicine, Zhongshan Hospital, Fudan University, Shanghai, 200032, China. du.shilin@zs-hospital.sh.cn.
Sun Yat-sen University · CNUniversity of Virginia · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSecondary infection has a higher incidence in septic patients and affects clinical outcomes. This study aims to investigate the clinical characteristics, risk factors, immune status and prognosis of secondary infection of sepsis.

methodsA four-year retrospective study was carried out in Zhongshan Hospital, Fudan University, enrolling septic patients admitted between January, 2014 and January, 2018. Clinical data were acquired from medical records. CD14

resultsA total of 297 septic patients were enrolled, 92 of whom developed 150 cases of secondary infections. Respiratory tract was the most common site of secondary infection (n = 84, 56%) and Acinetobacter baumanii the most commonly isolated pathogen (n = 40, 31%). Urinary and deep venous catheterization increased the risk of secondary infection. Lower HLA-DR expression and elevated IL-10 level were found in secondary infection group. The expected prolonged in-hospital stay owing to secondary infection was 4.63 ± 1.87 days. Secondary infection was also associated with higher in-hospital, 30-day and 90-day mortality. Kaplan-Meier survival analysis and Log-rank test revealed that secondary infection group had worse survival between day 15 and day 90.

conclusionsUrinary and deep venous catheterization increased the risk of secondary infection, in which underlying immunosuppression might also play a role. Secondary infection affected the prognosis of septic patients and prolonged in-hospital length of stay.

Indexed as

AgedCoinfectionCytokinesFemaleHumansKaplan-Meier EstimateLength of StayMaleMiddle AgedPrognosisRetrospective StudiesRisk FactorsSepsisCytokinesCytokineHLA-DRImmunosuppressionSecondary infectionSepsis

Identifiers

PMID31627725
PMCPMC6800505
OpenAlexW2980512568

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.