Evidence map›Paper›PMID 36376821›Full record

Observational studyBMC infectious diseases2022

Monocyte Distribution Width as a predictor of community acquired sepsis in patients prospectively enrolled at the Emergency Department.

Ennio Polilli, Giancarlo Di Iorio, Claudio Silveri, Gilda Angelini, Maria Chiara Anelli, Jessica Elisabetta Esposito, Milena D'Amato, Giustino Parruti, Fabrizio Carinci

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 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
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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.

Ennio PolilliClinical Pathology Unit, Pescara General Hospital, Pescara, Italy. en.polilli@gmail.com.
Giancarlo Di IorioClinical Pathology Unit, Pescara General Hospital, Pescara, Italy.
Claudio SilveriEmergency Department, Pescara General Hospital, Pescara, Italy.
Gilda AngeliniClinical Pathology Unit, Pescara General Hospital, Pescara, Italy.
Maria Chiara AnelliBeckman Coulter Srl, Milan, Italy.
Jessica Elisabetta EspositoClinical Pathology Unit, Pescara General Hospital, Pescara, Italy.
Milena D'AmatoClinical Pathology Unit, Pescara General Hospital, Pescara, Italy.
Giustino ParrutiInfectious Diseases Unit, Pescara General Hospital, Pescara, Italy.
Fabrizio CarinciDepartment of Statistical Sciences, Bologna University, Bologna, Italy.
Azienda USL di Pescara · ITUniversity of Bologna · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMonocyte Distribution Width (MDW), a simple cellular marker of innate monocyte activation, can be used for the early recognition of sepsis. We performed an observational prospective monocentric study to assess the predictive role of MDW in detecting sepsis in a sample of consecutive patients presenting at the Emergency Department.

methodsProspective observational study using demographic and clinical characteristics, past medical history and other laboratory measurements to predict confirmed sepsis using multivariate logistic regression.

resultsA total of 2724 patients were included in the study, of which 272 (10%) had sepsis or septic shock. After adjusting for known and potential risk factors, logistic regression found the following independent predictors of sepsis: SIRS equal to 1 (OR: 2.32, 1.16-4.89) and 2 or more (OR: 27.8, 14.8-56.4), MDW > 22 (OR: 3.73, 2.46-5.70), smoking (OR: 3.0, 1.22-7.31), end stage renal function (OR: 2.3, 1.25-4.22), neurodegenerative disease (OR: 2.2, 1.31-3.68), Neutrophils ≥ 8.9 × 10

conclusionsThe study suggests that incorporating MDW in the clinical decision process may improve the early identification of sepsis, with minimal additional effort on the standard procedures adopted during emergency care.

Indexed as

Neurodegenerative DiseasesSepsisBiomarkersEmergency Service, HospitalHumansMonocytesProspective StudiesBiomarkersEarly diagnosisEmergency DepartmentInfectionMDWSepsis

Identifiers

PMID36376821
PMCPMC9661454
OpenAlexW4309001846

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.