Evidence map›Paper›PMID 36882572›Full record

ArticleScientific reports2023

Presepsin as a diagnostic and prognostic biomarker of severe bacterial infections and COVID-19.

Evdoxia Kyriazopoulou, Konstantinos Leventogiannis, Georgios Tavoulareas, Efstratios Mainas, Konstantinos Toutouzas, Christos Mathas, Athanassios Prekates, Vissaria Sakka, Periklis Panagopoulos, Konstantinos Syrigos and 1 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
4.9field-weighted citation impact, top 4% 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

19 citing papers in PubMed, 23 citations in OpenAlex.

  1. Article
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  8. Article
  9. Biomarkers to guide sepsis management.Annals of intensive care · 2025
    Review
  10. Review
  11. Complicated and deep bacterial skin and soft tissue infections.Journal der Deutschen Dermatologischen Gesellschaft = Journal of the German Society of Dermatology : JDDG · 2025
    Review
  12. Optical Bionanosensors for Sepsis Diagnostics.Small (Weinheim an der Bergstrasse, Germany) · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. MicroRNAs in Sepsis.Biomedicines · 2024
    Review
  17. Article
  18. Article
  19. 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

11 authors at 5 institutions in 1 country.

Evdoxia Kyriazopoulou4th Department of Internal Medicine, National and Kapodistrian University of Athens, 124 62, Athens, Greece.
Konstantinos Leventogiannis4th Department of Internal Medicine, National and Kapodistrian University of Athens, 124 62, Athens, Greece.
Georgios Tavoulareas4th Department of Internal Medicine, National and Kapodistrian University of Athens, 124 62, Athens, Greece.
Efstratios MainasIntensive Care Unit, Ippokrateion Athens General Hospital, 115 27, Athens, Greece.
Konstantinos Toutouzas1st Department of Propedeutic Surgery, National and Kapodistrian University of Athens, 115 27, Athens, Greece.
Christos MathasIntensive Care Unit, Konstantopouleio Aghia Olga General Hospital, 142 33, Nea Ionia, Greece.
Athanassios PrekatesIntensive Care Unit, Tzaneio Piraeus General Hospital, 185 36, Piraeus, Greece.
Vissaria Sakka3rd Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, 115 27, Athens, Greece.
Periklis Panagopoulos2nd Department of Internal Medicine, Medical School, Democritus University of Thrace, 681 00, Alexandroupolis, Greece.
Konstantinos Syrigos3rd Department of Internal Medicine, Medical School, National and Kapodistrian University of Athens, 115 27, Athens, Greece.
Evangelos J Giamarellos-Bourboulis4th Department of Internal Medicine, National and Kapodistrian University of Athens, 124 62, Athens, Greece. egiamarel@med.uoa.gr.
National and Kapodistrian University of Athens · GRAgia Olga Hospital · GRDemocritus University of Thrace · GRIppokrateio General Hospital of Thessaloniki · GRTzaneion General Hospital · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We aimed to develop presepsin as a marker of diagnosis of severe infections of either bacterial and viral origin. The derivation cohort was recruited from 173 hospitalized patients with acute pancreatitis or post-operative fever or infection suspicion aggravated by at least one sign of the quick sequential organ failure assessment (qSOFA). The first validation cohort was recruited from 57 admissions at the emergency department with at least one qSOFA sign and the second validation cohort from 115 patients with COVID-19 pneumonia. Presepsin was measured in plasma by the PATHFAST assay. Concentrations more than 350 pg/ml had sensitivity 80.2% for sepsis diagnosis in the derivation cohort (adjusted odds ratio 4.47; p < 0.0001). In the derivation cohort, sensitivity for 28-day mortality prognosis was 91.5% (adjusted odds ratio 6.82; p: 0.001). Concentrations above 350 pg/ml had sensitivity 93.3% for the diagnosis of sepsis in the first validation cohort; this was 78.3% in the second validation cohort of COVID-19 aiming at the early diagnosis of acute respiratory distress syndrome necessitating mechanical ventilation. The respective sensitivity for 28-day mortality was 85.7% and 92.3%. Presepsin may be a universal biomarker for the diagnosis of severe infections of bacterial origin and prediction of unfavorable outcome.

Indexed as

Bacterial InfectionsCOVID-19PancreatitisSepsisAcute DiseaseCOVID-19 TestingHumansLipopolysaccharide ReceptorsPeptide FragmentsPrognosisLipopolysaccharide ReceptorsPeptide Fragmentspresepsin protein, human

Identifiers

PMID36882572
PMCPMC9990570
OpenAlexW4323357600

What OpenQuestion holds

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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.