Evidence map›Paper›PMID 34442346›Full record

ArticleJournal of personalized medicine2021

Incidence and Time Point of Sepsis Detection as Related to Different Sepsis Definitions in Severely Burned Patients and Their Accompanying Time Course of Pro-Inflammatory Biomarkers.

Pia Niggemann, Daniel Rittirsch, Philipp Karl Buehler, Riccardo Schweizer, Pietro Giovanoli, Theresia Reding, Rolf Graf, Jan Alexander Plock, Holger Jan Klein

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Journal of personalized medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 16% 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.

NCT07223684 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Surgical Critical Care Initiative (SC2i) Tissue and Data Acquisition Protocol (TDAP) in Burn Patients Improving the Robustness and Generalizability of Post-Burn Sepsis Prediction With the Post-Burn Sepsis Digital Twin

TypeobservationalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2026 to 2027Enrolled80ConditionsSepsis, Burn Injury, Wound Healing, Critical IllnessArmsObservational Cohort (No Intervention)
NCT07249762 not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Surgical Critical Care Initiative (SC2i) Tissue and Data Acquisition Protocol (TDAP) in Burn Patients Improving the Robustness and Generalizability of Post-burn Sepsis Prediction With the Post-Burn Sepsis Digital Twin. Group 1

TypeobservationalSponsorHenry M. Jackson Foundation for the Advancement of Military MedicineRan2026 to 2027Enrolled40ConditionsSepsis, Burn Injury, Wound Healing, Critical IllnessArmsObservational Cohort (No Intervention)
3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Infection and Burn Injury.European burn journal · 2022
    Review
  7. Review
  8. 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

9 authors at 3 institutions in 1 country.

Pia NiggemannDepartment of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, 8091 Zurich, Switzerland.
Daniel RittirschDepartment of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, 8091 Zurich, Switzerland.
Philipp Karl BuehlerInstitute of Intensive Care Medicine, University Hospital Zurich, 8091 Zurich, Switzerland.ORCID 0000-0003-4690-9896
Riccardo SchweizerDepartment of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, 8091 Zurich, Switzerland.
Pietro GiovanoliDepartment of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, 8091 Zurich, Switzerland.
Theresia RedingPancreas Research Laboratory, Department of Visceral Surgery & Transplantation, University Hospital Zurich, 8091 Zurich, Switzerland.
Rolf GrafPancreas Research Laboratory, Department of Visceral Surgery & Transplantation, University Hospital Zurich, 8091 Zurich, Switzerland.ORCID 0000-0001-7449-7302
Jan Alexander PlockDepartment of Plastic Surgery and Hand Surgery, Cantonal Hospital Aarau, 5001 Aarau, Switzerland.
Holger Jan KleinDepartment of Plastic Surgery and Hand Surgery, Burn Center, University Hospital Zurich, 8091 Zurich, Switzerland.
University Hospital of Zurich · CHUniversity of Zurich · CHKantonsspital Aarau · CH

Funding

Gottfried und Julia Bangerter-Rhyner-Stiftung 8472/HEG-DSV
6 · The paper itself

Abstract

backgroundDiagnosis of sepsis in burn patients remains difficult for various reasons. One major problem is the definition of sepsis itself. Therefore, previous and current sepsis definitions are a matter of ongoing validation, but a well-defined consensus on which clinical and laboratory parameters to incorporate in such a definition is lacking. The aim of the present study was to compare the incidence and time-related occurrence of septic events according to different definitions as well as their accompanying time course of pro-inflammatory biomarkers.

methodsAcross the first 14 days after admission, the incidence and time point of sepsis according to three different definitions (Sepsis-3, Sepsis American Burns Association [ABA] 2007, Sepsis Zurich Burn Center) were assessed on a daily basis in adult burn patients with total body surface area (TBSA) ≥15% admitted to the Zurich Burn Center between May 2015 and October 2018. In order to investigate how well daily drawn proinflammatory biomarkers (white blood cells (WBCs), C-reactive protein (CRP), procalcitonin (PCT), and novel pancreatic stone protein (PSP)) reflect the progression of sepsis depending on its type of definition, a longitudinal mixed model analysis was performed across the first 14 days for septic and non-septic patients. Additionally, the relative increase of biomarker levels 24, 48, and 72 h prior to a septic event was analyzed for each definition used.

resultsIn our cohort of 90 severely burned patients, Sepsis-3 identified 46 patients (51.1%) as septic, while ABA 2007 and the Zurich Burn Center definition counted 33 patients (36.7%) and 24 patients (26.6%), respectively. Sepsis-3 detected sepsis about 1 day earlier than Sepsis ABA 2007 (

conclusionsDespite the ongoing dilemma of how to define sepsis in burn patients, a continually calculated SOFA score as used in Sepsis-3 is advantageous to early identify a patient's detrimental progression to sepsis. Inclusion of biomarkers, such as PSP, may help support the burn specialist's diagnosis of sepsis and could improve the diagnostic performance of current and future definitions in burn patients.

Indexed as

burnspro-inflammatory biomarkerssepsis

Identifiers

PMID34442346
PMCPMC8401386
OpenAlexW3185108756

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.