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ArticleJHEP reports : innovation in hepatology2021

Elevated plasma ICAM1 levels predict 28-day mortality in cirrhotic patients with COVID-19 or bacterial sepsis.

Savneet Kaur, Sadam Hussain, Kailash Kolhe, Guresh Kumar, Dinesh M Tripathi, Arvind Tomar, Pratibha Kale, Ashad Narayanan, Chaggan Bihari, Meenu Bajpai and 3 more

Open access · goldAbstract read
In one paragraph

Article in JHEP reports : innovation in hepatology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 7% 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

22 citing papers in PubMed, 1 synthesis or guideline pooled it, 57 citations in OpenAlex.

  1. Endotheliopathy in Acute COVID-19 and Long COVID.International journal of molecular sciences · 2023
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  10. Utility of Protein Markers in COVID-19 Patients.International journal of molecular sciences · 2025
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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

13 authors at 2 institutions in 1 country.

Savneet KaurDepartment of Molecular and Cellular Medicine, Institute of liver and biliary Sciences, New Delhi, India.
Sadam HussainDepartment of Molecular and Cellular Medicine, Institute of liver and biliary Sciences, New Delhi, India.
Kailash KolheDepartment of Molecular and Cellular Medicine, Institute of liver and biliary Sciences, New Delhi, India.
Guresh KumarDepartment of Molecular and Cellular Medicine, Institute of liver and biliary Sciences, New Delhi, India.
Dinesh M TripathiDepartment of Molecular and Cellular Medicine, Institute of liver and biliary Sciences, New Delhi, India.
Arvind TomarDepartment of Pulmonary Medicine, Institute of liver and biliary Sciences, New Delhi, India.
Pratibha KaleDepartment of Microbiology, Institute of liver and biliary Sciences, New Delhi, India.
Ashad NarayananDepartment of Emergency, Institute of liver and biliary Sciences, New Delhi, India.
Chaggan BihariDepartment of Pathology, Institute of liver and biliary Sciences, New Delhi, India.
Meenu BajpaiDepartment of Transfusion Medicine, Institute of liver and biliary Sciences, New Delhi, India.
Rakhi MaiwallDepartment of Hepatology, Institute of liver and biliary Sciences, New Delhi, India.
Ekta GuptaDepartment of Virology, Institute of liver and biliary Sciences, New Delhi, India.
Shiv K SarinDepartment of Hepatology, Institute of liver and biliary Sciences, New Delhi, India.
Institute of Liver and Biliary Sciences · INLokmanya Tilak Municipal General Hospital and Lokmanya Tilak Municipal Medical College · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND &

aimsEndothelial injury and dysfunction play a detrimental role in the pathogenesis of infections. Endothelium-related molecules have been reported as potential diagnostic and/or prognostic biomarkers of infection. The prognostic value of these biomarkers in patients with cirrhosis and infections remains elusive.

methodsIn this study, we investigated the performance of key soluble endothelial injury biomarkers, including intercellular adhesion molecule 1 (ICAM1), von Willebrand factor (vWF), vascular endothelial growth factor receptor 1 (VEGFR1), and angiopoietin 1 and 2 (Ang1, 2) as mortality predictors in patients with cirrhosis and severe COVID-19 or bacterial sepsis.

resultsA total of 66 hospitalized patients (admitted to the COVID-19 ward or liver intensive care unit [ICU]) were included. Twenty-two patients had COVID-19 alone, while 20 patients had cirrhosis plus COVID-19. Twenty-four patients had cirrhosis plus bacterial sepsis. Among patients with cirrhosis, the most common aetiology of liver disease was alcohol. ICAM1 was increased (

conclusionThe study indicates that in patients with cirrhosis, elevated plasma ICAM1 serves as an independent predictor of severe COVID-19- or sepsis-associated 28-day mortality. LAY SUMMARY: Bacterial sepsis and COVID-19 lead to increased mortality in patients with cirrhosis. In this study, we demonstrate that high plasma levels of ICAM1, an endothelial injury biomarker, is one of the important factors predicting mortality in critically ill cirrhotic patients with severe COVID-19 or bacterial sepsis.

Indexed as

ACLF, acute-on-chronic liver failureAng1, angiopoietin 1Ang2, angiopoietin 2AST, aspartate aminotransferaseBiomarkersCCI, Charlson comorbidity indexCOVID-19Endothelial InjuryHR, hazard ratioICAM1, intercellular adhesion molecule 1ICU, intensive care unitLDH, lactate dehydrogenaseLiver CirrhosisMELD, model for end-stage liver diseaseNLR, neutrophil to lymphocyte ratioPCT, procalcitoninSARS-CoV-2, severe acute respiratory syndrome coronavirus 2SepsisSOFA, sequential organ failure assessmentVEGFR1, vascular endothelial growth factor receptor 1vWF, von Willebrand factor

Identifiers

PMID33997748
PMCPMC8106200
OpenAlexW3162769643

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.