Evidence map›Paper›PMID 36522701›Full record

Observational studyBMC pediatrics2022

Neutrophil CD64 index for diagnosis of infectious disease in the pediatric ICU: a single-center prospective study.

Lu-Lu Cao, Wei-Wei Wang, Li Zhao, Ji-Ru Li, Xiang-Mei Kong, Yue-Niu Zhu, Xiao-Dong Zhu

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Role of biomarkers in pediatric sepsis: What evidence says?World journal of clinical pediatrics · 2026
    Review
  3. Article
  4. Diagnostic Value of Neutrophil CD64 Index in Diabetic Foot Osteomyelitis.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025
    Article
  5. Article
  6. 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

7 authors at 1 institution in 1 country.

Lu-Lu CaoDepartment of Pediatric Intensive Care Unit, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1665, Kong Jiang Road, Shanghai, 200092, China.
Wei-Wei WangDepartment of Clinical Laboratory, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1665, Kong Jiang Road, Shanghai, China.
Li ZhaoMOE-Shanghai Key Laboratory of Children's Environmental Health, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1665, Kong Jiang Road, Shanghai, China.
Ji-Ru LiDepartment of Pediatric Intensive Care Unit, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1665, Kong Jiang Road, Shanghai, 200092, China.
Xiang-Mei KongDepartment of Pediatric Intensive Care Unit, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1665, Kong Jiang Road, Shanghai, 200092, China.
Yue-Niu ZhuDepartment of Pediatric Intensive Care Unit, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1665, Kong Jiang Road, Shanghai, 200092, China.
Xiao-Dong ZhuDepartment of Pediatric Intensive Care Unit, Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine, No. 1665, Kong Jiang Road, Shanghai, 200092, China. zhuxiaodong@xinhuamed.com.cn.
XinHua Hospital · CN

Funding

clinical trial center of Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine 19XHCR03A
6 · The paper itself

Abstract

backgroundInfection is a major cause of death in children, and it is particularly important to identify biological indicators of early infection. Previous studies showed that the neutrophil CD64 (nCD64) index may be a useful biomarker for infection. The purpose of this study was to investigate use of the nCD64 index to identify infection in children from a pediatric ICU (PICU) in China.

methodsThis prospective observational study enrolled 201 children who were admitted to our PICU and were divided into an infection group and a non-infection group. In each patient, C-reactive protein (CRP), nCD64 index, procalcitonin (PCT), and white blood cell count were measured during the first 24 h after admission. Receiver operating characteristic (ROC) analyses were used to determine the sensitivity, specificity, and diagnostic value of the nCD64 index for infection.

resultsAmong all 201 children, the infection group had greater levels of CRP, nCD64 index, and PCT (all p < 0.05). ROC analysis indicated the nCD64 index had a sensitivity of 68.8%, specificity of 90.7%, accuracy of 80.5%, and an optimal cut-off value of 0.14, which had better diagnostic value than CRP or PCT. For children with postoperative fever, the nCD64 index also distinguished systemic inflammatory response syndrome (SIRS) from infection with accuracy of 79%.

conclusionsThe nCD64 index is a useful biomarker for the diagnosis of early infection in children admitted to the PICU.

Indexed as

Communicable DiseasesSepsisBiomarkersChildC-Reactive ProteinHumansIntensive Care Units, PediatricNeutrophilsProcalcitoninProspective StudiesReceptors, IgGROC CurveSystemic Inflammatory Response SyndromeBiomarkersC-Reactive ProteinProcalcitoninReceptors, IgGC-reactive protein (CRP)Neutrophil CD64 index (nCD64 index)Pediatric intensive care unit (PICU)Procalcitonin (PCT)Sepsis

Identifiers

PMID36522701
PMCPMC9753391
OpenAlexW4311505374

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.