Evidence map›Paper›PMID 33877463›Full record

ArticleAnnals of intensive care2021

ABO blood types and sepsis mortality.

Theis S Itenov, Daniel I Sessler, Ashish K Khanna, Sisse R Ostrowski, Pär I Johansson, Christian Erikstrup, Ole B Pedersen, Sofie L Rygård, Lars B Holst, Morten H Bestle and 7 more

Open access · goldAbstract read
In one paragraph

Article in Annals of intensive care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Article
  9. Analysis of Clinical Characteristics and Blood Cell in Adult Patients with Brucella Bloodstream Infection of Different Blood Groups.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  10. Observational
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

17 authors at 11 institutions in 2 countries.

Theis S ItenovCHIP / PERSIMUNE, Department of Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, The Capital Region of Denmark, Denmark. Theis.skovsgaard.itenov@regionh.dk.ORCID https://orcid.org/0000-0002-1204-3636
Daniel I SesslerDepartment of Outcomes Research, Anesthesiology Institute, Cleveland Clinic, Cleveland, OH, USA.
Ashish K KhannaWake Forest University School of Medicine, Wake Forest Baptist Health, Winston-Salem, NC, USA.
Sisse R OstrowskiCHIP / PERSIMUNE, Department of Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, The Capital Region of Denmark, Denmark.
Pär I JohanssonDepartment of Clinical Immunology, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Christian ErikstrupDepartment of Clinical Immunology, Aarhus University Hospital, Aarhus, Denmark.
Ole B PedersenDepartment of Clinical Immunology, Næstved Sygehus, Næstved, Denmark.
Sofie L RygårdDepartment of Intensive Care, Rigshospitalet, Denmark.
Lars B HolstDepartment of Intensive Care, Rigshospitalet, Denmark.
Morten H BestleDepartment of Anaesthesiology, Nordsjællands Hospital, Hillerød, Denmark.
Lars HeinDepartment of Anaesthesiology, Nordsjællands Hospital, Hillerød, Denmark.
Anne LindhardtDepartment of Anaesthesia and Intensive Care, Bispebjerg and Frederiksberg Hospital, University of Copenhagen, Copenhagen, Denmark.
Hami TousiDepartment of Anaesthesiology, Herlev Hospital, Copenhagen, Denmark.
Mads H AndersenDepartment of Anaesthesiology, Aarhus University Hospital, Aarhus, Denmark.
Thomas MohrDepartment of Anaesthesiology, Gentofte Hospital, Hellerup, Denmark.
Jens D LundgrenCHIP / PERSIMUNE, Department of Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, The Capital Region of Denmark, Denmark.
Jens-Ulrik JensenCHIP / PERSIMUNE, Department of Infectious Diseases, Rigshospitalet, Copenhagen University Hospital, Blegdamsvej 9, 2100, Copenhagen, The Capital Region of Denmark, Denmark.
Copenhagen University Hospital · DKAarhus University Hospital · DKRigshospitalet · DKUniversity of Copenhagen · DKAtrium Health Wake Forest Baptist · USCleveland Clinic · USGentofte Hospital · DKHerlev Hospital · DKNæstved Sygehus · DKNordsjællands Hospital · DKOutcomes Research Consortium · US

Funding

Danmarks Grundforskningsfond Grant 126Region Hovedstaden A6052
6 · The paper itself

Abstract

backgroundWe aimed to determine if the ABO blood types carry different risks of 30-day mortality, acute kidney injury (AKI), and endothelial damage in critically ill patients with sepsis. This was a retrospective cohort study of three independent cohorts of critically ill patients from the United States and Scandinavia consisting of adults with septic shock. We compared the 30-day mortality across the blood types within each cohort and pooled the results in a meta-analysis. We also estimated the incidence of AKI and degree of endothelial damage, as measured by blood concentrations of soluble thrombomodulin and syndecan-1.

resultsWe included 12,342 patients with severe sepsis. In a pooled analysis blood type B carried a slightly lower risk of 30-day all-cause mortality compared to non-blood type B (adjusted HR 0.88; 95%-CI 0.79-0.98; p = 0.02). There was no difference in the risk of AKI. Soluble thrombomodulin and syndecan-1 concentrations were lower in patients with blood type B and O compared to blood type A, suggesting less endothelial damage.

conclusionSeptic patients with blood type B had less endothelial damage, and a small reduction in mortality. The exposure is, however, unmodifiable.

Indexed as

AnaesthesiaBlood typeIntensive careMortalitySepsisSeptic shock

Identifiers

PMID33877463
PMCPMC8056100
OpenAlexW3156414785

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.