Evidence map›Paper›PMID 33441088›Full record

ArticleBMC infectious diseases2021

Clinical physiological parameters for the prediction of gram-negative bacterial infection in the emergency department.

Chan-Peng Hsu, Hsin-Yu Chen, Wei-Lung Chen, Jiann-Hwa Chen, Chien-Cheng Huang, Po-Han Wu, Jui-Yuan Chung

Open access · goldAbstract read
In one paragraph

Article in BMC infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 48% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Clinical Predictors ofAntibiotics (Basel, Switzerland) · 2025
    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

7 authors at 4 institutions in 1 country.

Chan-Peng HsuDepartment of Emergency Medicine, Hsinchu Cathay General Hospital, Hsinchu, Taiwan.
Hsin-Yu ChenDepartment of Pediatric, Hsinchu Cathay General Hospital, Hsinchu, Taiwan.
Wei-Lung ChenDepartment of Emergency Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, 613, Taiwan.
Jiann-Hwa ChenDepartment of Emergency Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, 613, Taiwan.
Chien-Cheng HuangDepartment of Emergency Medicine, Chi-Mei Medical Center, Tainan, Taiwan.
Po-Han WuDepartment of Emergency Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, 613, Taiwan. albertwu0628@gmail.com.
Jui-Yuan ChungDepartment of Emergency Medicine, Chiayi Chang Gung Memorial Hospital, Chiayi, 613, Taiwan. bybarian@gmail.com.ORCID http://orcid.org/0000-0002-4823-555X
Fu Jen Catholic University · TWCathay General Hospital · TWChiayi Chang Gung Memorial Hospital · TWChi Mei Medical Center · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly detection and treatment of Gram-negative bacteria (GNB), major causative pathogens of sepsis (a potentially fatal condition caused by the body's response to an infection), may benefit a patient's outcome, since the mortality rate increases by 5-10% for each hour of delayed therapy. Unfortunately, GNB diagnosis is based on bacterial culture, which is time consuming. Therefore, an economic and effective GNB (defined as a positive blood, sputum, or urine culture) infection detection tool in the emergency department (ED) is warranted.

methodsWe conducted a retrospective cohort study in the ED of a university-affiliated medical center between January 01, 2014 and December 31, 2017. The inclusion criteria were as follows: (1) age ≥ 18; (2) clinical suspicion of bacterial infection; (3) bacterial culture from blood, sputum, or urine ordered and obtained in the ED. Descriptive statistics was performed on patient demographic characteristics, vital signs, laboratory data, infection sites, cultured microorganisms, and clinical outcomes. The accuracy of vital signs to predict GNB infection was identified via univariate logistic regression and receiver operating characteristic (ROC) curve analysis.

resultsA total of 797 patients were included in this study; the mean age was 71.8 years and 51.3% were male. The odds ratios of patients with body temperature ≥ 38.5 °C, heart rate ≥ 110 beats per minute, respiratory rate ≥ 20 breaths per minute, and Glasgow coma scale (GCS) < 14, in predicting GNB infection were found to be 2.3, 1.4, 1.9, and 1.6, respectively. The area under the curve values for ROC analysis of these measures were 0.70, 0.68, 0.69, and 0.67, respectively.

conclusionThe four physiological parameters were rapid and reliable independent predictors for detection of GNB infection.

Indexed as

Body TemperatureEmergency Service, HospitalGlasgow Coma ScaleHeart RateRespiratory RateAgedAged, 80 and overFemaleGram-Negative BacteriaGram-Negative Bacterial InfectionsHumansLogistic ModelsMaleMiddle AgedPrognosisRetrospective StudiesClinical parametersEmergency departmentGram-negative bacteria infection

Identifiers

PMID33441088
PMCPMC7805130
OpenAlexW3119115514

What OpenQuestion holds

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LicenceCC BY
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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.