Evidence map›Paper›PMID 34151282›Full record

ArticleCritical care explorations2021

Assessment of a Cellular Host Response Test as a Sepsis Diagnostic for Those With Suspected Infection in the Emergency Department.

Hollis R O'Neal, Roya Sheybani, Terrell S Caffery, Mandi W Musso, Diana Hamer, Shannon M Alwood, Matthew S Berlinger, Tonya Jagneaux, Katherine W LaVie, Catherine S O'Neal and 5 more

Abstract read
In one paragraph

Article in Critical care explorations, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Observational
  8. Article
  9. Article
  10. State of the art of sepsis care for the emergency medicine clinician.Journal of the American College of Emergency Physicians open · 2024
    Review
  11. Article
  12. Article
  13. Rapid identification of sepsis in the emergency department.Journal of the American College of Emergency Physicians open · 2023
    Article
  14. Article
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

15 authors.

Hollis R O'NealLouisiana State University Health Sciences Center, Baton Rouge, LA.
Roya SheybaniCytovale, Inc., San Francisco, CA.
Terrell S CafferyLouisiana State University Health Sciences Center, Baton Rouge, LA.
Mandi W MussoLouisiana State University Health Sciences Center, Baton Rouge, LA.
Diana HamerLouisiana State University Health Sciences Center, Baton Rouge, LA.
Shannon M AlwoodLouisiana State University Health Sciences Center, Baton Rouge, LA.
Matthew S BerlingerLouisiana State University Health Sciences Center, Baton Rouge, LA.
Tonya JagneauxLouisiana State University Health Sciences Center, Baton Rouge, LA.
Katherine W LaVieLouisiana State University Health Sciences Center, Baton Rouge, LA.
Catherine S O'NealLouisiana State University Health Sciences Center, Baton Rouge, LA.
Michael A SanchezLouisiana State University Health Sciences Center, Baton Rouge, LA.
Morgan K WalkerLouisiana State University Health Sciences Center, Baton Rouge, LA.
Ajay M ShahCytovale, Inc., San Francisco, CA.
Henry T K TseCytovale, Inc., San Francisco, CA.
Christopher B ThomasLouisiana State University Health Sciences Center, Baton Rouge, LA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSepsis is a common cause of morbidity and mortality. A reliable, rapid, and early indicator can help improve efficiency of care and outcomes. To assess the IntelliSep test, a novel in vitro diagnostic that quantifies the state of immune activation by measuring the biophysical properties of leukocytes, as a rapid diagnostic for sepsis and a measure of severity of illness, as defined by Sequential Organ Failure Assessment and Acute Physiology and Chronic Health Evaluation-II scores and the need for hospitalization. DESIGN SETTING SUBJECTS: Adult patients presenting to two emergency departments in Baton Rouge, LA, with signs of infection (two of four systemic inflammatory response syndrome criteria, with at least one being aberration of temperature or WBC count) or suspicion of infection (a clinician order for culture of a body fluid), were prospectively enrolled. Sepsis status, per Sepsis-3 criteria, was determined through a 3-tiered retrospective and blinded adjudication process consisting of objective review, site-level clinician review, and final determination by independent physician adjudicators. MEASUREMENTS AND MAIN

resultsOf 266 patients in the final analysis, those with sepsis had higher IntelliSep Index (median = 6.9; interquartile range, 6.1-7.6) than those adjudicated as not septic (median = 4.7; interquartile range, 3.7-5.9;

conclusionsIn patients presenting to the emergency department with signs or suspicion of infection, the IntelliSep Index is a promising tool for the rapid diagnosis and risk stratification for sepsis.

Indexed as

cellular viscoelastic propertiesemergency departmentimmune dysregulationleukocyte biomechanical propertiesmicrofluidicssepsis diagnosis

Identifiers

PMID34151282
PMCPMC8208428

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.