Evidence map›Paper›PMID 33920518›Full record

ReviewJournal of clinical medicine2021

Dysregulated Immunity and Immunotherapy after Sepsis.

Dijoia B Darden, Lauren S Kelly, Brittany P Fenner, Lyle L Moldawer, Alicia M Mohr, Philip A Efron

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
54citing papers in PubMed, 1 pooled it
8.6field-weighted citation impact, top 1% 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

54 citing papers in PubMed, 1 synthesis or guideline pooled it, 77 citations in OpenAlex.

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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 1 institution in 1 country.

Dijoia B DardenDepartment of Surgery, College of Medicine, University of Florida, Gainesville, FL 32610, USA.
Lauren S KellyDepartment of Surgery, College of Medicine, University of Florida, Gainesville, FL 32610, USA.ORCID 0000-0002-3627-923X
Brittany P FennerDepartment of Surgery, College of Medicine, University of Florida, Gainesville, FL 32610, USA.ORCID 0000-0001-5214-010X
Lyle L MoldawerDepartment of Surgery, College of Medicine, University of Florida, Gainesville, FL 32610, USA.
Alicia M MohrDepartment of Surgery, College of Medicine, University of Florida, Gainesville, FL 32610, USA.ORCID 0000-0003-1732-1313
Philip A EfronDepartment of Surgery, College of Medicine, University of Florida, Gainesville, FL 32610, USA.
University of Florida · US

Funding

PICS: A New Horizon for Surgical Critical CareP50GM111152 · NIGMS · UNIVERSITY OF FLORIDA · PI MOORE, FREDERICK A · 2014 to 2018
$10.7M
Molecular Biology in Burns and TraumaT32GM008721 · NIGMS · UNIVERSITY OF FLORIDA · PI Philip A Efron · 1999 to 2026
$5.0M
Chronic Stress and Anemia Recovery following Major TraumaR01GM105893 · NIGMS · UNIVERSITY OF FLORIDA · PI MOHR, ALICIA M · 2013 to 2021
$3.5M
REGULATION ON MONOKINE PRODUCTION IN TRAUMA AND SURGERYR01GM040586 · NIGMS · WEILL MEDICAL COLLEGE OF CORNELL UNIV · PI MOLDAWER, LYLE L · 1988 to 2016
$2.6M
Validation of a Genomics Based Prognostic in Severe TraumaR01GM104481 · NIGMS · UNIVERSITY OF FLORIDA · PI MOLDAWER, LYLE L · 2013 to 2016
$1.8M
Hematopoietic Stem Cell Dysfunction in the Elderly after Severe InjuryR01GM113945 · NIGMS · UNIVERSITY OF FLORIDA · PI EFRON, PHILIP A · 2015 to 2019
$1.6M
NIGMS NIH HHS P50 GM-111152NIGMS NIH HHS R01 GM-040586NIGMS NIH HHS R01 GM-104481NIGMS NIH HHS R01 GM105893NIGMS NIH HHS R01 GM-113945NIGMS NIH HHS T32 GM-008721NIGMS NIH HHS T32 GM008721
6 · The paper itself

Abstract

Implementation of protocolized surveillance, diagnosis, and management of septic patients, and of surgical sepsis patients in particular, is shown to result in significantly increased numbers of patients surviving their initial hospitalization. Currently, most surgical sepsis patients will rapidly recover from sepsis; however, many patients will not rapidly recover, but instead will go on to develop chronic critical illness (CCI) and experience dismal long-term outcomes. The elderly and comorbid patient is highly susceptible to death or CCI after sepsis. Here, we review aspects of the Persistent Inflammation, Immunosuppression, and Catabolism Syndrome (PICS) endotype to explain the underlying pathobiology of a dysregulated immune system in sepsis survivors who develop CCI; then, we explore targets for immunomodulatory therapy.

Indexed as

CCIimmunosuppressioninflammationMDSCPICSsepsis

Identifiers

PMID33920518
PMCPMC8073536
OpenAlexW3154911274

What OpenQuestion holds

Textmetadata
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.