Evidence map›Paper›PMID 31805967›Full record

Trial reportCritical care (London, England)2019

Cortisol total/CRP ratio for the prediction of hospital-acquired pneumonia and initiation of corticosteroid therapy in traumatic brain-injured patients.

Marwan Bouras, Antoine Roquilly, Pierre-Joachim Mahé, Raphaël Cinotti, Mickaël Vourc'h, Bastien Perrot, Kalyane Bach-Ngohou, Damien Masson, Karim Asehnoune

Open access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Critical care (London, England), 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
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. Pooled it
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  4. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors at 4 institutions in 2 countries.

Marwan BourasSurgical Intensive Care Unit, Hotel-Dieu, University Hospital of Nantes, 44093, Nantes, France.
Antoine RoquillySurgical Intensive Care Unit, Hotel-Dieu, University Hospital of Nantes, 44093, Nantes, France.
Pierre-Joachim MahéSurgical Intensive Care Unit, Hotel-Dieu, University Hospital of Nantes, 44093, Nantes, France.
Raphaël CinottiSurgical Intensive Care Unit, Hotel-Dieu, University Hospital of Nantes, 44093, Nantes, France.
Mickaël Vourc'hSurgical Intensive Care Unit, Hotel-Dieu, University Hospital of Nantes, 44093, Nantes, France.
Bastien PerrotUMR_S 1246 Methods in Patient-Centered Outcomes and Health Research, Nantes University, 44000, Nantes, France.
Kalyane Bach-NgohouBiochemistry Laboratory, UMR INSERM 1235, University Hospital of Nantes, 44093, Nantes, France.
Damien MassonBiochemistry Laboratory, UMR INSERM 1235, University Hospital of Nantes, 44093, Nantes, France.
Karim AsehnouneSurgical Intensive Care Unit, Hotel-Dieu, University Hospital of Nantes, 44093, Nantes, France. karim.asehnoune@chu-nantes.fr.ORCID http://orcid.org/0000-0003-1899-3517
Nantes Université · FRInserm · FRHotel Dieu Hospital · CAmethodS in Patient-centered outcomes and HEalth ResEarch

Funding

The French Society of Anesthesiology and Intensive care (SFAR) and institutional funds .
6 · The paper itself

Abstract

backgroundTo propose a combination of blood biomarkers for the prediction of hospital-acquired pneumonia (HAP) and for the selection of traumatic brain-injured (TBI) patients eligible for corticosteroid therapy for the prevention of HAP.

methodsThis was a sub-study of the CORTI-TC trial, a multicenter, randomized, double-blind, controlled trial evaluating the risk of HAP at day 28 in 336 TBI patients treated or not with corticosteroid therapy. Patients were between 15 and 65 years with severe traumatic brain injury (Glasgow coma scale score ≤ 8 and trauma-associated lesion on brain CT scan) and were enrolled within 24 h of trauma. The blood levels of CRP and cortisol

resultsOf the 179 patients with available samples, 89 (49.7%) developed an HAP. Cortisol

conclusionA cortisol

Indexed as

Predictive Value of TestsAdolescentAdrenal Cortex HormonesAdultAgedAnti-Bacterial AgentsBiomarkersBrain Injuries, TraumaticC-Reactive ProteinDouble-Blind MethodFemaleHealthcare-Associated PneumoniaHumansHydrocortisoneMaleMiddle AgedAdrenal Cortex HormonesAnti-Bacterial AgentsBiomarkersC-Reactive ProteinHydrocortisoneBiomarkersBrainCorticosteroidCortisolCRPInjuryPneumoniaTraumatic

Identifiers

PMID31805967
PMCPMC6896691
OpenAlexW2994303316

What OpenQuestion holds

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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.