ArticleDiagnostics (Basel, Switzerland)2020
Prognostic Value of Severity Score Change for Septic Shock in the Emergency Room.
Article in Diagnostics (Basel, Switzerland), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
What it found
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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.
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.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.
- Pooled it
- Prognostic Value of Lactate/Albumin Ratio and NEWS-Lactate in Predicting Sepsis-Associated Acute Kidney Injury: A Retrospective Analysis.Archives of academic emergency medicine · 2025Review
- Lactate/Albumin Ratio vs. NEWS-Lactate in Sepsis-Induced Acute Kidney Injury Prognosis; Comment on Le Xuan at al. Study.Archives of academic emergency medicine · 2025Article
- Blood Lactate Level and the Predictor of Death in Non-shock Septic Patients.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2023Article
- Prognostic scores and early management of septic patients in the emergency department of a secondary hospital: results of a retrospective study.BMC emergency medicine · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The vital signs or laboratory test results of sepsis patients may change before clinical deterioration. This study examined the differences in prognostic performance when systemic inflammatory response syndrome (SIRS), Sequential Organ Failure Assessment (SOFA), quick SOFA (qSOFA) scores, National Early Warning Score (NEWS), and lactate levels were repeatedly measured. Scores were obtained at arrival to triage, 1 h after fluid resuscitation, 1 h after vasopressor prescription, and before leaving the emergency room (ER) in 165 patients with septic shock. The relationships between score changes and in-hospital mortality, mechanical ventilation, admission to the intensive care unit, and mortality within seven days were compared using areas under receiver operating characteristic curve (AUROCs). Scores measured before leaving the ER had the highest AUROCs across all variables (SIRS score 0.827 [0.737-0.917], qSOFA score 0.754 [0.627-0.838], NEWS 0.888 [0.826-0.950], SOFA score 0.835 [0.766-0.904], and lactate 0.872 [0.805-0.939]). When combined, SIRS + lactate (0.882 [0.804-0.960]), qSOFA + lactate (0.872 [0.808-0.935]), NEWS + lactate (0.909 [0.855-0.963]), and SOFA + lactate (0.885 [0.832-0.939]) showed improved AUROCs. In patients with septic shock, scoring systems show better predictive performances at the timepoints reflecting changes in vital signs and laboratory test results than at the time of arrival, and combining them with lactate values increases their predictive powers.
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