Evidence map›Paper›PMID 34095300›Full record

SynthesisBioMed research international2021

The Accuracy of 16S rRNA Polymerase Chain Reaction for the Diagnosis of Neonatal Sepsis: A Meta-Analysis.

Ying Wang, Jingyi Zhao, Yinhui Yao, Lan Yang, Dan Zhao, Shiquan Liu

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BioMed research international, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 21% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Review
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 2 institutions in 1 country.

Ying WangDepartment of Pharmacy, The Affiliated Hospital of Chengde Medical College, Chengde 067000, China.ORCID https://orcid.org/0000-0002-3463-5667
Jingyi ZhaoDepartment of Functional Center, Chengde Medical College, Chengde 067000, China.ORCID https://orcid.org/0000-0002-2418-716X
Yinhui YaoDepartment of Pharmacy, The Affiliated Hospital of Chengde Medical College, Chengde 067000, China.ORCID https://orcid.org/0000-0002-1244-0930
Lan YangInstitute of Chinese Materia Medica, Chengde Medical College, Chengde 067000, China.
Dan ZhaoDepartment of Intensive Care Unit, The Affiliated Hospital of Chengde Medical College, Chengde 067000, China.
Shiquan LiuDepartment of Thoracic Surgery, The Affiliated Hospital of Chengde Medical College, Chengde 067000, China.
Affiliated Hospital of Chengde Medical College · CNInstitute of Chinese Materia Medica

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the accuracy of 16S rRNA polymerase chain reaction (PCR) for the diagnosis of neonatal sepsis through a systematic review and meta-analysis.

methodsStudies involving 16S rRNA PCR tests for the diagnosis of neonatal sepsis were searched in the PubMed, Medline, Embase, and Cochrane Library databases. The methodological quality of the identified studies was evaluated using the Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2), and the sensitivity, the specificity, the positive likelihood ratio (PLR), the negative likelihood ratio (NLR), the diagnostic odds ratio (DOR), and the area under the curve (AUC) of operator characteristic (SROC) curves were determined. Heterogeneity between studies was analyzed by metaregression. Stata 14.0 and Meta-disc 1.4 software were used for the analyses.

resultsThis meta-analysis included 19 related studies. The analysis found a sensitivity of 0.98 (95% CI: 0.85-1), specificity of 0.94 (95% CI: 0.87-0.97), PLR of 16.0 (95% CI: 7.6-33.9), NLR of 0.02 (95% CI: 0.00-0.18), DOR of 674 (95% CI: 89-5100), and AUC of 0.99 (95% CI: 0.97-0.99). Metaregression analysis identified Asian countries, arterial blood in blood samples, and sample size > 200 as the main sources of heterogeneity. This meta-analysis did not uncover publication bias. Sensitivity analysis showed that the study was robust. Fagan's nomogram results showed clinical usability.

conclusionsThe results from this meta-analysis indicate that 16S rRNA PCR testing is effective for the rapid diagnosis of neonatal sepsis.

Indexed as

Area Under CurveBacteriaBiomarkersData AccuracyHumansInfant, NewbornNeonatal SepsisOdds RatioPolymerase Chain ReactionRNA, Ribosomal, 16SROC CurveSensitivity and SpecificitySepsisBiomarkersRNA, Ribosomal, 16S

Identifiers

PMID34095300
PMCPMC8140837
OpenAlexW3161597496

What OpenQuestion holds

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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.