Evidence map›Paper›PMID 34647483›Full record

Observational studyInternational journal of immunopathology and pharmacology

Thrombo-inflammatory biomarkers to predict sepsis outcome.

Alaa Efat, Sabry Abdallah Shoeib, Ayman F Arafa, Ashraf Abdelraof Dawod, Mohamad A Abd ElHafez, Essam A Abd ElMohsen, Hany F Eladly, Reda A Ibrahim, Aly Elkholy

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in International journal of immunopathology and pharmacology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 23% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Alaa EfatDepartment of internal medicine and hematology, faculty of medicine, 68872Menoufia University, Shebin El-Kom, Egypt.ORCID https://orcid.org/0000-0001-8148-3443
Sabry Abdallah ShoeibDepartment of internal medicine and hematology, faculty of medicine, 68872Menoufia University, Shebin El-Kom, Egypt.
Ayman F ArafaDepartment of internal medicine and hematology, faculty of medicine, 68865Zagazig University, Zagazig, Egypt.
Ashraf Abdelraof DawodDepartment of medical biochemistry, faculty of medicine, 68872Menoufia University, Shebin El-Kom, Egypt.
Mohamad A Abd ElHafezDepartment of internal medicine and hematology, faculty of medicine, 68872Menoufia University, Shebin El-Kom, Egypt.
Essam A Abd ElMohsenDepartment of hematology and bone marrow transplantation, at el Maadi military forces medical compound, Cairo, Egypt.
Hany F EladlyDepartment of internal medicine and hematology, faculty of medicine, 68872Menoufia University, Shebin El-Kom, Egypt.
Reda A IbrahimDepartment of Community medicine, faculty of medicine, Menoufia University, Shebin El-Kom, Egypt.
Aly ElkholyDepartment of internal medicine and hematology, faculty of medicine, 68872Menoufia University, Shebin El-Kom, Egypt.ORCID https://orcid.org/0000-0001-9927-7277
Menoufia University · EGZagazig University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSepsis has been redefined recently as life-threatening organ dysfunction caused by dysregulated host responses to infection and septic shock. Soluble urokinase plasminogen activator receptor (SuPAR) and plasminogen activator inhibitor-1(PAI-1) concentration positively correlate to the activation level of the immune system, and are markers of disease severity and aggressiveness.

objectiveThe study aimed to identify the blood level of plasminogen activator inhibitor-1 (PAI-1) and soluble urokinase plasminogen activator receptor (SuPAR) in sepsis and its association with mortality. PATIENT AND

methodsThis is an observational prospective study that enrolled 60 adult patients with sepsis (according to SOFA), admitted to Menoufia and Zagazig university hospitals during the period from December 2019 till October 2020. Plasminogen activator inhibitor-1 (PAI-1) and soluble urokinase plasminogen activator receptor (SuPAR) were checked in all participants.

resultsSuPAR and PAI.1 were significant independent predictors of hospital mortality. SuPAR showed sensitivity 100%, specificity 95.9%, and accuracy 94% for prediction of early mortality at a cutoff value of 13.4(pg/ml). While, PAI-1 demonstrated sensitivity 100%, specificity 93.9%, and accuracy of 95% at a cutoff value of 122.5 for predicting mortality.

conclusionPAI-1 and suPAR were significant predictors of hospital mortality among sepsis patients. The sample size was relatively small, which may have decreased the statistical power of the results of the present study. Hence, additional studies with large sample sizes are required for further validation of the present results.

Indexed as

Hospital MortalityAgedBiomarkersFemaleHumansMaleMiddle AgedPlasminogen Activator Inhibitor 1PrognosisReceptors, Urokinase Plasminogen ActivatorRespiratory RateSepsisBiomarkersPlasminogen Activator Inhibitor 1PLAUR protein, humanReceptors, Urokinase Plasminogen ActivatorSERPINE1 protein, humanplasminogen activator inhibitor-1sepsissoluble urokinase plasminogen activator receptor

Identifiers

PMID34647483
PMCPMC8521754
OpenAlexW3205943939

What OpenQuestion holds

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LicenceCC BY-NC
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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.