Evidence map›Paper›PMID 36067189›Full record

ArticlePloS one2022

Risk factors for the prognosis of patients with sepsis in intensive care units.

Xiaowei Gai, Yanan Wang, Dan Gao, Jia Ma, Caijuan Zhang, Qiuyan Wang

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 8 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

6 authors at 2 institutions in 1 country.

Xiaowei GaiDepartment of Intensive Care Unit, Qinhuangdao Jungong Hospital, Qinhuangdao, Hebei, P. R. China.
Yanan WangDepartment of Operating Room, Qinhuangdao Jungong Hospital, Qinhuangdao, Hebei, P. R. China.
Dan GaoDepartment of Operating Room, Qinhuangdao Jungong Hospital, Qinhuangdao, Hebei, P. R. China.
Jia MaDepartment of General Surgery, Qinhuangdao Jungong Hospital, Qinhuangdao, Hebei, P. R. China.
Caijuan ZhangDepartment of Anesthesiology, Tangshan Gongren Hospital, Tangshan, Hebei, P. R. China.
Qiuyan WangDepartment of Intensive Care Unit, Qinhuangdao Jungong Hospital, Qinhuangdao, Hebei, P. R. China.ORCID 0000-0002-7437-1184
Qinhuangdao Second Hospital · CNTangshan Gongren Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTo date, sepsis remains the main cause of mortality in intensive care units (ICU). This study aimed analyze the risk factors of the prognosis in sepsis patients.

methodsIn this case-control study, patients with sepsis admitted to the intensive care unit of a Chinese hospital between January and November 2020 were analyzed. Ultrasound and clinical data were analyzed and compared between non-survivors and survivors. The ROC curve analysis was also performed to determine the best indicator for predicting mortality.

resultsA total of 72 patients with sepsis in ICU were included for analysis. The basic characteristics between the survivals and non-survivals were similar, except for acute physiology and chronic health evaluation (APACHE) Ⅱ score, sepsis-related organ failure assessment (SOFA) score, lactate level, ultrasound parameters from superior mesenteric artery (SMA) such as peak systolic velocity (PSV), end-diastolic velocity (EDV) and resistive index (RI). Univariate analysis revealed that the APACHE Ⅱ score, SOFA score, lactate, low PSV, EDV, and RI were potential risk factors for mortality in sepsis, while multivariate analysis suggested that low PSV was an independent risk factor for mortality, and the adjusted odds ratio was 0.295 (95% CI: 0.094-0.925). The ROC analysis showed that the PSV (AUC = 0.99; sensitivity and specificity were 0.99 and 0.96, respectively) had good predictive value for mortality in sepsis.

conclusionLow PSV as found to be an independent risk factor and good predictor for mortality in patients with sepsis. This study shows the promise of ultrasound in predicting mortality in patients with sepsis; however, further studies are needed to validate these results.

Indexed as

Intensive Care UnitsSepsisCase-Control StudiesHumansLactic AcidPrognosisRetrospective StudiesRisk FactorsROC CurveLactic Acid

Identifiers

PMID36067189
PMCPMC9447880
OpenAlexW4294797986

What OpenQuestion holds

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Registered trials

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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.