Evidence map›Paper›PMID 32572531›Full record

SynthesisIntensive care medicine2020

Incidence and mortality of hospital- and ICU-treated sepsis: results from an updated and expanded systematic review and meta-analysis.

C Fleischmann-Struzek, L Mellhammar, N Rose, A Cassini, K E Rudd, P Schlattmann, B Allegranzi, K Reinhart

4 registry-linked trialsAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Intensive care medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 546 papers, 11 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
546citing papers in PubMed, 11 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.

NCT05213923 nacompletednot on this mapstarted 2021, after this paper: background citation

ED Tracking Sheet Implementation

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2021 to 2022Enrolled194ConditionsSepsis, Severe Sepsis, Systemic Inflammatory Response SyndromeArmsED Sepsis Tracking Sheet
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™)
NCT07096310 phase1 / phase2active not recruitingnot on this mapstarted 2024, after this paper: background citation

Comparison Between Carbapenems and Noncarbapenem Broad Spectrum Beta-lactam Antibiotics as Initial Antibiotic Therapy Against Sepsis in Burn Patients: A Prospective Study

TypeinterventionalSponsorAin Shams UniversityRan2024 to 2026Enrolled400ConditionsSepsisArmsMeropenem I.V. 2g as a 3 hour infusion every 8 hours, Tazocin (pipercillin/tazobactam)
NCT07283588 completednot on this mapstarted 2025, after this paper: background citation

Intensive Care Burden of Sepsis in Türkiye: Analysis of Multicenter Two-time Point Prevalence Approach and Clinical Outcomes (İntensive Care Sepsis Prevelance in Turkey (INSEP-TURK))

Typeobservational_patient_registrySponsorGulhane Training and Research HospitalRan2025 to 2026Enrolled850ConditionsSeptic Shock Point Prevalence, Sepsis
3 · Its place in the literature

Who cites it

546 citing papers in PubMed, 11 syntheses or guidelines pooled it.

  1. Guideline
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  5. [S3 guideline on sepsis-prevention, diagnosis, therapy, and follow-up care-update 2025].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2025
    Guideline
  6. Pooled it
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  12. Trial
  13. Article
  14. Indole-3-carboxaldehyde fromGut microbes · 2026
    Article
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  17. Observational
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486 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

8 authors.

C Fleischmann-StruzekCenter for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
L MellhammarDivision of Infection Medicine, Department of Clinical Sciences, University of Lund, Lund, Sweden.
N RoseCenter for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
A CassiniInfection Prevention and Control Hub, Integrated Health Services, World Health Organization, Geneva, Switzerland.
K E RuddDepartment of Critical Care Medicine, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA.
P SchlattmannInstitute for Medical Statistics, Computer Science and Data Science, Jena University Hospital, Jena, Germany.
B AllegranziInfection Prevention and Control Hub, Integrated Health Services, World Health Organization, Geneva, Switzerland.
K ReinhartDepartment of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Charité Universitätsmedizin Berlin, Corporate Member of Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany. Konrad.Reinhart@charite.de.ORCID 0000-0002-2324-5444

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate the global burden of sepsis in hospitalized adults by updating and expanding a systematic review and meta-analysis and to compare findings with recent Institute for Health Metrics and Evaluation (IHME) sepsis estimates.

methodsThirteen electronic databases were searched for studies on population-level sepsis incidence defined according to clinical criteria (Sepsis-1, -2: severe sepsis criteria, or sepsis-3: sepsis criteria) or relevant ICD-codes. The search of the original systematic review was updated for studies published 05/2015-02/2019 and complemented by a search targeting low- or middle-income-country (LMIC) studies published 01/1979-02/2019. We performed a random-effects meta-analysis with incidence of hospital- and ICU-treated sepsis and proportion of deaths among these sepsis cases as outcomes.

resultsOf 4746 results, 28 met the inclusion criteria. 21 studies contributed data for the meta-analysis and were pooled with 30 studies from the original meta-analysis. Pooled incidence was 189 [95% CI 133, 267] hospital-treated sepsis cases per 100,000 person-years. An estimated 26.7% [22.9, 30.7] of sepsis patients died. Estimated incidence of ICU-treated sepsis was 58 [42, 81] per 100,000 person-years, of which 41.9% [95% CI 36.2, 47.7] died prior to hospital discharge. There was a considerably higher incidence of hospital-treated sepsis observed after 2008 (+ 46% compared to the overall time frame).

conclusionsCompared to results from the IHME study, we found an approximately 50% lower incidence of hospital-treated sepsis. The majority of studies included were based on administrative data, thus limiting our ability to assess temporal trends and regional differences. The incidence of sepsis remains unknown for the vast majority of LMICs, highlighting the urgent need for improved epidemiological sepsis surveillance.

Indexed as

SepsisAdultHospitalsHumansIncidenceIntensive Care UnitsBurdenEpidemiologyIncidenceMortalitySepsis

Identifiers

PMID32572531
PMCPMC7381468

What OpenQuestion holds

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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.