Evidence map›Paper›PMID 31842964›Full record

ArticleCritical care (London, England)2019

Development of a biomarker mortality risk model in acute respiratory distress syndrome.

Christian Bime, Nancy Casanova, Radu C Oita, Juliet Ndukum, Heather Lynn, Sara M Camp, Yves Lussier, Ivo Abraham, Darrick Carter, Edmund J Miller and 3 more

Abstract read
In one paragraph

Article 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 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing 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

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

  1. Pooled it
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  8. eNAMPT Is a Novel DAMP and Therapeutic Target in Human and Murine Pulmonary Fibrosis.American journal of respiratory cell and molecular biology · 2025
    Article
  9. Predictive modeling of ARDS mortality integrating biomarker/cytokine, clinical and metabolomic data.Translational research : the journal of laboratory and clinical medicine · 2025
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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.

Christian BimeCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA.ORCID 0000-0003-4787-2685
Nancy CasanovaCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA.
Radu C OitaCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA.
Juliet NdukumCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA.
Heather LynnCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA.
Sara M CampCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA.
Yves LussierCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA.
Ivo AbrahamCollege of Pharmacy, University of Arizona Health Sciences, Tucson, USA.
Darrick CarterPAI Life Sciences, Seattle, WA, USA.
Edmund J MillerRDS2 Solutions, Stony Brook, NY, USA.
Armand Mekontso-DessapMedical Intensive Care Unit, Henri Mondor Hospital, AP-HP, 94010, Créteil, France.
Charles A DownsCollege of Nursing and Health Sciences, University of Florida, Gainesville, USA.
Joe G N GarciaCollege of Medicine, University of Arizona Health Sciences, Tucson, AZ, USA. skipgarcia@email.arizona.edu.

Funding

Structure-Function Analysis of nmMLCK in EC Barrier ResponsesP01HL126609 · NHLBI · UNIVERSITY OF FLORIDA · PI Joe G. N. Garcia · 2016 to 2026
$24.4M
Protein Chemistry & Biophysics CoreP01HL134610 · NHLBI · UNIVERSITY OF ARIZONA · PI BLACK, STEPHEN M · 2018 to 2022
$11.6M
Novel Therapeutic Antibody Targeting of Extracellular NAMPT in Ventilator-Induced Lung Injury (VILI)R42HL145930 · NHLBI · AQUALUNG THERAPEUTICS CORP. · PI GARCIA, JOE G. N. · 2019 to 2021
$1.7M
SELPLG as a candidate gene in Acute Respiratory Distress SyndromeK08HL141623 · NHLBI · UNIVERSITY OF ARIZONA · PI BIME, CHRISTIAN · 2018 to 2022
$863k
The CRIT-ICU Biomarker Panel for Stratification of Mortality Risk in ARDS PatientsR41HL147769 · NHLBI · AQUALUNG THERAPEUTICS CORP. · PI GARCIA, JOE G. N. · 2019 to 2019
$225k
NHLBI NIH HHS K08 HL141623NHLBI NIH HHS P01 HL126609NHLBI NIH HHS P01 HL134610NHLBI NIH HHS R41 HL147769NHLBI NIH HHS R42 HL145930
6 · The paper itself

Abstract

backgroundThere is a compelling unmet medical need for biomarker-based models to risk-stratify patients with acute respiratory distress syndrome. Effective stratification would optimize participant selection for clinical trial enrollment by focusing on those most likely to benefit from new interventions. Our objective was to develop a prognostic, biomarker-based model for predicting mortality in adult patients with acute respiratory distress syndrome.

methodsThis is a secondary analysis using a cohort of 252 mechanically ventilated subjects with the diagnosis of acute respiratory distress syndrome. Survival to day 7 with both day 0 (first day of presentation) and day 7 sample availability was required. Blood was collected for biomarker measurements at first presentation to the intensive care unit and on the seventh day. Biomarkers included cytokine-chemokines, dual-functioning cytozymes, and vascular injury markers. Logistic regression, latent class analysis, and classification and regression tree analysis were used to identify the plasma biomarkers most predictive of 28-day ARDS mortality.

resultsFrom eight biologically relevant biomarker candidates, six demonstrated an enhanced capacity to predict mortality at day 0. Latent-class analysis identified two biomarker-based phenotypes. Phenotype A exhibited significantly higher plasma levels of angiopoietin-2, macrophage migration inhibitory factor, interleukin-8, interleukin-1 receptor antagonist, interleukin-6, and extracellular nicotinamide phosphoribosyltransferase (eNAMPT) compared to phenotype B. Mortality at 28 days was significantly higher for phenotype A compared to phenotype B (32% vs 19%, p = 0.04).

conclusionsAn adult biomarker-based risk model reliably identifies ARDS subjects at risk of death within 28 days of hospitalization.

Indexed as

AdultAPACHEBiomarkersCytokinesFemaleHumansInterleukin-1betaInterleukin 1 Receptor Antagonist ProteinInterleukin-6Interleukin-8Intramolecular OxidoreductasesLatent Class AnalysisLogistic ModelsMacrophage Migration-Inhibitory FactorsMaleMiddle AgedBiomarkersCytokinesIL6 protein, humanInterleukin-1betainterleukin-1beta (163-171)Interleukin 1 Receptor Antagonist ProteinInterleukin-6Interleukin-8Intramolecular OxidoreductasesMacrophage Migration-Inhibitory FactorsMIF protein, humanNicotinamide Phosphoribosyltransferasenicotinamide phosphoribosyltransferase, humanPeptide Fragmentssphingosine-1-phosphate receptor-3, humanSphingosine-1-Phosphate ReceptorsVesicular Transport ProteinsVPS51 protein, humanARDSBiomarkersMortalityPredictive analytics

Identifiers

PMID31842964
PMCPMC6916252

What OpenQuestion holds

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LicenceCC BY
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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.