Evidence map›Paper›PMID 34983420›Full record

Observational studyBMC infectious diseases2022

Diagnostic and prognostic value of presepsin and procalcitonin in non-infectious organ failure, sepsis, and septic shock: a prospective observational study according to the Sepsis-3 definitions.

Sukyo Lee, Juhyun Song, Dae Won Park, Hyeri Seok, Sejoong Ahn, Jooyeong Kim, Jonghak Park, Han-Jin Cho, Sungwoo Moon

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 56 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
56citing papers in PubMed, 6 pooled it
15.6field-weighted citation impact, top 1% 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

56 citing papers in PubMed, 6 syntheses or guidelines pooled it, 105 citations in OpenAlex.

  1. Pooled it
  2. Non-Infectious Causes for Elevated Procalcitonin.Medicina (Kaunas, Lithuania) · 2026
    Pooled it
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  7. Review
  8. Evaluation of presepsin dynamics in septic patients with and without liver cirrhosis.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  9. Article
  10. Review
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  16. Diagnostic and Prognostic Value of Presepsin in Sepsis: A Prospective Observational Study.Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine · 2026
    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

9 authors at 2 institutions in 1 country.

Sukyo LeeDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Juhyun SongDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea. martin978@korea.ac.kr.
Dae Won ParkDivision of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Hyeri SeokDivision of Infectious Diseases, Department of Internal Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Sejoong AhnDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Jooyeong KimDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Jonghak ParkDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Han-Jin ChoDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Sungwoo MoonDepartment of Emergency Medicine, Korea University Ansan Hospital, Ansan, Republic of Korea.
Ansan University · KRKorea University · KR

Funding

the Korea University Ansan Hospital grant no. O1903721the National Research Foundation of Korea through a grant from the Korean government (MSIT) grant no. 2020R1C1C1010362
6 · The paper itself

Abstract

backgroundWe investigated the diagnostic and prognostic value of presepsin among patients with organ failure, including sepsis, in accordance with the Third International Consensus Definitions for Sepsis and Septic Shock (Sepsis-3).

methodsThis prospective observational study included 420 patients divided into three groups: non-infectious organ failure (n = 142), sepsis (n = 141), and septic shock (n = 137). Optimal cut-off values of presepsin to discriminate between the three groups were evaluated using receiver operating characteristic curve analysis. We determined the optimal cut-off value of presepsin levels to predict mortality associated with sepsis and performed Kaplan-Meier survival curve analysis according to the cut-off value. Cox proportional hazards model was performed to determine the risk factors for 30-day mortality.

resultsPresepsin levels were significantly higher in sepsis than in non-infectious organ failure cases (p < 0.001) and significantly higher in patients with septic shock than in those with sepsis (p = 0.002). The optimal cut-off value of the presepsin level to discriminate between sepsis and non-infectious organ failure was 582 pg/mL (p < 0.001) and between sepsis and septic shock was 1285 pg/mL (p < 0.001). The optimal cut-off value of the presepsin level for predicting the 30-day mortality was 821 pg/mL (p = 0.005) for patients with sepsis. Patients with higher presepsin levels (≥ 821 pg/mL) had significantly higher mortality rates than those with lower presepsin levels (< 821 pg/mL) (log-rank test; p = 0.004). In the multivariate Cox proportional hazards model, presepsin could predict the 30-day mortality in sepsis cases (hazard ratio, 1.003; 95% confidence interval 1.001-1.005; p = 0.042).

conclusionsPresepsin levels could effectively differentiate sepsis from non-infectious organ failure and could help clinicians identify patients with sepsis with poor prognosis. Presepsin was an independent risk factor for 30-day mortality among patients with sepsis and septic shock.

Indexed as

SepsisShock, SepticBiomarkersHumansLipopolysaccharide ReceptorsPeptide FragmentsProcalcitoninPrognosisBiomarkersLipopolysaccharide ReceptorsPeptide Fragmentspresepsin protein, humanProcalcitoninMortalityOrgan failurePresepsinProcalcitoninSepsisSeptic shock

Identifiers

PMID34983420
PMCPMC8725484
OpenAlexW4205238243

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.