Evidence map›Paper›PMID 34068959›Full record

ArticleAntibiotics (Basel, Switzerland)2021

Presepsin (Soluble CD14 Subtype) as an Early Marker of Neonatal Sepsis and Septic Shock: A Prospective Diagnostic Trial.

Carlo Pietrasanta, Andrea Ronchi, Claudia Vener, Chiara Poggi, Claudia Ballerini, Lea Testa, Rosaria Maria Colombo, Elena Spada, Carlo Dani, Fabio Mosca and 1 more

Abstract read
In one paragraph

Article in Antibiotics (Basel, Switzerland), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

11 authors.

Carlo PietrasantaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, 20122 Milan, Italy.ORCID 0000-0002-1019-4422
Andrea RonchiFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, 20122 Milan, Italy.
Claudia VenerDepartment of Oncology and Hemato-Oncology, University of Milan, 20122 Milan, Italy.ORCID 0000-0001-7351-8634
Chiara PoggiDivision of Neonatology and Neonatal Intensive Care, Department of Mother and Child Care, Careggi University Hospital, 50141 Florence, Italy.ORCID 0000-0003-2125-3827
Claudia BalleriniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, 20122 Milan, Italy.ORCID 0000-0002-4849-0390
Lea TestaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, 20122 Milan, Italy.
Rosaria Maria ColomboClinical Laboratory, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Elena SpadaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, 20122 Milan, Italy.
Carlo DaniDivision of Neonatology and Neonatal Intensive Care, Department of Mother and Child Care, Careggi University Hospital, 50141 Florence, Italy.
Fabio MoscaFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, 20122 Milan, Italy.
Lorenza PugniFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, NICU, 20122 Milan, Italy.ORCID 0000-0002-7126-7277

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the context of suspected neonatal sepsis, early diagnosis and stratification of patients according to clinical severity is not yet effectively achieved. In this diagnostic trial, we aimed to assess the accuracy of presepsin (PSEP) for the diagnosis and early stratification of supposedly septic neonates. PSEP, C-reactive protein (CRP), and procalcitonin (PCT) were assessed at the onset of sepsis suspicion (T0), every 12-24 h for the first 48 h (T1-T4), and at the end of antibiotic therapy (T5). Enrolled neonates were stratified into three groups (infection, sepsis, septic shock) according to Wynn and Wong's definitions. Sensitivity, specificity, and area under the ROC curve (AUC) according to the severity of clinical conditions were assessed. We enrolled 58 neonates with infection, 77 with sepsis, and 24 with septic shock. PSEP levels were higher in neonates with septic shock (median 1557.5 pg/mL) and sepsis (median 1361 pg/mL) compared to those with infection (median 977.5 pg/mL) at T0 (

Indexed as

biomarkersinflammationneonatal sepsisnewbornpresepsinseptic shock

Identifiers

PMID34068959
PMCPMC8156848

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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.