Evidence map›Paper›PMID 35317038›Full record

ArticleCureus2022

Can the Reduction of Cytokines Stop the Progression of Sepsis?

Suna Koc, Serdar Celebi, Ferhat Hanikoglu, Yalcin Polat, Betul Borku Uysal, Mehmet Dokur, Turkan Ozer, Serap Yavuzer, Mehmet Sami Islamoglu, Mahir Cengiz and 2 more

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. 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

12 authors at 3 institutions in 2 countries.

Suna KocDepartment of Anesthesiology and Intensive Care, Biruni University Faculty of Medicine, Istanbul, TUR.
Serdar CelebiClinic of Anesthesiology and Intensive Care, Medistate Hospital, Istanbul, TUR.
Ferhat HanikogluDepartment of Biochemistry, Alaaddin Keykubat University, Antalya, TUR.
Yalcin PolatDepartment of Pathology, Biruni University Faculty of Medicine, Istanbul, TUR.
Betul Borku UysalDepartment of Internal Medicine, Biruni University Faculty of Medicine, Istanbul, TUR.
Mehmet DokurDepartment of Emergency Medicine, Biruni University Faculty of Medicine, Istanbul, TUR.
Turkan OzerAnesthesiology and Reanimation, Beysehir State Hospital, Konya, TUR.
Serap YavuzerDepartment of Internal Medicine, Biruni University Faculty of Medicine, Istanbul, TUR.
Mehmet Sami IslamogluDepartment of Internal Medicine, Biruni University Faculty of Medicine, Istanbul, TUR.
Mahir CengizDepartment of Internal Medicine, Biruni University Faculty of Medicine, Istanbul, TUR.
Gokay VardarDepartment of Medical Laboratory Techniques, Istanbul Health and Technology University, Istanbul, TUR.
İlke KupeliAnesthesiology and Reanimation, Biruni University Faculty of Medicine, Istanbul, TUR.
Biruni University · TRIstanbul Health and Technology UniversityState Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective In this study, we aimed to analyze the laboratory and clinical results of cytokine hemadsorption as an immunomodulation therapy in ICU patients diagnosed with sepsis or septic shock. Methods The levels of procalcitonin (PCT) and C-reactive protein (CRP), determined to be indicators of infection/sepsis, and the levels of interleukins (IL-6, IL-8, and IL-10) and tumor necrosis factor α (TNFα), deemed as indicators of the cytokine storm, were compared among 32 patients before and after the hemadsorption procedure. Results The hemadsorption significantly reduced the levels of IL-6, IL-8, IL-10, TNFα, PCT, CRP, Acute Physiology and Chronic Health Evaluation (APACHE) scores, mortality rate, and Sequential Organ Failure Assessment (SOFA) scores (p<0.05). APACHE scores and the mean predicted mortality rate (PMR) of the non-survivors measured before the procedure was significantly higher than those of survivors (p=0.002 for both). IL-10, APACHE scores, and the mortality rates determined before the hemadsorption procedure were deemed significant parameters to predict the mortality among all ICU patients (p<0.05). IL-10 levels ≤125.3 ng/L, APACHE score >30, and PMR >70.33 were significantly associated with the mortality rates of all patients, indicating that these three parameters determined before the hemadsorption may be good predictors of mortality among ICU patients with sepsis. Conclusion The progression of sepsis in ICU patients may be prevented with cytokine hemadsorption applied as an immunomodulator therapy.

Indexed as

cytokine hemadsorptionintensive careinterleukinmortalitysepsis

Identifiers

PMID35317038
PMCPMC8934037
OpenAlexW4213124950

What OpenQuestion holds

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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.