Evidence map›Paper›PMID 32503670›Full record

ReviewCritical care (London, England)2020

Biomarkers of sepsis: time for a reappraisal.

Charalampos Pierrakos, Dimitrios Velissaris, Max Bisdorff, John C Marshall, Jean-Louis Vincent

Registry-linked trialOpen access · goldAbstract readReview
In one paragraph

Review in Critical care (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05968287 (Evaluation of the Relationship of Neutrophil Functions With Sepsis and Septic Shock Using the Leukocyte ImmunoTest™ in Patients With Various Infectious Conditions), which is not on this map. Cited by 394 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
394citing papers in PubMed, 11 pooled it
46.4field-weighted citation impact, top 1% 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.

NCT05968287 completednot on this mapstarted 2022, after this paper: background citation

Evaluation of the Relationship of Neutrophil Functions With Sepsis and Septic Shock Using the Leukocyte ImmunoTest™ in Patients With Various Infectious Conditions

TypeobservationalSponsorGazi UniversityRan2022 to 2023Enrolled276ConditionsInfections, Sepsis, Septic ShockArmsThe Leukocyte ImmunoTest™ (LIT™)
3 · Its place in the literature

Who cites it

394 citing papers in PubMed, 11 syntheses or guidelines pooled it, 670 citations in OpenAlex.

  1. Pooled it
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334 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

5 authors at 3 institutions in 3 countries.

Charalampos PierrakosIntensive Care Department, Brugmann University Hospital, Université Libre de Bruxelles, Brussels, Belgium.
Dimitrios VelissarisInternal Medicine Department, University Hospital of Patras, Patras, Greece.
Max BisdorffDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium.
John C MarshallSurgery/Critical Care Medicine, St. Michael's Hospital, Toronto, Ontario, Canada.
Jean-Louis VincentDepartment of Intensive Care, Erasme Hospital, Université Libre de Bruxelles, Route de Lennik 808, 1070, Brussels, Belgium. jlvincent@intensive.org.ORCID 0000-0001-6011-6951
Université Libre de Bruxelles · BEGeneral University Hospital of Patras · GRSt. Michael's Hospital · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSepsis biomarkers can have important diagnostic, therapeutic, and prognostic functions. In a previous review, we identified 3370 references reporting on 178 different biomarkers related to sepsis. In the present review, we evaluate the progress in the research of sepsis biomarkers.

methodsUsing the same methodology as in our previous review, we searched the PubMed database from 2009 until September 2019 using the terms "Biomarker" AND "Sepsis." There were no restrictions by age or language, and all studies, clinical and experimental, were included.

resultsWe retrieved a total of 5367 new references since our previous review. We identified 258 biomarkers, 80 of which were new compared to our previous list. The majority of biomarkers have been evaluated in fewer than 5 studies, with 81 (31%) being assessed in just a single study. Apart from studies of C-reactive protein (CRP) or procalcitonin (PCT), only 26 biomarkers have been assessed in clinical studies with more than 300 participants. Forty biomarkers have been compared to PCT and/or CRP for their diagnostic value; 9 were shown to have a better diagnostic value for sepsis than either or both of these biomarkers. Forty-four biomarkers have been evaluated for a role in answering a specific clinical question rather than for their general diagnostic or prognostic properties in sepsis.

conclusionsThe number of biomarkers being identified is still increasing although at a slower rate than in the past. Most of the biomarkers have not been well-studied; in particular, the clinical role of these biomarkers needs to be better evaluated.

Indexed as

BiomarkersHumansSepsisStandard of CareBiomarkersC-reactive proteinDiagnosisInfectionProcalcitoninPrognosisValidation

Identifiers

PMID32503670
PMCPMC7273821
OpenAlexW3033683066

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.