Evidence map›Paper›PMID 32831638›Full record

ArticleMediators of inflammation2020

Midregional Proadrenomedullin (MRproADM) Serum Levels in Critically Ill Patients Are Associated with Short-Term and Overall Mortality during a Two-Year Follow-Up.

Lukas Buendgens, Eray Yagmur, Axel Ginsberg, Ralf Weiskirchen, Theresa Wirtz, Samira Abu Jhaisha, Albrecht Eisert, Tom Luedde, Christian Trautwein, Frank Tacke and 1 more

Open access · goldAbstract read
In one paragraph

Article in Mediators of inflammation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
0.5field-weighted citation impact, top 41% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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  6. Observational
  7. Review
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

11 authors at 2 institutions in 1 country.

Lukas BuendgensDepartment of Medicine III, RWTH-University Hospital Aachen, Germany.
Eray YagmurMedical Care Center, Dr Stein and Colleagues, Mönchengladbach, Germany.
Axel GinsbergDepartment of Medicine III, RWTH-University Hospital Aachen, Germany.
Ralf WeiskirchenInstitute of Molecular Pathobiochemistry, Experimental Gene Therapy and Clinical Chemistry, RWTH-University Hospital Aachen, Germany.ORCID https://orcid.org/0000-0003-3888-0931
Theresa WirtzDepartment of Medicine III, RWTH-University Hospital Aachen, Germany.
Samira Abu JhaishaDepartment of Medicine III, RWTH-University Hospital Aachen, Germany.
Albrecht EisertHospital Pharmacy, RWTH-University Hospital Aachen, Germany.
Tom LueddeDepartment of Medicine III, RWTH-University Hospital Aachen, Germany.ORCID https://orcid.org/0000-0002-6288-8821
Christian TrautweinDepartment of Medicine III, RWTH-University Hospital Aachen, Germany.
Frank TackeDepartment of Hepatology and Gastroenterology, Charité University Medicine Berlin, Germany.ORCID https://orcid.org/0000-0001-6206-0226
Alexander KochDepartment of Medicine III, RWTH-University Hospital Aachen, Germany.ORCID https://orcid.org/0000-0002-4452-4151
Universitätsklinikum Aachen · DECharité - Universitätsmedizin Berlin · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adrenomedullin (ADM) is a peptide with pleiotropic effects in systemic inflammation. Its more stable precursor protein midregional proadrenomedullin (MRproADM) can be measured more reliably compared to ADM. Our objective was to investigate the potential role of MRproADM as a diagnostic and prognostic biomarker in critically ill patients at the intensive care unit (ICU). We therefore measured MRproADM in 203 ICU patients and 66 healthy controls. We found that MRproADM levels are significantly increased in critically ill patients as compared to healthy controls. MRproADM levels are significantly increased in patients with sepsis, but its diagnostic value for identifying sepsis is numerically lower than that of established markers (e.g., interleukin-6, C-reactive protein, and procalcitonin). MRproADM levels are closely correlated to endothelial and organ dysfunction, inflammation, and established clinical scores (APACHE II, SOFA, and SAPS2). MRproADM concentrations correlate with vasopressor use but not fluid balance. Increased MRproADM levels (cut - off > 1.4 nmol/L) in critically ill patients are independent predictors of ICU and overall mortality during a follow-up of up to 26 months (OR 3.15 for ICU mortality, 95% CI 1.08-9.20,

Indexed as

AdolescentAdrenomedullinAdultAgedAged, 80 and overAPACHEBiomarkersC-Reactive ProteinCritical IllnessFemaleHumansIntensive Care UnitsMaleMiddle AgedObesityProtein PrecursorsAdrenomedullinBiomarkersC-Reactive ProteinproadrenomedullinProtein Precursors

Identifiers

PMID32831638
PMCPMC7428945
OpenAlexW3047851819

What OpenQuestion holds

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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.