Evidence map›Paper›PMID 33510899›Full record

ArticleAcute medicine & surgery

Association between plasma complement factor H concentration and clinical outcomes in patients with sepsis.

Junji Shimizu, Kazunori Fujino, Toshihiro Sawai, Yasuyuki Tsujita, Takahisa Tabata, Yutaka Eguchi

Open access · goldAbstract read
In one paragraph

Article in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 56% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Review
  3. 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 2 institutions in 1 country.

Junji ShimizuEmergency and Intensive Care Unit Shiga University of Medical Science Hospital Otsu Japan.ORCID https://orcid.org/0000-0001-6287-6137
Kazunori FujinoDepartment of Critical and Intensive Care Medicine Shiga University of Medical Science Shiga Japan.
Toshihiro SawaiDepartment of Pediatrics Shiga University of Medical Science Shiga Japan.
Yasuyuki TsujitaEmergency and Intensive Care Unit Shiga University of Medical Science Hospital Otsu Japan.
Takahisa TabataDepartment of Critical and Intensive Care Medicine Shiga University of Medical Science Shiga Japan.
Yutaka EguchiDepartment of Critical and Intensive Care Medicine Shiga University of Medical Science Shiga Japan.
Shiga University of Medical Science · JPShiga University of Medical Science Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe complement system is important for defending against pathogens, however, excessive complement activation is associated with a poor prognosis and organ dysfunction in sepsis. Complement factor H (CFH) acts to prevent excessive complement activation and damage to the self through the regulation of the complement alternative pathway. We investigated the association between plasma CFH levels on admission to the intensive care unit (ICU) and 90-day mortality, severity scores, and organ dysfunction in patients with sepsis.

methodsWe assessed the relationship between the plasma CFH on admission to the ICU and 90-day mortality, severity scores such as the Acute Physiology and Chronic Health Evaluation II score, Sequential Organ Failure Assessment score, and Simplified Acute Physiology Score 2, and organ dysfunction.

resultsThis analysis included 62 patients. The plasma CFH levels were significantly lower in 90-day non-survivors than in survivors (70.0 μg/mL [interquartile range, 51.2-97.6] versus 104.8 μg/mL [interquartile range, 66.8-124.2];

conclusionLower plasma levels of CFH were associated with increased severity and mortality in patients with sepsis on admission to the ICU and were correlated with central nervous system dysfunction and coagulopathy.

Indexed as

central nervous system dysfunctioncoagulopathycomplementcomplement factor Hsepsis

Identifiers

PMID33510899
PMCPMC7814988
OpenAlexW3125800880

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.