Evidence map›Paper›PMID 34311515›Full record

ArticleAcute and critical care2021

Sepsis-induced cardiomyopathy is associated with higher mortality rates in patients with sepsis.

Balaram Krishna J Hanumanthu, Anika Sasidharan Nair, Adarsh Katamreddy, Jason S Gilbert, Jee Young You, Obiageli Lynda Offor, Ankit Kushwaha, Ankita Krishnan, Marzio Napolitano, Leonidas Palaidimos and 8 more

Open access · diamondAbstract read
In one paragraph

Article in Acute and critical care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
33citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 4% 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

33 citing papers in PubMed, 1 synthesis or guideline pooled it, 50 citations in OpenAlex.

  1. Guideline
  2. Article
  3. Observational
  4. CEBPD-MMP8 Axis Contributes to Cardiomyocyte Injury in Septic Shock.Applied biochemistry and biotechnology · 2026
    Article
  5. Review
  6. Article
  7. Article
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  11. Review
  12. Incidence and Prognostic Impact of Myocardial Dysfunction in Septic Shock: An Observational Cohort Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
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  13. Article
  14. Article
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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

18 authors at 7 institutions in 1 country.

Balaram Krishna J HanumanthuDepartment of Cardiology, Mount Sinai Beth Israel Hospital, New York, NY, USA.
Anika Sasidharan NairDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Adarsh KatamreddyDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Jason S GilbertAlbert Einstein College of Medicine, Bronx, NY, USA.
Jee Young YouDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Obiageli Lynda OfforDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Ankit KushwahaDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Ankita KrishnanDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Marzio NapolitanoDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Leonidas PalaidimosDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Joaquin MoranteDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Seema S TekwaniDivision of Pulmonary, Allergy, Critical Care and Sleep Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Suchita MehtaInstitute of Critical Care Medicine, Mount Sinai Hospital, New York, NY, USA.
Aanchal GuptaDivision of Pulmonary and Critical Care Medicine, Beth Israel Lahey Health, Burlington, MA, USA.
Harmeen GorayaDivision of Pulmonary and Critical Care Medicine, Department of Internal Medicine, University of Arkansas for Medical Sciences Medical Center, Little Rock, AR, USA.
Mengyang SunDepartment of Obstetrics and Gynecology, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Robert T FaillaceDepartment of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Perminder GulaniDivision of Pulmonary and Critical Care Medicine, Department of Medicine, Jacobi Medical Center, Albert Einstein College of Medicine, New York, NY, USA.
Jacobi Medical Center · USAlbert Einstein College of Medicine · USEmory University · USLahey Medical Center · USMount Sinai Beth Israel · USMount Sinai Hospital · USUniversity of Arkansas for Medical Sciences · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with sepsis are at risk for developing sepsis-induced cardiomyopathy (SIC). Previous studies offer inconsistent results regarding the association of SIC and mortality. This study sought to assess whether SIC is linked to mortality in patients with sepsis and to evaluate predictors of the development of SIC.

methodsIn this retrospective study, patients admitted to the medical intensive care unit with a diagnosis of sepsis in the absence of acute coronary syndrome were included. SIC was identified using transthoracic echo and was defined by a new onset decline in left ventricular ejection fraction (LVEF) ≤50%, or ≥10% decline in LVEF compared to baseline in patients with a history of heart failure with reduced ejection fraction. Multivariable logistic regression analysis was performed using the R software program.

resultsOf the 359 patients in the final analysis, 19 (5.3%) had SIC. Eight (42.1%) of the 19 patients in the SIC group and 60 (17.6%) of the 340 patients in the non-SIC group died during hospitalization. SIC was associated with an increased risk for all-cause in-hospital mortality (odds ratio [OR], 4.46; 95% confidence interval [CI], 1.15-18.69; P=0.03). Independent predictors for the development of SIC were albumin level (OR, 0.47; 95% CI, 0.23-0.93; P=0.03) and culture positivity (OR, 8.47; 95% CI, 2.24-55.61; P=0.006). Concomitant right ventricular hypokinesis was noted in 13 (68.4%) of the 19 SIC patients.

conclusionsSIC was associated with an increased risk for all-cause in-hospital mortality. Low albumin level and culture positivity were independent predictors of SIC.

Indexed as

cardiomyopathymortalitysepsisseptic shock

Identifiers

PMID34311515
PMCPMC8435447
OpenAlexW3183726858

What OpenQuestion holds

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LicenceCC BY-NC
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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.