Evidence map›Paper›PMID 34307728›Full record

ArticleOpen forum infectious diseases2021

Neither Blood Culture Positivity nor Time to Positivity Is Associated With Mortality Among Patients Presenting With Severe Manifestations of Sepsis: The FABLED Cohort Study.

Katryn Paquette, David Sweet, Robert Stenstrom, Sarah N Stabler, Alexander Lawandi, Murtaza Akhter, Adam C Davidson, Marko Gavric, Rehman Jinah, Zahid Saeed and 11 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Open forum infectious diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01867905 (The Effect of Antibiotic Administration on Blood Culture Positivity in Patients With Severe Sepsis and Septic Shock), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

NCT01867905 completednot on this map

The Effect of Antibiotic Administration on Blood Culture Positivity in Patients With Severe Sepsis and Septic Shock: a Prospective Multicenter Observational Trial.

TypeobservationalSponsorUniversity of British ColumbiaRan2014 to 2019Enrolled330ConditionsSevere Sepsis, Septic Shock, Bacteremia
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Diagnostic and prognostic value of time to positivity in blood cultures. An opinion paper.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Review
  4. Article
  5. Article
  6. The Prognostic Value of Time to Positivity ofJournal of acute medicine · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. qSOFA does not predict bacteremia in patients with severe manifestations of sepsis.Journal of the Association of Medical Microbiology and Infectious Disease Canada = Journal officiel de l'Association pour la microbiologie medicale et l'infectiologie Canada · 2022
    Article
  11. Article
  12. 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

21 authors at 11 institutions in 2 countries.

Katryn PaquetteDivision of Neonatology, Montreal Children's Hospital, McGill University, Montreal, Quebec, Canada.
David SweetDivision of Critical Care Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Robert StenstromDepartment of Emergency Medicine, St Paul's Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Sarah N StablerDepartment of Pharmacy Services, Surrey Memorial Hospital, Surrey, British Columbia, Canada.
Alexander LawandiDivision of Infectious Diseases, McGill University Health Center, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0001-7948-3161
Murtaza AkhterDepartment of Emergency Medicine, Maricopa Integrated Health Center, Phoenix, Arizona, USA.
Adam C DavidsonDepartment of Emergency Medicine, Lion's Gate Hospital, North Vancouver, British Columbia, Canada.
Marko GavricDivision of Critical Care Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Rehman JinahDivision of Critical Care Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Zahid SaeedDepartment of Pulmonary and Critical Care Medicine, University of Arizona College of Medicine, Phoenix, Arizona, USA.
Koray DemirDepartment of Medicine, McGill University, Montreal, Quebec, Canada.
Sassan SangsariDepartment of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Kelly HuangDepartment of Emergency Medicine, Vancouver General Hospital, University of British Columbia, Vancouver, British Columbia, Canada.
Amirali MahpourDivision of Respirology, University of Western Ontario, London Health Sciences Center, London, Ontario, Canada.
Chris ShamatutuFaculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.
Chelsea CayaDepartment of Medicine, McGill University, Montreal, Quebec, Canada.
Jean-Marc TroquetDepartment of Emergency Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
Greg ClarkDepartment of Emergency Medicine, McGill University Health Centre, Montreal, Quebec, Canada.
Titus WongDepartment of Medical Microbiology, Vancouver Coastal Health, Vancouver, British Columbia, Canada.
Cedric P YansouniDivision of Infectious Diseases, McGill University Health Center, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-4765-3469
Matthew P ChengDivision of Infectious Diseases, McGill University Health Center, McGill University, Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0002-4867-2063
University of British Columbia · CAMcGill University · CAMcGill University Health Centre · CALions Gate Hospital · CAMontreal Children's Hospital · CANational Institutes of Health Clinical Center · USSurrey Memorial Hospital · CAUniversity of Arizona · USValleywise Health · USVancouver Coastal Health · CAWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis is a leading cause of morbidity, mortality, and health care costs worldwide.

methodsWe conducted a multicenter, prospective cohort study evaluating the yield of blood cultures drawn before and after empiric antimicrobial administration among adults presenting to the emergency department with severe manifestations of sepsis. Enrolled patients who had the requisite blood cultures drawn were followed for 90 days. We explored the independent association between blood culture positivity and its time to positivity in relation to 90-day mortality.

resultsThree hundred twenty-five participants were enrolled; 90-day mortality among the 315 subjects followed up was 25.4% (80/315). Mortality was associated with age (mean age [standard deviation] in those who died was 72.5 [15.8] compared with 62.9 [17.7] years among survivors;

conclusionsAlthough severe sepsis is an inflammatory condition triggered by infection, its 90-day survival is not influenced by blood culture positivity nor its time to positivity. CLINICAL TRIALS REGISTRATION: NCT01867905.

Indexed as

bacteremiabloodstream infectionmortalitysepsissurvival

Identifiers

PMID34307728
PMCPMC8294679
OpenAlexW3175771191

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.