Evidence map›Paper›PMID 33767693›Full record

ArticleFrontiers in immunology2021

Use of IFNγ/IL10 Ratio for Stratification of Hydrocortisone Therapy in Patients With Septic Shock.

Rainer König, Amol Kolte, Olaf Ahlers, Marcus Oswald, Veiko Krauss, Daniela Roell, Oliver Sommerfeld, George Dimopoulos, Iraklis Tsangaris, Eleni Antoniadou and 17 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
4.4field-weighted citation impact, top 4% 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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Corticosteroids for treating sepsis in children and adults.The Cochrane database of systematic reviews · 2025
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Corticosteroids in sepsis.Journal of intensive medicine · 2025
    Review
  6. IFNγ in human sepsis: a scoping review.Annals of intensive care · 2025
    Review
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Cytokine Storm-Definition, Causes, and Implications.International journal of molecular sciences · 2022
    Review
  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

27 authors at 11 institutions in 4 countries.

Rainer KönigIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Amol KolteIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Olaf AhlersDepartment of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Berlin Institute of Health, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Marcus OswaldIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Veiko KraussIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Daniela RoellIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Oliver SommerfeldIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
George Dimopoulos2nd Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Iraklis Tsangaris2nd Department of Critical Care Medicine, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Eleni AntoniadouIntensive Care Unit, "George Gennimatas" Thessaloniki General Hospital, Thessaloniki, Greece.
Neeraja JaishankarIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Holger BogatschClinical Trial Centre, Leipzig University, Leipzig, Germany.
Markus LöfflerInstitute for Medical Informatics, Statistics and Epidemiology, Leipzig University, Leipzig, Germany.
Markus RödelIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Marina Garcia-MorenoInstitute of Medical Microbiology, Jena University Hospital, Jena, Germany.
Lorena TuchscherrInstitute of Medical Microbiology, Jena University Hospital, Jena, Germany.
Charles L SprungDepartment of Anesthesiology and Critical Care Medicine, Hadassah Hebrew University Medical Center, Jerusalem, Israel.
Mervyn SingerDivision of Medicine, Bloomsbury Institute of Intensive Care Medicine, University College London, London, United Kingdom.
Frank BrunkhorstIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Michael OppertDepartment of Emergency and Intensive Care Medicine, Klinikum Ernst von Bergmann, Potsdam, Germany.
Herwig GerlachDepartment of Anesthesia, Operative Intensive Care Medicine, and Pain Management, Vivantes Neukölln Hospital, Berlin, Germany.
Ralf A ClausDepartment of Anesthesiology and Intensive Care Medicine, Jena University Hospital, Jena, Germany.
Sina M ColdeweyIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Josef BriegelDepartment of Anesthesiology, University Hospital, Ludwig Maximilian University of Munich, Munich, Germany.
Evangelos J Giamarellos-BourboulisIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Didier KehDepartment of Anesthesiology and Operative Intensive Care Medicine (CCM, CVK), Berlin Institute of Health, Charité - Universitätsmedizin Berlin, Freie Universität Berlin, Humboldt-Universität zu Berlin, Berlin, Germany.
Michael BauerIntegrated Research and Treatment Center, Center for Sepsis Control and Care, Jena University Hospital, Jena, Germany.
Jena University Hospital · DELeipzig University · DENational and Kapodistrian University of Athens · GRBury College · GBCharité - Universitätsmedizin Berlin · DEFreie Universität Berlin · DEGeneral Hospital of Athens G. Genimatas · GRHadassah Medical Center · ILKlinikum Ernst von Bergmann · DELudwig-Maximilians-Universität München · DEVivantes Klinikum · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Large clinical trials testing hydrocortisone therapy in septic shock have produced conflicting results. Subgroups may benefit of hydrocortisone treatment depending on their individual immune response. We performed an exploratory analysis of the database from the international randomized controlled clinical trial Corticosteroid Therapy of Septic Shock (CORTICUS) employing machine learning to a panel of 137 variables collected from the Berlin subcohort comprising 83 patients including demographic and clinical measures, organ failure scores, leukocyte counts and levels of circulating cytokines. The identified theranostic marker was validated against data from a cohort of the Hellenic Sepsis Study Group (HSSG) (

Indexed as

AdultAgedAnimalsAnti-Inflammatory AgentsBiomarkersClinical Decision-MakingDisease ManagementDisease Models, AnimalFemaleHemodynamicsHumansHydrocortisoneInterferon-gammaInterleukin-10Lactic AcidMaleAnti-Inflammatory AgentsBiomarkersHydrocortisoneInterferon-gammaInterleukin-10Lactic AcidNorepinephrinehydrocortisoneIFNgamma/IL10immune therapymachine learningsepsissteroidstheranostics

Identifiers

PMID33767693
PMCPMC7985546
OpenAlexW3133969530

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.