Evidence map›Paper›PMID 32100658›Full record

ArticleEpidemiology and infection2020

C-reactive protein and albumin kinetics before community-acquired bloodstream infections - a Danish population-based cohort study.

O S Garvik, P Póvoa, B Magnussen, P J Vinholt, C Pedersen, T G Jensen, H J Kolmos, A T Lassen, K O Gradel

Abstract read
In one paragraph

Article in Epidemiology and infection, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
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  4. Article
  5. Risk factors for progression to bacteremia among patients with nosocomial carbapenem-resistant Acinetobacter baumannii pneumonia in the Intensive Care Unit.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  6. Review
  7. Review
  8. Article
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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

9 authors.

O S GarvikResearch Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, and Center for Clinical Epidemiology, Odense University Hospital, Kløvervænget 30, Entrance 216, ground floor, 5000Odense C, Denmark.ORCID 0000-0002-6062-1488
P PóvoaResearch Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, and Center for Clinical Epidemiology, Odense University Hospital, Kløvervænget 30, Entrance 216, ground floor, 5000Odense C, Denmark.
B MagnussenResearch Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, and Center for Clinical Epidemiology, Odense University Hospital, Kløvervænget 30, Entrance 216, ground floor, 5000Odense C, Denmark.
P J VinholtDepartment of Clinical Biochemistry and Pharmacology, Odense University Hospital, Sdr. Boulevard 29, entrance 40, 5000Odense C, Denmark.
C PedersenDepartment of Infectious Diseases, Odense University Hospital, Sdr. Boulevard 29, entrance 20, 5000Odense C, Denmark.
T G JensenDepartment of Clinical Microbiology, Odense University Hospital, J.B. Winsløws Vej 21, 2nd floor, 5000Odense C, Denmark.
H J KolmosDepartment of Clinical Microbiology, Odense University Hospital, J.B. Winsløws Vej 21, 2nd floor, 5000Odense C, Denmark.
A T LassenDepartment of Emergency Medicine, Odense University Hospital, Kløvervænget 25, entrance 63-65, 5000Odense C, Denmark.
K O GradelResearch Unit of Clinical Epidemiology, Institute of Clinical Research, University of Southern Denmark, and Center for Clinical Epidemiology, Odense University Hospital, Kløvervænget 30, Entrance 216, ground floor, 5000Odense C, Denmark.ORCID 0000-0002-5611-2031

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early changes in biomarker levels probably occur before bloodstream infection (BSI) is diagnosed. However, this issue has not been fully addressed. We aimed at evaluating the kinetics of C-reactive protein (CRP) and plasma albumin (PA) in the 30 days before community-acquired (CA) BSI diagnosis. From a population-based BSI database we identified 658 patients with at least one measurement of CRP or PA from day -30 (D-30) through day -1 (D-1) before the day of CA-BSI (D0) and a measurement of the same biomarker at D0 or D1. Amongst these, 502 had both CRP and PA measurements which fitted these criteria. CRP and PA concentrations began to change inversely some days before CA-BSI diagnosis, CRP increasing by day -3.1 and PA decreasing by day -1.3. From D-30 to D-4, CRP kinetics (expressed as slopes - rate of concentration change per day) was -1.5 mg/l/day. From D-3 to D1, the CRP slope increased to 36.3 mg/l/day. For albumin, the slope between D-30 to D-2 was 0.1 g/l/day and changed to -1.8 g/l/day between D-1 and D1. We showed that biomarker levels begin to change some days before the CA-BSI diagnosis, CRP 3.1 days and PA 1.3 days before.

Indexed as

Infectious Disease Incubation PeriodAdolescentAdultAgedAged, 80 and overBacteremiaBiomarkersCohort StudiesCommunity-Acquired InfectionsC-Reactive ProteinDenmarkFemaleHumansMaleMiddle AgedSerum AlbuminBiomarkersC-Reactive ProteinSerum AlbuminAlbumincommunity acquired bloodstream infectionsC-reactive protein

Identifiers

PMID32100658
PMCPMC7058655

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Registered trials

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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.