Evidence map›Paper›PMID 35907785›Full record

ArticleBMC infectious diseases2022

Multi-marker approach using C-reactive protein, procalcitonin, neutrophil CD64 index for the prognosis of sepsis in intensive care unit: a retrospective cohort study.

Na Huang, Jing Chen, Yu Wei, Yongrui Liu, Kang Yuan, Jingli Chen, Mingfeng He, Nan Liu

Abstract read
In one paragraph

Article 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

  1. Article
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  5. Article
  6. Article
  7. Article
  8. Optical Bionanosensors for Sepsis Diagnostics.Small (Weinheim an der Bergstrasse, Germany) · 2025
    Review
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
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  17. Observational
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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

8 authors.

Na Huang *Foshan Hospital of Traditional Chinese Medicine, Foshan, China.
Jing Chen *Department of Critical Care Medicine, The First Affiliated Hospital of GuangZhou University of Chinese Medicine, Guangzhou, China.
Yu WeiBasic Medical College, Guangzhou University of Chinese Medicine, Guangzhou, China.
Yongrui LiuEmergency Department, The First Affiliated Hospital of GuangZhou University of Chinese Medicine, Guangzhou, China.
Kang YuanEmergency Department, Foshan Hospital of Traditional Chinese Medicine, Foshan, China.
Jingli ChenEmergency Department, Foshan Hospital of Traditional Chinese Medicine, Foshan, China.
Mingfeng HeFoshan Hospital of Traditional Chinese Medicine, Foshan, China.
Nan LiuEmergency Department, The First Affiliated Hospital of GuangZhou University of Chinese Medicine, Guangzhou, China. liunan0954@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe aimed to explore the prognostic utilities of C-reactive protein (CRP), procalcitonin (PCT), neutrophil CD64 (nCD64) index, in combination or alone, in septic patients.

methodsWe retrospectively included 349 septic patients (based on Sepsis 3.0 definition). The primary outcome was 28-day all-cause mortality. Cox regression model, receiver-operating characteristic (ROC) curve, reclassification analysis, Kaplan-Meier survival curves were performed to evaluate the predictive efficacy of the above parameters.

resultsCRP, nCD64 index were independent predictors of 28-day mortality for sepsis in the Cox regression model [CRP, HR 1.004 (95% CI 1.002-1.006), P < 0.001; nCD64 index, HR 1.263 (95% CI 1.187-1.345, P < 0.001]. Area under the ROC curve (AUC) of CRP, PCT, nCD64 index, nCD64 index plus PCT, nCD64 index plus CRP, were 0.798 (95% CI 0.752-0.839), 0.833 (95% CI 0.790-0.871), 0.906 (95% CI 0.870-0.935), 0.910 (95% CI 0.875-0.938), 0.916 (95% CI 0.881-0.943), respectively. nCD64 plus CRP performed best in prediction, discrimination, and reclassification of the 28-day mortality risk in sepsis. The risk of 28-day mortality increased stepwise as the number of data exceeding optimal cut-off values increased.

conclusionsnCD64 index combined with CRP was superior to CRP, PCT, nCD64 index and nCD64 index plus PCT in predicting 28-day mortality in sepsis. Multi-marker approach could improve the predictive accuracy and be beneficial for septic patients.

Indexed as

ProcalcitoninSepsisBiomarkersC-Reactive ProteinHumansIntensive Care UnitsNeutrophilsPrognosisReceptors, IgGRetrospective StudiesROC CurveBiomarkersC-Reactive ProteinFCGR1A protein, humanProcalcitoninReceptors, IgGC-reactive proteinNeutrophil CD64 indexProcalcitoninPrognosisSepsis

Identifiers

PMID35907785
PMCPMC9339197

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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.