Evidence map›Paper›PMID 31718563›Full record

ArticleBMC infectious diseases2019

Diagnostic and prognostic value of interleukin-6, pentraxin 3, and procalcitonin levels among sepsis and septic shock patients: a prospective controlled study according to the Sepsis-3 definitions.

Juhyun Song, Dae Won Park, Sungwoo Moon, Han-Jin Cho, Jong Hak Park, Hyeri Seok, Won Seok Choi

Registry-linked trialAbstract 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. It is linked to trial NCT06989892 (Comparing Super High-flux and High-flux Dialyzer Performance Among Hemodialysis Patient With Sepsis), which is not on this map. Cited by 201 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
201citing papers in PubMed, 6 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.

NCT06989892 narecruitingnot on this mapstarted 2024, after this paper: background citation

Comparing Super High-flux and High-flux Dialyzer Performance Among Hemodialysis Patient With Sepsis : a Randomized Control Trial

TypeinterventionalSponsorNavamindradhiraj UniversityRan2024 to 2026Enrolled202ConditionsThe Efficacy and Safety for Super High-flux Dialyzer in Case of Sepsis in ESKD, End Stage Kidney Disease (ESRD), SepsisArmsSuper High-flux dialyzer (Elisio 19HDx), High-flux dialyzer (Elisio 19H)
3 · Its place in the literature

Who cites it

201 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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141 more citing papers are in PubMed but not listed here.

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.

Juhyun SongDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Dae Won ParkDivision of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, Republic of Korea. pugae1@hanmail.net.ORCID http://orcid.org/0000-0002-7653-686X
Sungwoo MoonDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Han-Jin ChoDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Jong Hak ParkDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Hyeri SeokDivision of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, Republic of Korea.
Won Seok ChoiDivision of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, 123, Jeokgeum-ro, Danwon-gu, Ansan-si, Gyeonggi-do, Republic of Korea.

Funding

Korea University Ansan Hospital K1722241Korea University Ansan Hospital O1700641
6 · The paper itself

Abstract

backgroundThis study investigated the clinical value of interleukin-6 (IL-6), pentraxin 3 (PTX3), and procalcitonin (PCT) in patients with sepsis and septic shock diagnosed according to the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

methodsSerum levels of IL-6, PTX3, and PCT were measured in 142 enrolled subjects (51 with sepsis, 46 with septic shock, and 45 as controls). Follow-up IL-6 and PTX3 levels were measured in patients with initial septic shock within 24 h of hospital discharge. Optimal cut-off values were determined for sepsis and septic shock, and prognostic values were evaluated.

resultsSerum IL-6 levels could discriminate sepsis (area under the curve [AUC], 0.83-0.94, P <  0.001; cut-off value, 52.60 pg/mL, 80.4% sensitivity, 88.9% specificity) from controls and could distinguish septic shock (AUC, 0.71-0.89; cut-off value, 348.92 pg/mL, 76.1% sensitivity, 78.4% specificity) from sepsis. Twenty-eight-day mortality was significantly higher in the group with high IL-6 (≥ 348.92 pg/mL) than in the group with low IL-6 (< 348.92 pg/mL) (P = 0.008). IL-6 was an independent risk factor for 28-day mortality among overall patients (hazard ratio, 1.0004; 95% confidence interval, 1.0003-1.0005; p = 0.024). In septic shock patients, both the initial and follow-up PTX3 levels were consistently significantly higher in patients who died than in those who recovered (initial p = 0.004; follow-up P <  0.001).

conclusionsThe diagnostic and prognostic value of IL-6 was superior to those of PTX3 and PCT for sepsis and septic shock.

Indexed as

AdultAgedAged, 80 and overArea Under CurveBiomarkersCase-Control StudiesC-Reactive ProteinFemaleHumansInterleukin-6MaleMiddle AgedPentraxinsProcalcitoninPrognosisRisk FactorsBiomarkersC-Reactive ProteinInterleukin-6PentraxinsProcalcitoninSerum Amyloid P-ComponentEmergency departmentInterleukin-6Pentraxin 3ProcalcitoninSepsisSeptic shock

Identifiers

PMID31718563
PMCPMC6852730

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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.