Evidence map›Paper›PMID 32910266›Full record

ArticleIntensive care medicine experimental2020

Repeated measures of Heparin-binding protein (HBP) and procalcitonin during septic shock: biomarker kinetics and association with cardiovascular organ dysfunction.

Jonas Tverring, Niklas Nielsen, Josef Dankiewicz, Adam Linder, Fredrik Kahn, Per Åkesson

Open access · goldAbstract read
In one paragraph

Article in Intensive care medicine experimental, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.2field-weighted citation impact, top 11% 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

19 citing papers in PubMed, 29 citations in OpenAlex.

  1. Observational
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
  18. Diagnostic value of heparin-binding protein in the cerebrospinal fluid for purulent meningitis in children.Brazilian journal of medical and biological research = Revista brasileira de pesquisas medicas e biologica · 2021
    Article
  19. Article
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

6 authors at 1 institution in 1 country.

Jonas TverringDivision of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden. jonas.tverring@med.lu.se.ORCID http://orcid.org/0000-0003-0939-6673
Niklas NielsenDepartment of Anaesthesia and Intensive Care, Intensive Care Unit, Helsingborg General Hospital, Helsingborg, Sweden.
Josef DankiewiczDepartment of Clinical Sciences, Division of Cardiology, Lund University, Lund, Sweden.
Adam LinderDivision of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden.
Fredrik KahnDivision of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden.
Per ÅkessonDivision of Infection Medicine, Department of Clinical Sciences, Lund University, SE-221 84, Lund, Sweden.
Lund University · SE

Funding

Swedish Government Research Grant ST ALF 2016-2018 and 2020-2022Thelma Zoégas Foundation for medical research 91282
6 · The paper itself

Abstract

backgroundHeparin-binding protein (HBP) is a neutrophil-derived pro-inflammatory protein, an inducer of endothelial dysfunction and vascular permeability and a promising prognostic biomarker in sepsis. This exploratory study aims to describe the kinetics of plasma HBP during septic shock and investigate an association between repeated measures of HBP concentration and cardiovascular organ dysfunction severity.

methodsWe included patients at or above 18 years with suspected septic shock on admission to the intensive care unit (ICU) during 2014 and 2016 to 2018. Plasma samples were collected from ICU admission and every 4 h for 72 h or until death or ICU discharge and batch analysed for HBP. Mean arterial blood pressure (MAP) and noradrenaline dose (NA dose) were recorded at each sampling time point, and systemic vascular resistance index (SVRI) was recorded when available from non-invasive monitoring. The association between HBP, NA dose, MAP and SVRI was assessed respectively using mixed-effects linear regression models. Procalcitonin (PCT) was used as a comparator.

resultsA total of 24 patients were included. The kinetics of plasma HBP was highly variable over time, with occasional >2-fold increases and decreases in between 4-h measurements. Every 100 ng/mL increase in HBP corresponded to a 30% increase in NA dose in a crude model (95% CI 3 to 60%, p = 0.03, n

conclusionsPlasma HBP displayed a highly variable kinetic pattern during septic shock and was significantly associated to cardiovascular organ dysfunction severity over time.

Indexed as

Heparin-binding proteinKineticsPhenotypeProcalcitoninRepeated measuresSepsisSeptic shock

Identifiers

PMID32910266
PMCPMC7483682
OpenAlexW3085107450

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.