Evidence map›Paper›PMID 36567402›Full record

ArticleMilitary Medical Research2022

Expert consensus on the monitoring and treatment of sepsis-induced immunosuppression.

Fei Pei, Ren-Qi Yao, Chao Ren, Soheyl Bahrami, Timothy R Billiar, Irshad H Chaudry, De-Chang Chen, Xu-Lin Chen, Na Cui, Xiang-Ming Fang and 27 more

2 registry-linked trialsOpen access · diamondAbstract readConsensus Statement
In one paragraph

Article in Military Medical Research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 57 papers.

0numbers the graph read from it
0cells of the map it votes in
57citing papers in PubMed
9.2field-weighted citation impact, top 1% 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.

NCT06145828 recruitingnot on this mapstarted 2023, after this paper: background citation

Clinical Application of Cytokine Adsorption Technology in AIDS Patients With Severe Pneumonia and/or Septic Shock: An Observational Study.

TypeobservationalSponsorGuangzhou 8th People's HospitalRan2023 to 2027Enrolled60ConditionsAIDS Pneumonia, Septic ShockArmsCytokine Adsorption
NCT06145841 recruitingnot on this mapstarted 2023, after this paper: background citation

Clinical Application of Metagenomic Next-Generation Sequencing-Guided Anti-Infection Strategies in AIDS Patients With Severe Pneumonia and/or Sepsis

TypeobservationalSponsorGuangzhou 8th People's HospitalRan2023 to 2027Enrolled400ConditionsAIDS, Pneumonia, Sepsis, NeonatalArmsPathogen metagenomic next-generation sequencing
3 · Its place in the literature

Who cites it

57 citing papers in PubMed, 66 citations in OpenAlex.

  1. Trial
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  6. Predictive value of NLMR, PLR, and ferritin in relation to SOFA, APACHE II, and SAPS II in sepsis patients.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2026
    Article
  7. Article
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  9. Review
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  15. Cell death in sepsis: unveiling new perspectives on organ dysfunction.Frontiers in cell and developmental biology · 2026
    Review
  16. Article
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  18. Article
  19. Evaluating the obesity paradox in patients with sepsis and cancer.International journal of obesity (2005) · 2025
    Article
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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

37 authors at 20 institutions in 6 countries.

Fei Pei *Department of Critical Care Medicine, the First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
Ren-Qi Yao *Translational Medicine Research Center, Medical Innovation Research Division and Fourth Medical Center of the Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing, 100853, China.
Chao Ren *Translational Medicine Research Center, Medical Innovation Research Division and Fourth Medical Center of the Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing, 100853, China.
Soheyl BahramiLudwig-Boltzmann Institute for Experimental and Clinical Traumatology, 1200, Vienna, Austria.
Timothy R BilliarDepartment of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, 15213, USA.
Irshad H ChaudryCenter for Surgical Research and Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, 35294, USA.
De-Chang ChenDepartment of Critical Care Medicine, Ruijin Hospital, Shanghai Jiaotong University, Shanghai, 200025, China.
Xu-Lin ChenDepartment of Burns, the First Affiliated Hospital of Anhui Medical University, Hefei, 230022, China.
Na CuiDepartment of Critical Care Medicine, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, 100730, China.
Xiang-Ming FangDepartment of Anesthesiology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, 31003, China.
Yan KangDepartment of Critical Care Medicine, West China Hospital of Sichuan University, Chengdu, 610041, China.
Wei-Qin LiDepartment of Critical Care Medicine, General Hospital of Eastern Theater Command of Chinese PLA, Nanjing, 210002, China.
Wen-Xiong LiDepartment of Surgical Intensive Critical Unit, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, 100020, China.
Hua-Ping LiangState Key Laboratory of Trauma, Burns and Combined Injury, Research Institute of Surgery, Daping Hospital, Army Medical University, Chongqing, 400042, China.
Hong-Yuan LinDepartment of Critical Care Medicine, Fourth Medical Center of the Chinese PLA General Hospital, Beijing, 100048, China.
Ke-Xuan LiuDepartment of Anesthesiology, Nanfang Hospital, Southern Medical University, Guangzhou, 510515, China.
Ben LuDepartment of Critical Care Medicine and Hematology, the Third Xiangya Hospital, Central South University, Changsha, 410000, China.
Zhong-Qiu LuEmergency Department, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China.
Marc MaegeleDepartment of Traumatology and Orthopedic Surgery, University Witten-Herdecke, 51109, Cologne, Germany.
Tian-Qing PengCritical Illness Research, Lawson Health Research Institute, London Health Sciences Centre, London, ON, N6A 4G4, Canada.
You ShangDepartment of Critical Care Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Lei SuDepartment of Intensive Care Unit, General Hospital of Southern Theater Command of Chinese PLA, Guangzhou, 510030, China.
Bing-Wei SunDepartment of Burns and Plastic Surgery, Affiliated Suzhou Hospital of Nanjing Medical University, Suzhou, 215002, China.
Chang-Song WangDepartment of Critical Care Medicine, Harbin Medical University Cancer Hospital, Harbin, 150081, China.
Jian WangChildren's Hospital of Soochow University, Pediatric Research Institute of Soochow University, Suzhou, 215123, China.
Jiang-Huai WangDepartment of Academic Surgery, University College Cork, Cork University Hospital, Cork, T12 E8YV, Ireland.
Ping WangCenter for Immunology and Inflammation, the Feinstein Institute for Medical Research, Northwell Health, Manhasset, NY, 11030, USA.
Jian-Feng XieDepartment of Critical Care Medicine, Zhongda Hospital, School of Medicine, Southeast University, Nanjing, 210009, China.
Li-Xin XieDepartment of Pulmonary and Critical Care Medicine, Chinese PLA General Hospital, Beijing, 100853, China.
Li-Na ZhangDepartment of Critical Care Medicine, Xiangya Hospital, Central South University, Changsha, 410008, China.
Basilia ZingarelliDivision of Critical Care Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, 41073, USA.
Xiang-Dong GuanDepartment of Critical Care Medicine, the First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou, 510080, Guangdong, China. guanxd@mail.sysu.edu.cn.
Jian-Feng WuDepartment of Critical Care Medicine, the First Affiliated Hospital of Sun Yat-Sen University, 58 Zhongshan Er Road, Yuexiu District, Guangzhou, 510080, Guangdong, China. wujianf@mail.sysu.edu.cn.
Yong-Ming YaoTranslational Medicine Research Center, Medical Innovation Research Division and Fourth Medical Center of the Chinese PLA General Hospital, 28 Fuxing Road, Haidian District, Beijing, 100853, China. c_ff@sina.com.
Shock and Sepsis Society of Chinese Research Hospital Association
China Critical Care Immunotherapy Research Group
International Federation of the Shock Societies (IFSS)
Chinese PLA General Hospital · CNSun Yat-sen University · CNCapital Medical University · CNCentral South University · CNUniversity College Cork · IEAnhui Medical University · CNArmy Medical University · CNChinese Academy of Medical Sciences & Peking Union Medical College · CNCincinnati Children's Hospital Medical Center · USFirst Affiliated Hospital Zhejiang University · CNGeneral Hospital of Guangzhou Military Command · CNHarbin Medical University · CNHuazhong University of Science and Technology · CNLawson Health Research Institute · CALudwig Boltzmann Institute for Traumatology, The Research Center in Cooperation with AUVA · ATNanfang Hospital · CNNorthwell Health · USRuijin Hospital · CNSichuan University · CNSuzhou Municipal Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Emerged evidence has indicated that immunosuppression is involved in the occurrence and development of sepsis. To provide clinical practice recommendations on the immune function in sepsis, an expert consensus focusing on the monitoring and treatment of sepsis-induced immunosuppression was developed. Literature related to the immune monitoring and treatment of sepsis were retrieved from PubMed, Web of Science, and Chinese National Knowledge Infrastructure to design items and expert opinions were collected through an online questionnaire. Then, the Delphi method was used to form consensus opinions, and RAND appropriateness method was developed to provide consistency evaluation and recommendation levels for consensus opinions. This consensus achieved satisfactory results through two rounds of questionnaire survey, with 2 statements rated as perfect consistency, 13 as very good consistency, and 9 as good consistency. After summarizing the results, a total of 14 strong recommended opinions, 8 weak recommended opinions and 2 non-recommended opinions were produced. Finally, a face-to-face discussion of the consensus opinions was performed through an online meeting, and all judges unanimously agreed on the content of this consensus. In summary, this expert consensus provides a preliminary guidance for the monitoring and treatment of immunosuppression in patients with sepsis.

Indexed as

Immunosuppression TherapySepsisConsensusDelphi TechniqueHumansSurveys and QuestionnairesImmune function monitoringImmunomodulatory therapyImmunosuppressionSepsis

Identifiers

PMID36567402
PMCPMC9790819
OpenAlexW4312140075

What OpenQuestion holds

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Registered trials

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.