Evidence map›Paper›PMID 33584717›Full record

ArticleFrontiers in immunology2020

Persistent Systemic Inflammation in Patients With Severe Burn Injury Is Accompanied by Influx of Immature Neutrophils and Shifts in T Cell Subsets and Cytokine Profiles.

Patrick P G Mulder, Marcel Vlig, Bouke K H L Boekema, Matthea M Stoop, Anouk Pijpe, Paul P M van Zuijlen, Evelien de Jong, Bram van Cranenbroek, Irma Joosten, Hans J P M Koenen and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 57 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed, 2 pooled it
7.7field-weighted citation impact, top 2% 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

57 citing papers in PubMed, 2 syntheses or guidelines pooled it, 93 citations in OpenAlex.

  1. Beyond the initial impact: a systematic review of post-traumatic bone loss and its mechanisms.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2026
    Pooled it
  2. Pooled it
  3. Article
  4. Review
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  9. Review
  10. Sleep disorder increases risk of psychiatric disorder in burn survivors.Burns : journal of the International Society for Burn Injuries · 2025
    Article
  11. Therapeutic Potential of Modulating Gene-MicroRNA Crosstalk in Burn Injury.International journal of molecular sciences · 2025
    Review
  12. Article
  13. Article
  14. Sepsis in burn care: incidence and outcomes.Military Medical Research · 2025
    Article
  15. Evidence Supporting Conservative Scar Management Interventions Following Burn Injury: A Review Article.Journal of burn care & research : official publication of the American Burn Association · 2025
    Review
  16. Early mobilization after skin graft for burn injury in adults.The Cochrane database of systematic reviews · 2025
    Article
  17. Review
  18. Monocyte Anisocytosis Changes in Patients After Major Burn Injuries.Journal of burn care & research : official publication of the American Burn Association · 2025
    Article
  19. Article
  20. 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

11 authors at 4 institutions in 2 countries.

Patrick P G MulderPreclinical Research, Association of Dutch Burn Centres (ADBC), Beverwijk, Netherlands.
Marcel VligPreclinical Research, Association of Dutch Burn Centres (ADBC), Beverwijk, Netherlands.
Bouke K H L BoekemaPreclinical Research, Association of Dutch Burn Centres (ADBC), Beverwijk, Netherlands.
Matthea M StoopBurn Center, Red Cross Hospital, Beverwijk, Netherlands.
Anouk PijpeBurn Center, Red Cross Hospital, Beverwijk, Netherlands.
Paul P M van ZuijlenBurn Center, Red Cross Hospital, Beverwijk, Netherlands.
Evelien de JongBurn Center, Red Cross Hospital, Beverwijk, Netherlands.
Bram van CranenbroekLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Nijmegen, Netherlands.
Irma JoostenLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Nijmegen, Netherlands.
Hans J P M KoenenLaboratory of Medical Immunology, Department of Laboratory Medicine, Radboud University Medical Center, Nijmegen, Netherlands.
Magda M W UlrichPreclinical Research, Association of Dutch Burn Centres (ADBC), Beverwijk, Netherlands.
Association of Dutch Burn Centres · NLRadboud University Nijmegen · NLAmsterdam UMC Location VUmc · NLRed Cross Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Severe burn injury causes local and systemic immune responses that can persist up to months, and can lead to systemic inflammatory response syndrome, organ damage and long-term sequalae such as hypertrophic scarring. To prevent these pathological conditions, a better understanding of the underlying mechanisms is essential. In this longitudinal study, we analyzed the temporal peripheral blood immune profile of 20 burn wound patients admitted to the intensive care by flow cytometry and secretome profiling, and compared this to data from 20 healthy subjects. The patient cohort showed signs of systemic inflammation and persistently high levels of pro-inflammatory soluble mediators, such as IL-6, IL-8, MCP-1, MIP-1β, and MIP-3α, were measured. Using both unsupervised and supervised flow cytometry techniques, we observed a continuous release of neutrophils and monocytes into the blood for at least 39 days. Increased numbers of immature neutrophils were present in peripheral blood in the first three weeks after injury (0.1-2.8 × 10

Indexed as

Neutrophil InfiltrationAdolescentAdultAgedAged, 80 and overBurnsCellular SenescenceCytokinesFemaleFlow CytometryFollow-Up StudiesHumansImmunity, InnateInflammation MediatorsLeukocyte CountMaleCCR4 protein, humanCCR6 protein, humanCytokinesInflammation MediatorsReceptors, CCR4Receptors, CCR6burn injuryflow cytometryimmune responseinflammationlymphocytesmonocytesneutrophilssystemic

Identifiers

PMID33584717
PMCPMC7879574
OpenAlexW3128547212

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.